The hospital has just over seven hundred patients. There are presently twenty three wards; the hospital is divided in acute, sub-acute, psycho-medical, mental subnormal, long stay, psycho geriatric and rehabilitative wards. Government of Jamaica, through the Ministry of Health, granted autonomous status to Bellevue Hospital in The Chairman of the Board reports directly to the Minister of Health.
The institutions management team is headed by a Chief Executive Officer that reports to the Board of Management and has responsibility for the day to day management of the facility.
The recurrent budget for the institution is provided directly from the Ministry of Finance, while capital budget is provided through the Ministry of Health. To be responsible and committed to providing the highest quality psychiatric care, ensuring that medical treatment, nursing and rehabilitative care, is carried out in a clean and safe environment. The Bellevue Hospital is viewed as the leading mental health facility in the Caribbean, providing evidence based best practice psychiatric services, equipped with clinical and support services.
Employing modern computerized technology, situated in an environment, which promotes and sustains wellness of our clients and staff. It was purposefully held in a part of the hospital where the screams could not be heard. They would give the patient a little whiskey and maybe put a rag in the person's mouth, and they would go ahead and do what they had to do.
It was barbaric, absolutely barbaric. Bellevue had a lot [of amputations], as the city began to grow there [were] industrial accidents, people losing limbs, falling off, infections. This went on quite frequently at Bellevue, and without anesthesia, doctors, surgeons who were performing these operations would become nauseous themselves.
Some of them would walk away from the operating room, sometimes they couldn't go through with it. There's one part in my book where they take a limb off a young boy with his father holding him down, and at the end of the operation, the father [got sick]. On the other hand, according to the Bellevue doctors, the boy was just fine, his life had been saved. But the extreme methods didn't end with amputations, right? Electroshock therapy was also used at Bellevue.
Oshinksy: What's most extraordinary about it, and not in a positive way, is that it was used on very young children at Bellevue; you know, it was used on 4-year-old kids at Bellevue. The person who did it, Lauretta Bender, was a pioneer in autism, She was one of the very few early people studying autism who didn't believe it was caused by the coldness of the mother.
She really wanted to reach kids who were not amenable to traditional therapy, and she thought electric shock was the answer. It turns out it wasn't the answer, and it turns out that in retrospect it was an absolutely awful, awful idea.
But at the time what she simply was trying to do was reach these children any way she could. Bellevue has been known as a hospital that treats underserved groups. What do you think that means for the future of Bellevue and other public hospitals now that health care is so divisive in this country? Oshinsky: It's a crapshoot, and the answer is that I don't know. There are fewer and fewer public hospitals.
New York City once had 19; it's down under a dozen now. Public hospitals are in trouble, but public hospitals are the places that treat the undocumented, the uninsured, the homeless. Bellevue especially, its emergency facilities, trauma facilities are so good that it will treat policemen who are shot, firemen who are overcome with smoke. Should the pope or the president get sick in New York City, Bellevue is the place where they would go in an emergency.
In that sense, it's extraordinary. But many of our patients are emergency Medicaid patients or completely uninsured. By the resident population had reached 2, patients and overcrowding was more evident.
Maximum accommodation available was for 1, patients. This caused some retardation to recoverable cases and deterioration in chronic cases. At the same time patients were having less nursing medical cases, as there was no corresponding increase in quality or quantity of nursing or medical staff.
This brought some change in the hospital and progress as a direct result with ultimate benefits to the patients. Steady progress continued in the following year with the introduction of Electro Convulsive therapy and Insulin Coma Therapy.
Provisions were made for more organizing training for medical and nursing staff. Tranquilizers were introduced shortly after and this proved very effective in the control of patients.
Custodial care was largely the recognized pattern of nursing care. The main function of the nurse was keeping the wards clean and neat. Little thought was given to the emotional needs of the patients. Patients who reported that staff "Usually" explained about medicines before giving it to them. Patients who reported that NO, they were not given information about what to do during their recovery at home. Patients who reported that YES, they were given information about what to do during their recovery at home.
Patients who Agree they understood their care when they left the hospital. Patients who Disagree or Strongly Disagree they understood their care when they left the hospital. Patients who "Strongly Agree" they understood their care when they left the hospital. Patients who "Agree" that they understood the purposes of their medications when leaving the hospital. Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital.
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital. Patients who "Agree" that the staff took my preferences into account when determining my health care needs. Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs.
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs. Patients who "Agree" that they understood their responsiblities in managing their health. Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health. Patients who "Strongly Agree" that they understood their responsiblities in managing their health. Patients who reported that NO, they did not discuss whether they would need help after discharge.
Patients who reported that YES, they did discuss whether they would need help after discharge. Patients who reported that their doctors "Always" explained things in a way they could understand.
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand. Patients who reported that their doctors "Usually" explained things in a way they could understand. Patients who reported that their doctors "Always" listened carefully to them.
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