In Psychiatric Wards: Past and Present Day

87

By rgarnett

We have seen it in the movies, witnessed it on tv. The psychiatric ward and the Hollywood glamor that brings it to life. The scripts and props that make the idea of a psychiatric ward more dramatic and more interesting to the general public than it is. Wipe those images out of your mind, the real psychiatric ward, is very different from the movies.

The Old Days

Lunatic Asylums. The modern psychiatric ward has evolved from these older, less regulated hospitals. In most cases, these asylums were a solution to families with relatives that carried a wide variety of ailments. The asylums housed people with 'hysteria' to 'madness' - in a sense, the diseases were not very sophisticated in diagnosis. People were dropped off at the lunatic asylums and the treatment there were usually quite brutal. They were places to drop of your 'less than appealing' relatives and leave them in someone else's care.

Early treatments were shocking. It would boggle the minds of those of the modern era. The doctors and scientists of early lunatic asylums spent their times trying to cure patients of their madness with very unconventional methods. Employing methods like:

  • Insulin-Coma Therapy by where the doctors would induce an insulin coma for drug addiction
  • Trepanation by drilling holes into the patient's skulls for 'releasing demons of madness'
  • Malaria Treatment to treat syphilis. The doctor would infect a patient with Malaria tainted blood to induce a high fever that would kill the syphilis.

As these treatments began to fade out, modern psychiatric wards started to form. Patients were still dropped off for any reason and the treatment was not much better. ElectroShock Therapy was a common treatment of patients with mental illness. Nurses and doctors were known to chain patients to walls or from their hands attached to the ceiling.The patients rarely wore proper clothing or had proper meals while in the psychiatric wards.

Humane treatment of patients didn't start becoming regulated until the 1970's when the government started to take notice of the situation. Advocacy groups banned together to help get more humane practices as psychiatric hospitals became a more accepted form of treatment for mental illness.


Modern Times

Mental Illness is a disease that has been around for centuries and the treatments for the various diseases have evolved and changed over the years. The psychiatric wards have slowly but surely followed the progression of the science.

Instead of locking patients away and trying cure the illnesses with experimental treatments, the psychiatric wards you see today are very much like normal hospital wings. The difference between the two is the type of patients housed inside. There is more emotional pain inside the walls of a psychiatric ward than the physical pain of a normal hospital.

There are numerous things on the internet, videos and pictures, from patients who have had bad experiences in a mental health hospital and very few that depict a more common experience. One of safety and compassion. It takes a special kind of person to work with the mentally ill. With the stigma of mental illness, it is easy for most people to brush off the needs of these people, the pain and damage done to them.

Patients are given a strict set of rules and guidelines, in which they must follow. All patients are usually up early for breakfast, they have a group session or three in the afternoon and sessions one on one with their psychiatrist. The wards are usually split between adults and children, high-functioning and lower-functioning. Common treatments of the mentally ill nowadays are drug therapies and counseling, structure and routine.


Have you personally been treated in a psychiatric ward?

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Patients have a schedule set before them, are not usually allowed to wear or be in possession of anything that might cause harm to themselves or others. The only real time a patient is restrained is if they get to hard to handle during an episode. If they are harmful to themselves or someone else. Staff within the wards are trained to protect themselves and others from psychiatric episodes and are trained to handle the specific needs of these patients.

Depending on the mental illness afflicting a patient, their treatment is tailored to the individual. While one person might be doing arts and crafts in one room, another might be journaling in another. Doctors and nurses are to treat patients with the utmost care and respect, gone are the days of beatings and chains. Instead the staff is there to teach patients activities of daily life and helping to insure the patients can live with their illness, as there are no cures for these types of diseases

The staff in a mental health institution are required to check on the patients at least every 15 minutes, sometimes shorter intervals to make sure that there is nothing that the patient needs or that they are not in any danger or harm. Most facilities are locked and sometimes the windows may be fenced, but usually, its more common to see wards with open floor plans, wide nurses' stations, and day rooms with tvs and games for downtime.

Most of the people who are afflicted by the diseases of the mind are no scarier than any other person on the planet. While there are a few who have more sinister and malicious problems inside their brains, most of them can be helped to live a healthy and normal life. This is the same for the stigma of psychiatric hospitals. Most people think of them as scary and dangerous, when in reality, they were built, at least in our modern times, to provide aid and safety for their very special patients.

Comments

aetennis profile image

aetennis 22 months ago

I have treated an disabled, elderly patient before that has gone through hell in wards. She was transferred to a home with caregivers in the 70s. It was heartbreaking to hear the stories from her relatives. I'm glad things have changed.

rgarnett profile image

rgarnett Hub Author 22 months ago

It is incredibly heartbreaking to see where psychiatric wards have come from. You are not alone in your stories. The stigma of psychiatric wards will always be haunted and fueled by the past they came from. Thanks for reading it, hopefully it has lightened your heart a bit.

MPG Narratives profile image

MPG Narratives Level 4 Commenter 22 months ago

Isn't it incredible what humans will do to others in the name of medicine? I had heard stories of such atrocities but didn't realise how bad it was. Great yet disturbing hub.

rgarnett profile image

rgarnett Hub Author 22 months ago

Glad you liked it! Thanks for looking at it. :)

Pcunix profile image

Pcunix Level 7 Commenter 22 months ago

Someone close to me once voluntarily committed to a psychiatric word because of post-partum depression.

She became very dependent and had feelings that she did not want to leave. She did eventually force herself to get back to normal life, but she said it was very, very hard to do so.

rgarnett profile image

rgarnett Hub Author 22 months ago

Usually patients are dependent on the structure that a psych ward gives them. I know when I was a patient when I was a teenager, I was very dependent, I never really thought I would be okay to leave. The courage to leave, takes an enormous amount of confidence in coping skills that the ward provides.

Arcticwind 21 months ago

You gave a realistic view of the psych ward. I was diagnosed with schizoaffective disorder after almost 7 years in the Army (I was a Behavioral Science Specialist working with spouse and child abuse situations). My mind finally decided it was time to go. After my episode, I was on the ward for 6 months, then medically retired from the Army. The staff was very good and kind. However,if a person was admitted on ward as a patient that was perceived as "faking" their problem by the other patients, then things could become "strange". We viewed those patients as if they were belittling, or at least making light of our situation. I have no doubt those "patients" have some unhappy stories from their psych ward stay. If a person needs help, get it. If it's a matter of wanting a vacation, go elsewhere!

rgarnett profile image

rgarnett Hub Author 21 months ago

Articwind - thank you for sharing your story. I understand your sentiments as both a patient and a staff member within a psychiatric ward. I appreciate your reading this hub and commenting. :)

lambservant profile image

lambservant Level 5 Commenter 20 months ago

pcunix, often patients are hesitant to go home because the hospital has provided a place of safety, kindness, care, and the special attention they need. To leave that environment can cause great anxiety because they know their problems are at home waiting for them.

R Garnett, this was a great article. I don't know whether you share by experience or that you have really done your homework, but it was a very informative hub and from my experience with modern psychiatric wards, very accurate. Thank you for sharing.

rgarnett profile image

rgarnett Hub Author 20 months ago

lambservant - Again, thank you for reading. I am incredibly glad that you found this hub informative. To answer your curiosity, I have been on both sides of the fence. In my teen years I was a patient in a psychiatric ward and as an adult I worked with patients deemed criminally insane as a forensic rehabilitation specialist. :)

kimh039 profile image

kimh039 Level 6 Commenter 19 months ago

Nice hub, rgarnett. I have a similar hub on psychiatric treatment and medications. It's amazing how very different our hubs can be on very similar topics. I really liked the video too. Thanks for sharing.

Denise Handlon profile image

Denise Handlon Level 8 Commenter 19 months ago

rgarnett and Kim-I also have an article that I wrote fairly recently on the Committment process. Yes, RG- this is a realistic look at the history and evolvement of psych wards, or units as they are now called in 'modern' terms. It is truly amazing that we did not create more humane methods of treatment until the 1970's !!! Scary, isn't it. I believe that much of the problem is that it is considered 'secondary' to 'real' medicine and medical issues.

As a psych nurse I have had numerous people reference that I wasn't a 'real' nurse or wondered why I didn't work as a 'real' nurse. It's such a joke, because without our mental capacities we wouldn't be functioning.

I learned early on, as a new grad nurse, there is a fine line between those who carry the keys-and those who don't!

Great job bringing attention to this subject. Thanks.

rgarnett profile image

rgarnett Hub Author 19 months ago

Kimh - I appreciate your comments. I will definitely have to check out your hub on the subject. :) I will look forward to it. Thanks for reading and commenting. Always a pleasure to have readers. :)

rgarnett profile image

rgarnett Hub Author 19 months ago

Denise - your comments are very insightful. I am so glad that there is another person out there that loves schizophrenics as much as I do. I really do find them to be the most honest people on the planet. I have such a passion for the mental illness topic and I am glad to have you drop by and comment. Thanks so much! :)

jules 17 months ago

the person who wrote this article is brainwashed by the psychiatric community. any study of the history of medicine will tell you that psychiatry is not a science, but rather, a study of deviant behavior. deviance is social in nature, there are no mental illnesses, only behaviors declared "illness" for the purpose of social order. the other reason? to make money off patients who develop a need for drugs. do not enter a ward. they take away your freedom. cheer up, count your blessings and stay away from evil psychiatrists.

rgarnett profile image

rgarnett Hub Author 17 months ago

Jules - I appreciate your opinion on this hub, everyone definitely has their own outlook on the psychiatric wards - I for one, have been in one and know that personally, it helped me. I don't expect anyone to take my personal account as law, so I am pleased to see another point of view. Thank you for commenting, Jules and bringing a new perspective to the topic.

Theresa Collins profile image

Theresa Collins 13 months ago

Although these comments were posted 4 months ago, I can't help but comment on jules' comment, "deviance is social in nature, there are no mental illnesses, only behaviors declared "illness" for the purpose of social order. the other reason? to make money off patients who develop a need for drugs." Being the mother of a young Schizophrenic, who would give his right arm to not be mentally ill, I must say that I disagree with your statements. I can't help but wonder if you have ever experienced a mental handicap or if you have ever loved someone who does. Without mental hospitals, my son would surely be dead by now. I for one, am extremely grateful for psychiatrist and mental hospitals. There is absolutely no doubt that my son is not faking his symptoms or that he has been diagnosed and treated for his illness as a way to make money. Does jules realize that many of the mental hospitals are state funded and they are not making a profit off of these poor souls. Maybe jules should visit one sometime. When visiting our son, we have heard and witnessed mentally ill people who are literally out of their minds. It is very very sad, and I cringe with the thought that anyone would declare them as deviant and not truly ill. While, I am aware that some may fake their symptoms to escape reality, responsibilities and life in general, the majority have been cursed to live in torment. So sad to see that anyone thinks this of the psychiatric community. Thank you, rgarnett for sharing this educational hub about mental hospitals. I am so thankful that todays hospitals and psychiatric care are not as they were in the past.

rgarnett profile image

rgarnett Hub Author 13 months ago

Theresa, thank you so much for reading and commenting on this hub. I, too, am very happy that psychiatric wards are not like they were in previous eras. My heart goes out to your son and your family. I have worked with many schizophrenics and I definitely understand how it can be for them.

maigne 10 months ago

Hi. Your article is nice. I'd just like to ask, what were the sources of some of your data? Specially about the routine activities of these psych patients, because we are currently working on a research about these patients. You would really be a great help. Thank you so much, rgarnett.

rgarnett profile image

rgarnett Hub Author 10 months ago

Hello there, Maigne. I am glad you enjoyed this article. The information about current activities in a psych ward was from my own personal experience. The data came from my being a patient when I was younger and a staff member as I got older. If you have any other questions feel free to ask. I would of course love to help in any way that I can.

heather b 7 weeks ago

Im 20 years old and I have been in and out of. State and none state hosspitals. For my anger and depreshion too.my problems stated around age 4 or 5 and still happen today I just got out of a state hospital called hudson river. On january 21,2012. I can't live at home. My problems inter fear. With my home life and my depression and anger only get worse. I was the youngest on the ward I was on I was 19 years old so I was there for alittle over a year in ahalf but it helped me out more then home did I live in a comunity resadince now. So im doing some what better. And I find this conversations helpfull to me. To not be afraid of being mentaly ill. So thanks.

rgarnett profile image

rgarnett Hub Author 3 weeks ago

@heatherb - Thanks so much for sharing your story! I am glad this hub helps you, that is always the goal. I hope you fine the peace you search for.

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