VPRS 17894 Admission and Discharge Register of Patients

This series consists of volumes detailing male and female patient admissions to Kew Idiot Ward/Asylum (1887-1929), Kew Cottages (1929-1962) and Kew Training Centre (1962-1992) (VA 2852). The Register of Patients volumes include: - admission number - patient name - admission date - age - sex - previous place of abode - religion - by whose authority sent - details of discharge/death/transfer From at least 1845 and the proclamation of An Act for the Regulation of the Care and Treatment of Lunatics (8 & 9 Vic c.100), public asylums and licensed houses were required to maintain a Register of Patients. Initially the register maintained by licensed houses was officially known as the Book of Admissions. In some institutions the Register was also known as an Admissions Register or as an Admission and Discharge Register and these terms were sometimes stamped on the volumes. Immediately upon the admission of a person to an asylum, the clerk of the asylum was required to make an entry in the Register of Patients. 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 format of the Register of Patients which was specified in a schedule to the Lunacy Statute and succeeding legislation, changed little until the proclamation of the Mental Health Act 1959 in 1962. The record then became officially known as the Register of Patients and Discharge Register and included information about the types of admission. 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.

本系列档案包含记载1887年至1929年基尤（Kew）智识障碍病房/精神病院、1929年至1962年基尤疗养院（Kew Cottages）及1962年至1992年基尤培训中心（Kew Training Centre）男女患者入院情况的卷册（档案编号VA 2852）。该系列的患者登记册（Register of Patients）包含以下条目：入院编号、患者姓名、入院日期、年龄、性别、此前居所、宗教信仰、转介授权方、出院/死亡/转院详情。

至少自1845年《精神病人护理与治疗监管法案》（8 & 9 Vic c.100）颁布起，公立精神病院及持牌疗养机构须留存患者登记册。早期持牌机构的登记册官方名称为《入院登记簿》（Book of Admissions）。部分机构的登记册也被称为《入院登记册》或《入院与出院登记册》，此类字样有时会加盖在档案卷册上。

患者入院时，精神病院书记员须立即在患者登记册中录入相关信息，记录内容包括：患者姓名、入院日期、入院编号、末次入院日期、年龄、婚姻状况、职业、此前居所、宗教信仰、精神障碍类型及身体健康状况。患者死亡、转院或出院时，还需在登记册中补充相关详情。各机构还须另行留存《出院、转院与死亡登记册》（Register of Discharges, Removals and Deaths），通常称为《出院登记册》。

《精神疾病法》及后续立法的附表中规定的患者登记册格式，在1962年《1959年精神健康法案》（Mental Health Act 1959）颁布前几乎未发生变化。此后该登记册正式更名为《患者与出院登记册》（Register of Patients and Discharge Register），并新增入院类型相关信息。根据《1959年精神健康法案》第41至49条，共规定了以下五类入院方式：
1. 自愿住院者（Voluntary Boarders，标记V）：指自行申请入院的患者，若年龄未满16周岁，则由父母或监护人代为申请，且须经执业医师评估同意。
2. 推荐入院者（Recommended，标记R）：患者可凭经执业医师检查后出具的规定格式推荐函申请入院。
3. 核准入院者（Approved，标记A）：入院后须尽快由医院主管对患者进行评估，核准该推荐入院申请或将不符合条件的患者出院。
4. 司法强制入院者（Judicial Admissions，标记J）：若经宣誓后向治安法官提交的信息显示，某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，可下达命令将该患者收治或拘留在精神病院。
5. 安保收治患者（Security Patients，标记S）：指原本被羁押在监狱，经鉴定患有精神疾病后转至精神病院收治的人员。

《患者与出院登记册》正式取代了单独的《出院登记册》，但部分机构仍继续单独留存患者出院、转院及死亡的记录。