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56-586: Cheadle Royal Hospital is a psychiatric hospital in Heald Green , Greater Manchester , England, built between 1848 and 1849. The main building is Grade II listed . The hospital was founded at a time when only two other similar institutions existed in England ( Bethlem and St Luke's ) and was initially located next to the Manchester Infirmary in 1763. It was designed by Richard Lane in

112-568: A controlled environment due to their psychiatric condition. Patients may choose voluntary commitment , but those deemed to pose a significant danger to themselves or others may be subject to involuntary commitment and treatment . In general hospitals, psychiatric wards or units serve a similar purpose. Modern psychiatric hospitals have evolved from the older concept of lunatic asylums , shifting focus from mere containment and restraint to evidence-based treatments that aim to help patients function in society. With successive waves of reform, and

168-835: A mild, generally humid climate, influenced by the North Atlantic Current . Western Europe is a heatwave hotspot, exhibiting upward trends that are three-to-four times faster compared to the rest of the northern midlatitudes. Western European languages mostly fall within two Indo-European language families: the Romance languages , descended from the Latin of the Roman Empire ; and the Germanic languages , whose ancestor language ( Proto-Germanic ) came from southern Scandinavia . Romance languages are spoken primarily in

224-513: A number of institutions specializing only in the treatment of juveniles, particularly when dealing with drug abuse, self-harm, eating disorders, anxiety, depression or other mental illnesses. In the United Kingdom, long-term care facilities are now being replaced with smaller secure units, some within hospitals. Modern buildings, modern security, and being locally situated to help with reintegration into society once medication has stabilized

280-445: A resident physician . At the beginning of the 19th century there were a few thousand people housed in a variety of disparate institutions throughout England, but by 1900 that figure had grown to about 100,000. This growth coincided with the growth of alienism , later known as psychiatry, as a medical specialism. The treatment of inmates in early lunatic asylums was sometimes very brutal and focused on containment and restraint. In

336-527: A time, though this practice still is periodically employed in the United States , India , Japan , and other countries. Modern psychiatric hospitals evolved from, and eventually replaced, the older lunatic asylum. Their development also entails the rise of organized institutional psychiatry . Hospitals known as bimaristans were built in the Middle East in the early ninth century; the first

392-735: Is a multilingual thesaurus maintained by the Publications Office of the European Union . In this thesaurus, the countries of Europe are grouped into sub-regions. The following countries are included in the sub-group Western Europe: The Western European and Others Group is one of several unofficial Regional Groups in the United Nations that act as voting blocs and negotiation forums. Regional voting blocs were formed in 1961 to encourage voting to various UN bodies from different regional groups. The European members of

448-779: Is a system devised by the United Nations Statistics Division (UNSD) which divides the countries of the world into regional and subregional groups, based on the M49 coding classification . The partition is for statistical convenience and does not imply any assumption regarding political or other affiliation of countries or territories. In the UN geoscheme, the following countries are classified as Western Europe: The CIA classifies seven countries as belonging to "Western Europe": The CIA also classifies three countries as belonging to "Southwestern Europe": EuroVoc

504-612: Is far less risk of patients harming themselves or others. In Dublin , the Central Mental Hospital performs a similar function. Community hospitals across the United States regularly discharge mental health patients, who are then typically referred to out-patient treatment and therapy. A study of community hospital discharge data from 2003 to 2011, however, found that mental health hospitalizations had increased for both children and adults. Compared to other hospital utilization, mental health discharges for children were

560-557: Is widely known for his comprehensive critique of the use and abuse of the mental hospital system in Madness and Civilization . He argued that Tuke and Pinel's asylum was a symbolic recreation of the condition of a child under a bourgeois family. It was a microcosm symbolizing the massive structures of bourgeois society and its values: relations of Family–Children (paternal authority), Fault–Punishment (immediate justice), Madness–Disorder (social and moral order). Erving Goffman coined

616-843: The Carolingian Empire in the west, and in particular the Great Schism between Eastern Orthodoxy and Roman Catholicism , enhanced the cultural and religious distinctiveness between Eastern and Western Europe. After the conquest of the Byzantine Empire , center of the Eastern Orthodox Church, by the Muslim Ottoman Empire in the 15th century, and the gradual fragmentation of the Holy Roman Empire (which had replaced

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672-637: The Carolingian Empire ), the division between Roman Catholic and Protestant became more important in Europe than that with Eastern Orthodoxy. In East Asia , Western Europe was historically known as taixi in China and taisei in Japan, which literally translates as the " Far West ". The term Far West became synonymous with Western Europe in China during the Ming dynasty . The Italian Jesuit priest Matteo Ricci

728-793: The East–West Schism divided Christianity into Western Christianity and Eastern Christianity . This split Europe in two, with Western Europe primarily under the Catholic Church , and Eastern Europe primarily under the Eastern Orthodox Church . Ever since the Reformation in the 16th century, Protestantism has also been a major denomination in Europe, with Eastern Protestant and Eastern Catholic denominations also emerging in Central and Eastern Europe . During

784-674: The Elizabethan style and it opened as the Manchester Lunatic Hospital in 1766. It had 24 beds when it opened, but had over 100 patients by 1800. The facility relocated to Cheadle, 10 miles (16 km) to the south, as the Manchester Royal Hospital for the Insane, in 1849. Voluntary patients, known as boarders, were admitted from 1863. The hospital expanded through the construction of villas on

840-663: The Home Secretary can, under various sections of the Mental Health Act, order the detention of offenders in a psychiatric hospital, but the term "criminally insane" is no longer legally or medically recognized. Secure psychiatric units exist in all regions of the UK for this purpose; in addition, there are a few specialist hospitals which offer treatment with high levels of security. These facilities are divided into three main categories: High, Medium and Low Secure. Although

896-736: The Industrial Revolution , the concepts of " Eastern Europe " and "Western Europe" were more regularly used. The distinctiveness of Western Europe became most apparent during the Cold War , when Europe was divided for 40 years by the Iron Curtain into the Western Bloc and Eastern Bloc , each characterised by distinct political and economical systems. Prior to the Roman conquest, a large part of Western Europe had adopted

952-1118: The Isle of Man , and the Channel Islands , medium and low secure units exist but high secure units on the UK mainland are used for patients who qualify for the treatment under the Out of Area (Off-Island Placements) Referrals provision of the Mental Health Act 1983 . Among the three unit types, medium secure facilities are the most prevalent in the UK. As of 2009, there were 27 women-only units in England. Irish units include those at prisons in Portlaise, Castelrea, and Cork. Psychiatrist Thomas Szasz in Hungary has argued that psychiatric hospitals are like prisons unlike other kinds of hospitals, and that psychiatrists who coerce people (into treatment or involuntary commitment) function as judges and jailers, not physicians. Historian Michel Foucault

1008-811: The Roman Empire . The Western Roman Empire and the Eastern Roman Empire controlled the two divergent regions between the 3rd and the 5th centuries. The division between these two was enhanced during late antiquity and the Middle Ages by a number of events. The Western Roman Empire collapsed , starting the Early Middle Ages . By contrast, the Eastern Roman Empire, mostly known as the Greek or Byzantine Empire , survived and even thrived for another 1000 years. The rise of

1064-779: The U.S. President , Franklin D. Roosevelt , and the Premier of the Soviet Union , Joseph Stalin . Post-war Europe was divided into two major spheres: the Western Bloc , influenced by the United States , and the Eastern Bloc , influenced by the Soviet Union . With the onset of the Cold War, Europe was divided by the Iron Curtain . This term had been used during World War II by German Propaganda Minister Joseph Goebbels and, later, Count Lutz Schwerin von Krosigk in

1120-833: The United Kingdom . It was further revisited in 1954 at the Paris Conference , when the Western European Union was established. It was declared defunct in 2011 after the Treaty of Lisbon , and the Treaty of Brussels was terminated. When the Western European Union was dissolved, it had 10 member countries. Additionally, it had 6 associate member countries, 7 associate partner countries and 5 observer countries. The United Nations geoscheme

1176-458: The mental patient liberation movement . There are several different types of modern psychiatric hospitals, but all of them house people with mental illnesses of varying severity. In the United Kingdom , both crisis admissions and medium-term care are usually provided on acute admissions wards. Juvenile or youth wards in psychiatric hospitals or psychiatric wards are set aside for children or youth with mental illness. Long-term care facilities have

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1232-532: The 1973 academic investigation by Rosenhan and other similar experiments , several journalists have been willingly admitted to hospitals in order to conduct undercover journalism . These include: Western Europe Western Europe is the western region of Europe . The region's extent varies depending on context. The concept of "the West" appeared in Europe in juxtaposition to "the East" and originally applied to

1288-606: The CIA classification a little more liberally and including "South-Western Europe", would give the following calculation of Western Europe's population. The Hague is the seat of government The climate of Western Europe varies from Mediterranean in the coasts of Italy , Portugal and Spain to alpine in the Pyrenees and the Alps . The Mediterranean climate of the south is dry and warm. The western and northwestern parts have

1344-628: The Cheadle site in the 1860s and through the acquisition of houses in Colwyn Bay in the 1870s. The site in Cheadle was initially 37 acres (15 ha); in the following 80 years about 220 acres (89 ha) were added and the original part of the site subsequently became formal gardens and sport and recreation grounds. A convalescent hospital at Glan-y-Don, Colwyn Bay , was also established. The facility became Cheadle Royal Hospital in 1902 and North House, with accommodation for 80 additional patients,

1400-507: The aggression of some of the patients. In Western Europe , the first idea and set up for a proper mental hospital entered through Spain . A member of the Mercedarian Order named Juan Gilaberto Jofré traveled frequently to Islamic countries and observed several institutions that confined the insane. He proposed the founding of an institution exclusive for "sick people who had to be treated by doctors", something very modern for

1456-572: The ancient Mediterranean world, the Roman Empire (both Western and Eastern ), and medieval " Christendom ". Beginning with the Renaissance and the Age of Discovery , roughly from the 15th century, the concept of Europe as "the West " slowly became distinguished from and eventually replaced the dominant use of "Christendom" as the preferred endonym within the area. By the Age of Enlightenment and

1512-959: The condition are often features of such units. Examples of this include the Three Bridges Unit at St Bernard's Hospital in West London and the John Munroe Hospital in Staffordshire . These units have the goal of treatment and rehabilitation to allow for transition back into society within a short time-frame, usually lasting two or three years. Not all patients' treatment meets this criterion, however, leading larger hospitals to retain this role. These hospitals provide stabilization and rehabilitation for those who are actively experiencing uncontrolled symptoms of mental disorders such as depression, bipolar disorders, eating disorders, and so on. One type of institution for

1568-477: The difficulty of distinguishing sane patients from insane patients. Franco Basaglia , a leading psychiatrist who inspired and planned the psychiatric reform in Italy , also defined the mental hospital as an oppressive, locked, and total institution in which prison-like, punitive rules are applied, in order to gradually eliminate its own contents. Patients, doctors and nurses are all subjected (at different levels) to

1624-585: The fall of the Iron Curtain in 1989. West Germany peacefully absorbed East Germany , in the German reunification . Comecon and the Warsaw Pact were dissolved, and in 1991, the Soviet Union ceased to exist. Several countries which had been part of the Soviet Union regained full independence. In 1948 the Treaty of Brussels was signed between Belgium , France , Luxembourg , the Netherlands and

1680-399: The focus in these units is to make life as normal as possible for patients while continuing treatment to the point where they can be discharged. However, patients are usually still not allowed to hold their own medications in their rooms because of the risk of an impulsive overdose. While some open units are physically unlocked, other open units still use locked entrances and exits, depending on

1736-545: The fore in the 1960s has opposed many of the practices, conditions, or existence of mental hospitals; due to the extreme conditions in them. The psychiatric consumer/survivor movement has often objected to or campaigned against conditions in mental hospitals or their use, voluntarily or involuntarily. The mental patient liberation movement emphatically opposes involuntary treatment but it generally does not object to any psychiatric treatments that are consensual, provided that both parties can withdraw consent at any time. Alongside

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1792-574: The four decades of the Cold War , the definition of East and West was simplified by the existence of the Eastern Bloc . A number of historians and social scientists view the Cold War definition of Western and Eastern Europe as outdated or relegating. During the final stages of World War II , the future of Europe was decided between the Allies in the 1945 Yalta Conference , between the British Prime Minister , Winston Churchill ,

1848-730: The goal of treatment and rehabilitation within a short time-frame (two or three years). Another institution for the mentally ill is a community-based halfway house . In the United States, there are high acuity and low acuity crisis facilities (or Crisis Stabilization Units). High acuity crisis stabilization units serve individuals who are actively suicidal, violent, or intoxicated. Low acuity crisis facilities include peer respites, social detoxes, and other programs to serve individuals who are not actively suicidal/violent. Open psychiatric units are not as secure as crisis stabilization units. They are not used for acutely suicidal people; instead,

1904-551: The group are: In addition, Australia , Canada , Israel and New Zealand are members of the group, with the United States as observer. Using the CIA classification strictly would give the following calculation of Western Europe's population. All figures based on the projections for 2018 by the Population Division of the United Nations Department of Economic and Social Affairs . Using

1960-413: The introduction of effective evidence-based treatments, most modern psychiatric hospitals emphasize treatment, usually including a combination of psychiatric medications and psychotherapy , that assist patients in functioning in the outside world. Many countries have prohibited the use of physical restraints on patients, which includes tying psychiatric patients to their beds for days or even months at

2016-429: The introduction of effective evidence-based treatments, modern psychiatric hospitals provide a primary emphasis on treatment; and further, they attempt—where possible—to help patients control their own lives in the outside world with the use of a combination of psychiatric drugs and psychotherapy . These treatments can be involuntary. Involuntary treatments are among the many psychiatric practices which are questioned by

2072-747: The last days of the war; however, its use was hugely popularised by Winston Churchill, who used it in his famous "Sinews of Peace" address on 5 March 1946 at Westminster College in Fulton, Missouri : From Stettin in the Baltic to Trieste in the Adriatic an iron curtain has descended across the Continent. Behind that line lie all the capitals of the ancient states of Central and Eastern Europe . Warsaw , Berlin , Prague , Vienna , Budapest , Belgrade , Bucharest and Sofia ; all these famous cities and

2128-410: The late 19th and early 20th centuries, psychiatric institutions ceased using terms such as "madness", "lunacy" or "insanity", which assumed a unitary psychosis, and began instead splitting into numerous mental diseases, including catatonia, melancholia, and dementia praecox, which is now known as schizophrenia . In 1961, sociologist Erving Goffman described a theory of the " total institution " and

2184-751: The lowest while the most rapidly increasing hospitalizations were for adults under 64. Some units have been opened to provide therapeutically enhanced Treatment, a subcategory to the three main hospital unit types. In the UK, high secure hospitals exist, including Ashworth Hospital in Merseyside , Broadmoor Hospital in Crowthorne , Rampton Secure Hospital in Retford , and the State Hospital in Carstairs , Scotland . In Northern Ireland ,

2240-425: The many 'pauper lunatics'. Nine counties first applied, the first public asylum opening in 1812 in Nottinghamshire . In 1828, the newly appointed Commissioners in Lunacy were empowered to license and supervise private asylums. The Lunacy Act 1845 made the construction of asylums in every county compulsory with regular inspections on behalf of the Home Secretary , and required asylums to have written regulations and

2296-416: The mental institution may be used for the incarceration of political prisoners as a form of punishment. One notable historical example was the use of punitive psychiatry in the Soviet Union and China . Like the former Soviet Union and China, Belarus also has used punitive psychiatry toward political opponents and critics of current government in modern times. In the United Kingdom, criminal courts or

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2352-415: The mentally ill is a community-based halfway house . These facilities provide assisted living for an extended period of time for patients with mental illnesses, and they often aid in the transition to self-sufficiency. These institutions are considered to be one of the most important parts of a mental health system by many psychiatrists , although some localities lack sufficient funding. In some countries,

2408-427: The newly developed La Tène culture . As the Roman domain expanded, a cultural and linguistic division appeared between the mainly Greek -speaking eastern provinces, which had formed the highly urbanised Hellenistic civilisation , and the western territories, which in contrast largely adopted the Latin language. This cultural and linguistic division was eventually reinforced by the later political east–west division of

2464-463: The phrase "Maximum Secure" is often used in the media, there is no such classification. "Local Secure" is a common misnomer for Low Secure units, as patients are often detained there by local criminal courts for psychiatric assessment before sentencing. Run by the National Health Service , these facilities which provide psychiatric assessments can also provide treatment and accommodation in a safe hospital environment which prevents absconding. Thus there

2520-528: The populations around them lie in what I must call the Soviet sphere, and all are subject, in one form or another, not only to Soviet influence but to a very high and in some cases increasing measure of control from Moscow. Although some countries were officially neutral , they were classified according to the nature of their political and economic systems. This division largely defines the popular perception and understanding of Western Europe and its borders with Eastern Europe . The world changed dramatically with

2576-443: The process by which it takes efforts to maintain predictable and regular behavior on the part of both "guard" and "captor", suggesting that many of the features of such institutions serve the ritual function of ensuring that both classes of people know their function and social role , in other words of " institutionalizing " them. Asylums as a key text in the development of deinstitutionalization . With successive waves of reform and

2632-408: The protection of regional and minority languages are recognised political goals in Western Europe today. The Council of Europe Framework Convention for the Protection of National Minorities and the Council of Europe's European Charter for Regional or Minority Languages set up a legal framework for language rights in Europe. Western Europe is one of the richest regions of the world. Germany has

2688-456: The same process of institutionalism. American psychiatrist Loren Mosher noticed that the psychiatric institution itself gave him master classes in the art of the "total institution": labeling, unnecessary dependency, the induction and perpetuation of powerlessness, the degradation ceremony , authoritarianism, and the primacy of institutional needs over the patients, whom it was ostensibly there to serve. The anti-psychiatry movement coming to

2744-430: The southern and central part of Western Europe, Germanic languages in the northern part (the British Isles and the Low Countries ), as well as a large part of Northern and Central Europe . Other Western European languages include the Celtic group (that is, Irish , Scottish Gaelic , Manx , Welsh , Cornish and Breton ) and Basque , the only currently living European language isolate . Multilingualism and

2800-570: The term " total institution " for mental hospitals and similar places which took over and confined a person's whole life. Goffman placed psychiatric hospitals in the same category as concentration camps , prisons , military organizations, orphanages , and monasteries. In his book Asylums Goffman describes how the institutionalisation process socialises people into the role of a good patient, someone "dull, harmless and inconspicuous"; in turn, it reinforces notions of chronicity in severe mental illness. The Rosenhan experiment of 1973 demonstrated

2856-406: The time. The foundation was carried out in 1409 thanks to several wealthy men from Valencia who contributed funds for its completion. It was considered the first institution in the world at that time specialized in the treatment of mental illnesses. Later on, physicians, including Philippe Pinel at Bicêtre Hospital in France and William Tuke at York Retreat in England, began to advocate for

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2912-482: The type of patients admitted. Another type of psychiatric hospital is medium term, which provides care lasting several weeks. Most drugs used for psychiatric purposes take several weeks to take effect, and the main purpose of these hospitals is to monitor the patient for the first few weeks of therapy to ensure the treatment is effective. Juvenile wards are sections of psychiatric hospitals or psychiatric wards set aside for children with mental illness. However, there are

2968-471: The viewing of mental illness as a disorder that required compassionate treatment that would aid in the rehabilitation of the victim. In the Western world, the arrival of institutionalisation as a solution to the problem of madness was very much an advent of the nineteenth century. The first public mental asylums were established in Britain; the passing of the County Asylums Act 1808 empowered magistrates to build rate-supported asylums in every county to house

3024-568: Was built in Baghdad under the leadership of Harun al-Rashid . While not devoted solely to patients with psychiatric disorders, early psychiatric hospitals often contained wards for patients exhibiting mania or other psychological distress. Because of cultural taboos against refusing to care for one's family members, mentally ill patients would be surrendered to a bimaristan only if the patient demonstrated violence, incurable chronic illness, or some other extremely debilitating ailment. Psychological wards were typically enclosed by iron bars owing to

3080-451: Was one of the first writers in China to use the Far West as an Asian counterpart to the European concept of the Far East . In Ricci's writings, Ricci referred to himself as "Matteo of the Far West". The term was still in use in the late 19th and early 20th centuries. Christianity is the largest religion in Western Europe. According to a 2018 study by the Pew Research Center , 71.0% of Western Europeans identified as Christians. In 1054,

3136-556: Was opened in 1903. It had provision for the treatment of 400 patients in 1928 but it chose to remain private rather than joining the National Health Service in 1948. The hospital was acquired by its management team in 1997 and then by Priory Group in 2010. Famous patients have included: Psychiatric hospital Psychiatric hospitals vary considerably in size and classification. Some specialize in short-term or outpatient therapy for low-risk patients , while others provide long-term care for individuals requiring routine assistance or

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