DOCSLIB.ORG

Towards an Understanding of Occupational Therapy Professional Practice Knowledge in Mental Health Services

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Towards an Understanding of Occupational Therapy Professional Practice Knowledge in Mental Health Services Towards an understanding of occupational therapy professional practice knowledge in mental health services Lynne Maree Adamson B AppSci (OccTher), MAppSci (OT), Grad Cert (Univ Teach & Learn) Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy University of Sydney, NSW, Australia August 2011 Statement of authorship I, Lynne Maree Adamson, hereby declare that the work contained within this document is my own and no other person’s work has been used without due acknowledgement. This work has not been submitted to any other university or institution as a part or a whole requirement for any higher degree. Lynne Maree Adamson 29 August 2011 i Acknowledgements Many people provided inspiration and support to me in this journey across several years. I thank Colleen Mullavey O’Byrne for supervising and guiding me through the process. As colleague and friend, I am grateful for her wisdom and gentle encouragement. Special thanks are due to Joy Higgs who introduced me to new ways of thinking and inspired me with her experience and her view to far horizons. I appreciate the dynamic learning opportunities created through Joy’s leadership and the scholarly companionship of her colleagues and research students. To my family and special friends, I owe deepest gratitude for support and tolerating absence from my usual roles in life. Most of all, I thank Evelyne who inspired, challenged and supported me. My work colleagues deserve thanks for their understanding and willingness to share the high and low moments of postgraduate study. In my writing, I was assisted by Natasha Parkin who searched meticulously for missing details and helped me organise my words. My work was edited by Dr Margaret Johnson of The Book Doctor, to whom I express sincere appreciation. All procedures of the University Policy for Proofreading and Editing of Theses and Dissertations were strictly observed. I express appreciation to the occupational therapists who agreed to participate in the study. Their stories of practice and critique of my work were integral to my interpretation and writing. I admire the ways in which occupational therapists are pioneers in an ever-changing practice landscape. I especially thank Susan Esdaile who had the foresight to keep items of history, reflecting an era of education still remembered by many occupational therapists. Old photos initially awakened my interest in the history of occupational therapy in mental health services. I hope that in this document I have captured some of the hope instilled within a profession that believes in the importance of occupation as a positive contribution to life. Now I will move on, hoping to continue to link past and present as we create the future of occupational therapy. ii Abstract This study critiqued historical, philosophical and political factors influencing occupational therapy (OT) professional practice knowledge in the context of public mental health services located in Victoria, Australia. The research was situated within the interpretive paradigm of scientific inquiry, using a hermeneutic process to construct and interpret five texts portraying the evolution of OT in mental health services. A series of conversations with key occupational therapists yielded material for further critical interpretation. Ethical approval was received from the Human Ethics Committee, University of Sydney. The first constructed and interpreted text situated early mental health services within the unique background of Australian convict settlements, 1788 - 1868. OT emerged within institutional environments echoing this past. The second and third texts interpreted OT professional literature, presenting a timeline of practice within mental health services. Occupational therapists implemented their craft-based practice within the psychiatric institutions of the 1940s and 1950s. Through the next two decades, occupational therapists made efforts to align practice with medical paradigms of knowledge before returning to occupation as a core of practice knowledge in later decades. Following closure of institutions during the 1990s, occupational therapists were challenged by relocation of services to community-based, multidisciplinary environments. The fourth text portrayed an interpretation of four transitions of practice, reflecting challenges influencing professional practice knowledge through five decades of practice. The final text interpreted six strands of professional practice knowledge, representing unifying threads woven through these decades. The study concluded that OT had a quiet, yet consistent role within mental health services in Victoria. Gender, changing social views and practice environments were significant influences on the evolution of occupation as a core of practice. The study adds to deeper understanding of the importance of practice knowledge for the development of the profession in complex socio- political environments. iii Conference presentations related to this study Adamson, L., Higgs, J., & Mullavey O’Byrne, C. (2007). Contradictions and connections: philosophy and theory in mental health practice. AQR Conference: Qualitative Research and the Professions. 13 – 14 November. Melbourne: Monash University. Adamson, L., Higgs, J., & Mullavey O’Byrne, C. (2009). Convicts to community: mental health and occupation. University of Sydney Faculty of Health Sciences Postgraduate Conference. 4 November, Lidcombe, NSW: University of Sydney. Adamson, L., and Higgs, J. (2010). Mental Health Practice: who makes the team? Proceedings of All Together Better Health 5 International interprofessional conference. Seeing things differently: evidence and innovation in interprofessional learning and practice. (p. 215). 6 – 9 April. Manly, NSW. Adamson, L. (2010). From convicts to community action: tracing stories of mental health and occupation. Proceedings of 15th international congress of the World Federation of Occupational Therapists: Sharing the world of occupation from Latin America (p. 22). 4 – 7 May. Santiago, Chile. Adamson, L. & de Leeuw, E. (2010). What we do is our health. Proceedings of the International Union for Health Promotion and Education World Conference on Health Promotion: Health, Equity and Sustainable Development (p. 52). 11-15 July. Geneva. iv Acronyms AAOT Australian Association of Occupational Therapists ACL Allen’s Cognitive Levels AHMAC Australian Health Ministers Advisory Council AJOT American Journal of Occupational Therapy AOTJ Australian Occupational Therapy Journal AOTA American Occupational Therapy Association APA American Psychiatric Association CAOT Canadian Association of Occupational Therapists CATS Crisis Assessment and Treatment Services CCU Community Care Units CDT Cognitive Disability Theory CJOT Canadian Journal of Occupational Therapy COAG Council of Australian Governments CRS Commonwealth Rehabilitation Service EBP Evidence-based Practice ICF International Classification of Functioning, Disability and Health MOHO Model of Human Occupation MSTS Mobile Support and Treatment Services MTM Methods Time Measurement NGO Non government organisation NMHETAG National Mental Health Education and Training Advisory Group NMHWG National Mental Health Working Group NSPOT National Society for the Promotion of Occupational Therapy OT Occupational Therapy PDRSS Psychiatric Disability Rehabilitation Support Services PEOP Person Environment Occupation Participation TAFE Tertiary and Further Education UN United Nations VATMI Victorian Association for the Mentally Ill VICSERV Psychiatric Disability Services of Victoria WFOT World Federation of Occupational Therapists WHO World Health Organization v Table of Contents Abstract ............................................................................................................................................................. iii Chapter 1 Introduction .......................................................................................................................... 1 1.1 Mental Health Services and Health Professions .............................................................. 1 1.1.1 The emergence of occupational therapy as a profession. .................................. 1 1.1.2 Professions, knowledge and responsibility. ............................................................ 3 1.1.3 Statement of the research topic. ................................................................................... 4 1.1.4 Significance of the study. ................................................................................................. 5 1.2 Background to the Study: Mental Health in Society ...................................................... 6 1.2.1 An international context for mental health services. .......................................... 6 1.2.2 Australian mental health services. .............................................................................. 7 1.2.3 Public mental health services in Victoria. ................................................................ 8 1.3 OT: A Health Profession ............................................................................................................. 9 1.3.1 Description and definition. ............................................................................................. 9 1.3.2 Occupational therapy fields of practice. .................................................................... 9 1.3.3 Professional beginnings in the 20th century. ........................................................ 10 1.3.4 Professional challenge:
Load more

Recommended publications
  • Lists of Members 1996
    Lists of Members Governing Bodies, Faculties, Boards, Academic and Administrative Staff 1996 Main Committees and Departmental Lists as at 1st February, 1996. Address All general correspondence directed to the University should be addressed to The Registrar, The University of Melbourne, Parkville, Victoria. Australia, 3052. Telephone: (03) 9344 4000 Fax: (03) 9344 5104 Contents UNIVERSITY OF MELBOURNE: SENIOR OFFICE BEARERS COUNCIL 1 *COMMI 11tES 2 4 COUNCILS OF HALLS OF RESIDENCE COMMITthE OF CONVOCATION 8 *ACADEMIC BOARD FACULTIES 10 BOARDS 13 PROFESSORS 21 22 PROFESSORIAL ASSOCIATES WITH 1-11LE OF PROFESSOR 28 READERS 30 PROFESSORS EMERITUS 35 HEADS OF AFFILIATED COLLEGES 40 HEADS OF HALLS OF RESIDENCE 40 TEACHING AND RESEARCH STAFF - Agriculture, Forestry and Horticulture 41 Architecture, Building and Planning 45 Arts 46 Economics and Commerce 53 Education 56 Engineering 60 Law 65 Medicine, Dentistry and Health Sciences 67 Melbourne Business School 99 Music 100 Science 101 Veterinary Science 107 Victorian College of the Arts 109 LIBRARY 112 FACULTY ADMINISTRATION 115 GRADUATE SCHOOL ADMINISTRATION 119 CENTRAL ADMINISTRATION 120 Office of the Vice-Chancellor and Principal 120 Academic Registrar's Division 122 Academic Services 122 Academic Administration 122 Academic Planning Support Unit 122 External Relations 122 The Graduate Centre 123 International Office 123 Student and Staff Services 123 Human Resources 125 Registrar's Division 126 Executive Services 126 Financial Operations 126 Information
    [Show full text]
  • Clarke, Postcolonialism, Mental Illness and Prisons
    The Tyran n y of the Lea ther Bo ok: Post colonialism, M ental Illness a nd Prisons in Australia Joan E Clarke, PhD Introduction: Shaping Relationships by Space and Symbol This essay explores how colonial legacies continue to affect people with severe mental illness in Australia, sometimes positively but mostly adversely. The exploration begins over two centuries ago when colonial white settlers brought with them an intention to own land. Along with this intention they brought their knowledge of how to manage large spaces by the use of European mapping, naming of places, British law, architecture and institutions. This paper follows the trail of how settlers shaped Australian landscapes with their laws that in turn helped to determine a hierarchy of colonial social relationships. Sherene Razack in her work on space, race and the law, argues that land, when it is set aside for specific purposes by statutes or government acts, is a statement about race and culture. Law plays a direct role in producing space by stipulating land use and purpose.1 For people with a mental illness in Australia an abiding fact is governments’ regulation of their personhood stretching back to colonial times. Laws were statements about their sanity. Asylums were statements about their place. In the State of Victoria, for example, before Federation in 1901, until now, there have been over 60 Lunacy Acts, Lunacy Statutes, Mental Hygiene Acts, and Mental Health Acts beginning with the Colony of New South Wales Lunacy Act of 1928. A new Victorian Mental Health Act will come into existence in 2013.
    [Show full text]
  • Australian Medical Journal
    AUSTRALIAN MEDICAIL JOURNAL. 975 USTRALIAN RADIUM. 7 representing the Australian specimen, and as 19 is to 27 when the interceptor was a mild leaden MAN LA \V'1: I? NCR. ALR.C. l'., Ëdiu. one, both experiments at a distance of 14 inches from the electroscope. Hon. Dermatologist, St. V incent's Hospital.) It will be a great help to Australian medical men About two months ago Mr. Jones, managing di- if a local supply of therapeutical radium is obtain- rector of the Radium Hill Co., South Australia, able, and as there is now such a great demand sent a ten milligram specimen of radium bromide to abroad for radium. on account of its being used in me, asking me to examine same therapeutically. In the treatment of inoperable malignant growths and order to compare the result of the therapeutical likewise being applied after operations for cancer, action of this specimen with the therapeutical ac- tion of a :to milligram specimen of pure radium 'bromide (imported), I took for one experiment a case of generalised psoriasis, the patient having numerous small spots and patches of psoriasis, more or less bilaterial and symmetrical, situated on the sides of the body and on the arms and legs. I had the specimen of Australian radium applied to four or five spots upon the left arm, giving 15 minutes exposures, and imported specimen applied to simi- lar spots upon the right arm. The time of exposure and preparation of the specimens were exactly simi- lar. In the same way, spots were treated upon the left side and left leg with the Australian specimen, several exposures of thirty.
    [Show full text]
  • JMO POST DATA Current
    PGY2 POSTS APPROVED BY PMCV 2020 No. Next Full Health Service Units approved 1008 Parent Health Service Posts Survey Due Albury Hospital Emergency 5 Albury Wodonga Health 2021 Albury Hospital ENT/ Urology 1 Albury Wodonga Health 2021 Albury Hospital Intensive Care 1 Albury Wodonga Health 2021 Albury Hospital Medical Oncology 1 Albury Wodonga Health 2021 Albury Hospital Orthopaedics 1 Albury Wodonga Health 2021 Albury Hospital Paediatrics 1 Albury Wodonga Health 2021 Albury Hospital Nights 4 Albury Wodonga Health 2021 Albury Hospital General Medicine 1 Albury Wodonga Health 2021 Albury Hospital General Surgery 2 Albury Wodonga Health 2021 Albury Hospital Anaesthetics 1 Albury Wodonga Health 2021 Wodonga Hospital General Medicine 1 Albury Wodonga Health 2021 Wodonga Hospital Gynaecology 1 Albury Wodonga Health 2021 Wodonga Hospital Specialist Surgery 1 Albury Wodonga Health 2021 Wodonga Hospital Geriatrics 1 Albury Wodonga Health 2021 Mercy Health, Albury Geriatrics 1 23 Albury Wodonga Health 2021 Alfred Hospital Burns/Faciomax 2 Alfred Health 2022 Alfred Hospital Cardiology 2 Alfred Health 2022 Alfred Hospital Cardiothoracic surgery 2 Alfred Health 2022 Critical Care (2x3mth rotations in Alfred Hospital 2 Alfred Health 2022 Anaes/ 2x3mth rotations in ICU) Alfred Hospital Emergency 4 Alfred Health 2022 Alfred Hospital Endocrinology 1 Alfred Health 2022 Alfred Hospital Endocrinology/ rheumatology 1 Alfred Health 2022 Alfred Hospital ENT 1 Alfred Health 2022 Alfred Hospital Haematology 1 Alfred Health 2022 Alfred Hospital Infectious Diseases
    [Show full text]
  • The Hospitals for the Insane
    VICTORIA. REPOllT OF THE ACTING INSPECTOR OF LUNATIC ASYLUMS ON THE HOSPITALS FOR THE INSANE, FOR THE TEAR 18 7 3. PRESENTED TO BOTH HOUSES OF PARLIAMENT BY HIS EXCELLENCY'S COMMAND. Pl:"RSUA:-<T TO ACT OF PAl!LlAl\!ENT No. 309, SEC. 56. Ii!! antiJorit!': JOHN FEJUms, GOVEHNMENT PRI:-iTER, MELBOURNE. No. 14. APPROXHIATE COST OF REPORT. £ •• d. Prepautlon -Not given. Printing (8~5 copies) •• 36 10 0 DEPARTMENT OF HOSPITALS FOR THE INSANE, Melbourne, 19th :March 1874· Sm, In accordance ·with the provisions of the 56th section of the Lunacy Statute of I 867 and your instructions, I have the honor to forward for your perusal the following Report upon the state and condition of the Lunatic Asylums of the Colony of Victoria for the year ending 3 I st December 1 87 3. I did not assume the duties of Acting Inspector of Lunatic Asylums until the 16th May I873, when Mr. Edwarcl Paley, the Inspector, left the colony on furlough for twelve months to visit Europe. I have the honor to be, Sir, Your most obedient Servant, ALEXR ROBERTSON, :M.D., Acting Inspector of Lunatic Asylums. To the Honorable the Chief Secretary of the Colony of Victoria. REPORT. The following is a list of the tables which contain a summary of the facts upon which my remarks are chiefly based :- Table I.-Showing the Number and Distribution of the Insane in Victoria on the 31st December 1873. , H.-Showing the Admissions, Readmissions, Discharges, and Deaths in all Public Asylums during the Year I 87 J.
    [Show full text]
  • In 1934, Two Severely Mentally Retarded Children Were Brought By
    In 1934, two severely mentally retarded children were brought by their mother to see Dr Asbjørn Følling, a Norwegian physician, having consulted numerous doctors to no avail. She had noticed that both children had a strange bodily odour.[1] Dr Følling eventually proved that these children, along with eight other severely mentally retarded children excreted phenylpyruvic acid in their urine leading to the description of oligophrenia phenylpyrouvica, later termed phenylketonuria.[2] Figure 1:The two mentally retarded sibling whom their mother brought to see Dr Følling[2] Figure 2:The publication from 1934 describing the discovery of phenylketonuria [2]and the scientist behind the discovery, Dr Følling[1] Phenylketonuria (PKU) is an autosomal recessive disorder, characterised by an inborn error of metabolism caused by a deficiency of phenylalanine hydroxylase (PAH).[3] PAH is the hepatic enzyme necessary for the metabolism of phenylalanine (Phe) to the amino acid tyrosine using tetrahydrobiopterin (BH4) as a cofactor. The deficiency of PAH leads to the accumulation of Phe and its metabolites giving rise to the ‘mousy’ odour of the body and urine.[4] The pathophysiological mechanisms by which PKU causes neurological dysfunction are multiple and not well understood. It has been postulated that Phe may inhibit cortical neuronal growth and induce neuronal death and downregulate brain-derived neurotrophic factor (BDNF) which is critical for neuronal development and protection. [5] Hyperphenylalaninaemia also inhibits the hydroxylases of tyrosine and tryptophan leading to a deficiency in cathecholamines and serotonin.[6] If left untreated, is associated with microcephaly, epilepsy, severe mental retardation and, in some cases, progressive supranuclear motor disturbances.
    [Show full text]
  • Kew Historical Society Significance Assessment | Collection Report
    Artwork: Kew Railway Station (1887-1958) by local artist Joy Stewart. A template for one of a series of tapestry panels depicting the history of Kew. Wool colour codes at left. Photo: Kew Historical Society Kew Historical Society Significance Assessment | Collection Report | August 2018 © History@Work 2018 Project Team Emma Russell, Principal Historian Alannah Croom, Historian Schedule Project Kew Historical Society Collection - Significance Assessment Status & Date Final Report, August 2018 Prepared for Robert Baker – Archivist Judith Scurfield - Curator Contents Executive Summary p.2 Executive Summary Purpose of Significance Assessments Methodology History of Kew p.5 History of the collection Focus and scope Investigation Contents of the collection Role in the community Comparative analysis Application of Victoria’s Framework of Historical Themes p.27 Assessment Application of Significance 2.0 criteria Statement of Significance p.33 Recommendations p.35 References p.36 Contact Emma Russell A - 13 Urquhart Street, Northcote, VIC 3070 E - [email protected] W - historyatwork.com.au M - 0414 530 880 1 Executive Summary The Kew Historical Society (KHS) received a Community Heritage Grant from the National Library of Australia in 2017 for a significance assessment. The Grant was for three components of the overall collection: the costumes and textiles, the maps, and the pictures. However we also considered the collection as a whole as it provides the context and the companions for these three components. The Society’s Mission and Aims refer consistently to ‘Kew and its environs’ – this shapes the collection policy and all related documents and is an important driver in acquisition and deacquisition decisions.
    [Show full text]
  • Appendix: Indications of Insanity Noted by Family and Friends of Inmate Prior to Committal
    Appendix: Indications of Insanity Noted by Family and Friends of Inmate Prior to Committal Changed speech Peculiar and eccentric Religious delusions Answers in whispers Strange conduct, morose Boastful Strange in his head Foul language Suicidal Rambling in statements, incoherent Suspicious Singing Unable to give account of self Speaking quickly Unfounded fears Talkative, raving Vacant manner Talks nonsense Very queer Will not speak unless pressed Want of harmony Wild expressions of face Changed mental state Changed behaviour Anxious and depressed Dejected Abandonment or neglect of children/ Delusional family and/or household duties Depressed Aimless and despondent Depressed in spirits Cannot be trusted Excited Childishness Failing mentally Claims ill treatment Fits of temper Craving for drink Foolish Crying Forgetful, absent minded, bad memory Dancing Great state of tension Destructive Hallucinations of sight and hearing Dirty in habits Inside is dead to all feeling* Does not behave like a sensible per- Irrational son Listless Eating like an animal Low spirited Erratic conduct, strange, irregular Melancholic manner Mind unhinged Exalted opinions of self Miserable Fumbling 154 Indications of Insanity 155 Goes naked, indecent manner Singing hymns Has become negligent of self Tears hair Holding hands in front of face Tendency to continual sleeping Lustful/raving about sexual functions Uncontrollable Masturbation Unexplained laughter No appetite Unnatural Noisy Violent and dangerous with threats Not working to others Refusing food Wandering Restless in manner Wears a man’s hat (a woman) Self-abuse Wrings hands Note: *This statement was made by the patient. Some of these are direct quotations but behaviours may apply more widely; much of this language used was used by lay observers or ‘translated’ by doctors.
    [Show full text]
  • Printed with the Authority of the Australian
    N0175 [loose-leaf version] AUSTRALIAN INDUSTRIAL RELATIONS COMMISSION AUSTRALIAN INDUSTRIAL REGISTRY LOOSE-LEAF CONSOLIDATION NURSES (VICTORIAN HEALTH SERVICES) AWARD 2000 This consolidation as made at 11 September 2000 and varied on 20 September 2000 (variations V001 and V002) comprises pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 <Total number of pages = 174> 2. DISCLAIMER Please note that this consolidated award is prepared by the Australian Industrial Registry, and is believed to be accurate but no warranty of accuracy or reliability is given and no liability is accepted for errors or omissions or loss or damage suffered as a result of a person acting in reliance thereon.
    [Show full text]
  • THE HOSPITALS for Rl1he. INSANE
    1880-81. VICTORIA. R E .. P 0 RT OF THE INSPECTOR 0}' LUNATIC ASYLUMS ON THE HOSPITALS FOR rl1HE. INSANE FOR THE YEAR ENDING 31sT· DECEMBER 18 8 0. l'RI•:SENTim TO DOTH HOUSES OF PARLIAMENT PURSUANT TO ACT 31 VICT. No, 809, SEC1'ION 56. li1] autbotit!!: HOBT, S, DRAIN, ACTING GOVERNMENT PRINTER, MELBOURNE. Nu. a. ;' APPUOXIM.A.TE COST OF REPORT. £ s. <1. }lrcparn.tion-N(Jt given. llriutillf! (850 COI}iCS) 41 .o 0 " DEPARTMENT OF HOSPITALS FOR THE INSANE, Melbourne, 28th March 1881. 237. SIR, In accordance with the provisions of the 56th section of the Lunacy Statute, No. 309, I have the honor to transmit for your information the accompanying Report on the state and condition of the Lunatic Asylums, Licensed House, and Lunacy· Wards in the Colony of Victoria for the year ended on the 31st December 1880. I have the honor to be, Sir, Your most obedient servant, E. PALEY, Inspector of Limatic Asylums. The Honorable the Chief Secretary. REPORT. THE first of the following tables gives the number and distribution of the insane in Victoria on the JISt December. On the 1st January I 88o there were 2,768 patients in the public asylums, and 234 on leave ; at the end· of the year there were 2,803 under care in the asylums and 245 on leave, an increase of 46 altogether-35 in the asylums, and I I on leave. At the Cremorne licensed house there were 22 on the books in January, and only 14 in December; and there has only been an increase of I in the lunacy wards during the same period.
    [Show full text]
  • Australian Medical Journal. Match 15, 1886 Are of Wood, And, Being Kept Well Cleaned, Are Quite Dry and Smooth, and Free from Anything Approaching Greasiness
    THE 4usfrallan Medical Yournal MARCH 15, 1886. Original -Article. NOTES OF A VISIT TO THE KEW ASYLUM. By W. MOORE, M.D., M.S., Melb. Dermatologist, Melbourne Hospital. The Kew Asylum has lately been brought frequently before the public by criticisms from various quarters ; but it is to be feared that the public generally, and even the members of the medical profession, know very little of the Asylum as regards its internal arrangements, its methods of treating and caring for the insane, and the results obtained. The Asylum stands in the midst of very extensive grounds, and, from its elevated position, commands a wide view of the surround- ing district. There are two main parts of the building, one for the male, the other for the female inmates, separated by a large hall, which is so arranged that it serves for a theatre, a dancing hall, and also for a church, a screen then shutting off the stage from the rest of the hall. On the east of the hall are the men's quarters, consisting of long (somewhat narrow) day rooms, with single dormitories built along one side, and large dormitories at the end. Off these rooms are the bathrooms, lavatories, &c. All the rooms are well ventilated, the small dormitories being Provided with a large ventilator leading into the day room, and being ventilated on the free side by a window and ventilator. A few pictures on the walls of the day rooms, the number of which might with advantage be increased, somewhat relieve the dulness which necessarily attaches itself to very large poorly- fu rnished rooms.
    [Show full text]
  • Witness Statement of Professor David Leon Copolov Ao
    WIT.0001.0184.0001 Royal Commission into Victoria's Mental Health System WITNESS STATEMENT OF PROFESSOR DAVID LEON COPOLOV AO I, David Leon Copolov, Professor of Psychiatry, Monash University and Pro-Vice-Chancellor, Major Campuses and Student Engagement, of Monash University, Wellington Road, Clayton, Victoria 3800, say as follows: I make this statement in my private professional capacity as a psychiatrist, academic and former researcher, the long-standing Executive Director of the Mental Health Research Institute of Victoria (from 1985-2004) and my previous governance experience as a Director of the Board of the Royal Women’s Hospital (my term having ended on 30 June 2020) and on the Board of the Peter MacCallum Cancer Centre, with six years (2007- 2013) as Deputy Chairman of that Board and five years (2005-2010) as Chair of the Research Committee of that Board. My experience, since 2009, in Senior Management at Monash University, Australia’s largest university, has also guided my views and recommendations about ‘big system’ reform in the area of mental health. My opinions are not to be interpreted as being provided on behalf of Monash University, the University of Melbourne or any other institution or organisation that I am or have been associated with. 2 As detailed below, I do not have experience on the frontline of the public mental health system. However, I have had extensive peer contact with colleagues in the public mental health system, and am an ardent (but unappointed) advocate for those who are served by and who work in that system. I am also an aggregator of information from people associated with and documentary sources relating to the Victorian public mental health sector.
    [Show full text]