VPRS 17907 Admission and Discharge Register of Patients, Mental Health

Details recorded 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.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a mental hospital upon being determined to be mentally ill.The Register of Patients and Discharge Register officially superseded the separate Discharge Register, however some institutions continued to maintain a separate record of patient discharges, transfers and deaths.

所记录的信息包括：患者姓名、入院日期、住院编号、末次既往入院日期、年龄、婚姻状况、职业、既往居所、宗教信仰，以及精神障碍类型与身体健康状态。当患者死亡、转院或出院时，需在登记册中补充记录相关详细信息。同时要求各医疗机构另行留存《出院、转出与死亡登记册》，通常简称《出院登记册》。1959年《精神卫生法》（Mental Health Act 1959）第41至49条明确规定了以下五类入院情形：1. 自愿住院者（Voluntary Boarders, V）：指主动申请入院的患者；若患者未满16周岁，则需经其父母或监护人同意，并取得执业医师的评估意见。2. 推荐入院患者（Recommended (R) Patients）：需由经治执业医师开具制式推荐文书，方可办理入院。3. 核准入院患者（Approved (A) Patients）：患者入院后，医院院长需尽快完成评估，要么核准其入院资格，要么予以出院。4. 司法强制入院（Judicial Admissions, J）：若经治安法官确认有宣誓证言证明，精神疾病患者未获得适当照料、无法自理或已实施犯罪行为，且经两名执业医师检查后，可签发强制入院令，将患者收治或扣留于精神病院。5. 安保级患者（Security Patients, S）：指原本被羁押于监狱，经诊断患有精神疾病后转至精神病院收治的患者。《患者登记册》与《出院登记册》原本已正式取代单独的出院登记记录，但部分医疗机构仍会另行留存患者出院、转院与死亡的独立档案。