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Electronic patient records were used to investigate the level of engagement and treatment that patients with very late-onset schizophrenia-like psychosis (VLOSLP) had with mental health services.
Of 131 patients assessed and diagnosed, 63 (48%) were taking antipsychotic treatment at 3 months, 46 (35%) at 6 months and 36 (27%) at 12 months. At discharge from mental health services, 54% of patients had failed to engage with services or became lost to follow-up, 18% had engaged with services but were not taking antipsychotic medication and only 28% were taking treatment.
Results showed that less than half of the patients with VLOSLP were commenced on antipsychotic treatment and less than a third remained on treatment at 1 year or at point of discharge. This highlights the need for services to consider being more assertive in taking potentially effective treatment to this patient group.
This collection of essays responds to the paucity of scholarship on the history of psychiatry and mental health in China. Looking across developments in the early modern and modern periods, the essays focus on the diagnosis, treatment and broader socio-cultural implications of madness and mental illness. This volume brings together for the first time a cohort of scholars who have worked on this topic independently but have not had the opportunity to come together as a group to formulate a synthesis of their respective expertise. The coverage is not intended to be exhaustive, but its aim is to inspire further scholarly dialogue in this underexplored area of medical history and Chinese studies. Whereas the existing literature on the history of medicine in China tends to center on the health and diseased conditions of the body, this book offers a concise integration of recent works that, together, delineate a historical trajectory of the medicalization of the mind in China's shifting cultural and political contexts.
This trajectory is neither linear nor unidirectional. As we will see, it is layered with competing meanings of key concepts such as madness, disorder, treatment and healing at different historical junctures; it has been shaped by various discourses as documented in a wide array of sources, from dream encyclopedias to case histories to missionary archives and from the patient records of neuropsychiatric wards to popular magazines to TV talk shows; above all.
This landmark collection examines psychiatric medicine in China across the early modern and modern periods. Essays focus on the diagnosis, treatment and cultural implications of madness and mental illness. From emotional therapy and missionary interventions in the late imperial era to the establishment of neuropsychiatry and the psycho-boom in the twentieth century, this book explores the complex trajectory of the medicalization of the mind in shifting political contexts of Chinese history.