Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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94
Provision of
care and
treatment
for the mentally
ill
MENTAL HEALTH SERVICES
Lunacy and Mental Treatment Acts, 1890.1930
A staff of fifteen mental welfare officers and five assistants, under the supervision
of a senior mental welfare officer, operating centrally from the County Hall, continued
to carry out the work of taking initial steps to provide care and treatment for persons
suffering from mental illness. The difficulties caused by the shortage of accommodation
in observation wards, particularly for female patients, continued and many
patients had to be admitted direct to mental hospitals from their own homes under
sections 14 and 16 of the Lunacy Act, 1890, or on urgency orders under section 11 of
that Act, instead of being admitted first to an observation ward as envisaged in the
Council's scheme under section 51 of the National Health Service Act, 1946. The
proposal to decentralise the work had to be further postponed, principally for manpower
reasons as decentralisation would require additional staff.
The following table shows the number of persons dealt with by the mental welfare officers during the year, together with the action taken:—
1950 | 1949 | |||
---|---|---|---|---|
Male | Female | Total | ||
Number admitted to hospitals designated under section 20 of the Lunacy Act, 1890 (i.e. for observation) | 2,377 | 2,917 | 5,294 | 5,326 |
Number dealt with in their homes etc. under sections 14 and 16 of the Lunacy Act, 1890 | 13 | 210 | 223* | 16t |
Number admitted direct to mental hospitals under section 11 of the Lunacy Act, 1890 | 9 | 36 | 45 | 8 |
Number dealt with under section 24 of the Criminal Justice Act, 1948 | 3 | — | 3 | — |
Number in which no action under the Lunacy Acts was found necessary | 722 | 1,105 | 1,827 | 1,614 |
Total 1950 | 3,124 | 4,268 | 7,392 | — |
Total 1949 | 2,977 | 3,987 | — | 6,964 |
* Of these 9 male and 110 female patients were certified and removed to mental hospitals.
† Of these 6 male and 8 female patients were certified and removed to mental hospitals.
The following table shows the ultimate disposal of the patients admitted to observation wards:—
Male | Female | Total | |
---|---|---|---|
Certified and sent to mental hospitals | 664 | 1,215 | 1,879 |
Admitted to mental hospitals as voluntary patients | 469 | 544 | 1,013 |
Admitted to mental hospitals as "temporary "patients | 12 | 23 | 35 |
Discharged to care of relatives (sec. 22) | 19 | 37 | 56 |
No order made by Justice and discharged | 15 | 12 | 27 |
Transferred to general wards | 120 | 90 | 210 |
Transferred to Tooting Bec Hospital | 210 | 253 | 463 |
Transferred to Mental After Care Association Homes | 3 | 1 | 4 |
Died | 143 | 112 | 255 |
Discharged by Medical Officer | 641 | 516 | 1,157 |
Dealt with privately | 6 | 11 | 17 |
Dealt with under Mental Deficiency Acts | — | 7 | 7 |
In ward on 31.12.50 | 75 | 96 | 171 |
Total | 2,377 | 2,917 | 5,294 |