VPRS 17867 Admission and Discharge Register of Patients: Military Patients

This series consists of Admission and Discharge Registers for military mental health patients from Mont Park (VA 2846) and Bundoora Repatriation Hospital (VA 5087). Administration of Mont Park was taken over by North Eastern Metropolitan Psychiatric Services (VA 5083) in 1991.From at least 1845 and the proclamation of An Act for the Regulation of the Care and Treatment of Lunatics (8 & 9 Vic c.100), public asylums and licensed houses were required to maintain a Register of Patients. Initially the register maintained by licensed houses was officially known as the Book of Admissions. In some institutions the Register was also known as an Admissions Register or as an Admission and Discharge Register and these terms were sometimes stamped on the volumes.Immediately upon the admission of a person to an asylum, the clerk of the asylum was required to make an entry in the Register of Patients. Details recorded vary across each volume but typically included: patient's name; date of admission; admission number; date of last previous admission; age; marital status; occupation; previous place of abode; religion and the form of mental disorder and state of physical health. Further details were entered in the register on the death, transfer or discharge of a patient. Institutions were also required to maintain a separate Register of Discharges, Removals and Deaths, usually known as a Discharge Register. For these records see VPRS 17868 Discharge Register of Patients: Military Patients.The format of the Register of Patients which was specified in a schedule to the Lunacy Statute and succeeding legislation, changed little until the proclamation of the Mental Health Act 1959 in 1962. The record then became officially known as the Register of Patients and Discharge Register and included information about the types of admission. The following five types of admission were specified under sections 41 to 49 of the Mental Health Act 1959:Voluntary Boarders (V) were those who entered the hospital at their own request or, if under the age of 16 at the request of a parent or guardian and on the opinion of a medical practitioner.Recommended (R) and Approved (A) Patients. A person could be admitted upon the recommendation set out in a prescribed form, of a medical practitioner who had examined the person. As soon as possible after admission the superintendent of the hospital was required to examine the patient and either approve the recommended admission or discharge the patient.Judicial Admissions (J). Upon information provided on oath before a justice that a mentally ill person was not receiving proper care, or could not support himself/herself or had committed an offence and after examination by two medical practitioners, an order could be made for the person to be admitted to or detained in a mental hospital.Security Patients (S) were those who had been detained in a gaol but were transferred to a mental hospital upon being determined to be mentally ill.The Register of Patients and Discharge Register officially superseded the separate Discharge Register, however some institutions continued to maintain a separate record of patient discharges, transfers and deaths.本数据集系列涵盖蒙特帕克（Mont Park，VA 2846）与邦杜拉退伍军人医院（Bundoora Repatriation Hospital，VA 5087）的军用精神卫生患者入院与出院登记册（Admission and Discharge Registers）。1991年，东北都会区精神卫生服务机构（North Eastern Metropolitan Psychiatric Services，VA 5083）接管了蒙特帕克的管理工作。 早在1845年《精神病人护理与治疗监管法案》（8 & 9 Vic c.100）颁布之时，公立精神病院与特许诊疗机构便被要求留存患者登记册（Register of Patients）。最初，特许诊疗机构的登记册官方名称为《入院簿（Book of Admissions）》。部分机构中，该登记册也被称为入院登记册或入院与出院登记册，此类字样有时会加盖在卷宗上。 患者入院之际，精神病院书记员须即刻在患者登记册中完成登记。各卷宗记录的细节有所差异，但通常包含以下内容：患者姓名、入院日期、入院编号、上次入院日期、年龄、婚姻状况、职业、既往居住地、宗教信仰、精神障碍类型与身体健康状况。患者死亡、转院或出院时，登记册中还会补充相关细节。各机构还须另行留存出院、转院与死亡登记册（Register of Discharges, Removals and Deaths），通常称为出院登记册。相关记录可查阅VPRS 17868《军用患者出院登记册》。 《精神卫生法例（Lunacy Statute）》及其后续立法的附表中规定的患者登记册格式，在1962年《1959年精神卫生法案（Mental Health Act 1959）》颁布前几乎未有改动。此后，该登记册正式更名为患者与出院登记册（Register of Patients and Discharge Register），并新增了入院类型相关信息。根据《1959年精神卫生法案》第41至49条，共规定了以下五类入院情形： 1. 自愿住院者（Voluntary Boarders，V）：指自行提出入院申请的人员，或16岁以下者经父母或监护人同意，并经执业医师评估后入院者。 2. 推荐入院（Recommended，R）与核准入院（Approved，A）患者：经执业医师通过规定格式的文书完成检查评估后，可出具推荐意见以收治患者。入院后，医院主管须尽快对患者进行检查，核准推荐入院申请或将患者出院。 3. 司法收容（Judicial Admissions，J）：若经治安法官宣誓确认的信息显示，精神疾病患者未获得妥善照料、无法自理或已实施犯罪，且经两名执业医师检查评估后，可下达收容令，将该人员收治或扣留于精神病院。 4. 安保患者（Security Patients，S）：指曾被羁押于监狱，经鉴定患有精神疾病后转至精神病院的人员。 患者与出院登记册正式取代了单独的出院登记册，但部分机构仍会另行留存患者出院、转院与死亡的单独记录。