ÐÏࡱá>þÿ .0þÿÿÿ-ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á{À ð¿Jbjbjzäzä .ŽŽJ ÿÿÿÿÿÿ·ÆÆ     ÿÿÿÿ4444H 43.TTTTT///²´´´´´´$a²˜Ø ª//ªªØ  TTÛíª" T T²ª²Tÿÿÿÿ25ë8ŸÎÿÿÿÿÌž03«â«« œ/0_"�� ///ØØø ///3ªªªªÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ«/////////Æ æ: 91´«Ã½ Partnership NHS Trust Records Dr Nicole Baur Work in this three-month project started on 08 January 2007. The project’s main objectives are to assess the historical importance and the research potential of a large amount of unsorted mental health records that were released by the Devon NHS Trust and are currently stored at the Devon Record Office. The material consists of an estimated 10,000 individual patient files and circa 30,000 Hospital Index Cards (HICs). My tasks are to develop a model for sampling these materials with particular focus on tracing a patient’s career by linking treatment in the community through GPs and Social Services with treatment in the Mental Health Institution. I started my work with an evaluation of the HICs in order to learn about the information available and potential linkages between the HICs and files. The HICs are stored alphabetically in three sets of metal boxes. They are in a fairly good condition, filled in by hand or typewriter and are largely legible. Our sample contains eight different types of HICs which cover the time period from the 1870s to the 1970s. A patient received a HIC on each admission, hence the discrepancy in numbers between the HICs and the patient files. Over the years the design of the HICs changed repeatedly and with it the information available. Core information, i.e. patients’ personal and contact details, medical history as well as information on admission and leaving (discharge or death) is provided on all types of HICs. The Patient’s General Reference Number (PGRN) provides the link between the HIC and the corresponding patient file. Whereas the HICs are organised alphabetically, the files must have been stored according to PGRNs. On the basis of the HICs I have created a database (MS ACCESS, Version 2000) of the earliest admissions in the sample. This has resulted in 548 records covering the time from 1870 to 1929 inclusive. In a next step I filled in gaps in this database, i.e. added information that was either not provided or illegible on certain HICs. I gained the missing information from death & discharge registers, admission papers and case books, all available at the Devon Record Office. Currently I am trying to locate the patient files corresponding to the records in our database in order to a) compare the information provided in the files with the HICs and b) assess the quantity and quality of the contents of the files and find potential linkages to community treatment. Although we are only halfway into the project, it has already yielded some interesting results. HICs (and files) date back a much longer time than we originally thought, which provides an opportunity to have a more detailed look at longstay patients and patients who were admitted repeatedly. We can also tackle the impact of new Mental Health Treatment Acts on the system and patients’ careers. The HICs possess a good potential for research into the patients’ spatial and social background. Due to their lack of information on treatment, research into the patients’ medical history therefore can only be carried out in relation with the files. $%4f ½ ¾ Æ Ç Ì Í Ñ Ø 0 7 N U q ¢ § ¶ Á Â Ã Í X Y ˜ ™ š ž ø a ˜ ™ Ø í ò T`›©ÄöíöåÝÑÅÑÅÑŽݵݵݵݵÝå­¥½�•µ•µ•�•�•�…y…q…q…h,ÊmH sH h}oõh±8:6�mH sH h±8:mH sH h÷kümH sH h^j§mH sH h•zmmH sH h TmH sH hqpmH sH hÖ~úmH sH h¤ßmH sH h�lhgÊ6�mH sH h�lh�l6�mH sH hgÊmH sH hEblmH sH hÐPÊ5�mH sH hkÄ5�mH sH +%45 à ÅžŸÂÃIJ÷÷òêêêêêêêêê$a$gd gdEbl$a$gdkÄ ÄÅÔÞäåì<QT€Š‹$�žŸ¸¾ÐýŒ¿ÂÃÊÍç )NOHIJøðèðèàèàèðØðØðÐàÐèÈÀ¸À¸À°À¸¨ ¨à¨˜à˜¨�¸èhRÓmH sH hçfmH sH h¡V–mH sH hFn3mH sH hîY-mH sH hÏ¡mH sH hm[¤mH sH hqpmH sH h.e+mH sH h½r�mH sH hÖ~úmH sH hÆ„mH sH h¨1¸mH sH ho/ÀmH sH ',1�h°Ð/ °à=!°"°#� $� %°°Ä°Ä �Ä^ ˜žžžžžžžž666666666vvvvvvvvv666666>666666666666666666666666666¨6666666666¸666666666666hH66666666666666666666666666666666666666666666666666666666666666666°62ÀÐàð 0@P`p€�ÀÐàð2(Øè 0@P`p€�ÀÐàð 0@P`p€�ÀÐàð 0@P`p€�ÀÐàð 0@P`p€�ÀÐàð 0@P`p€�ÀÐàð 0@P`p€�8XøV~_HmH nH sH tH @`ñÿ@ kÄNormalCJ_HaJmH sH tH DA òÿ¡D Default Paragraph FontRióÿ³R  Table Normalö4Ö l4Öaö (k ôÿÁ(No List H™@òH qp Balloon TextCJOJQJ^JaJPK!éÞ¿ÿ[Content_Types].xml¬‘ËNÃ0E÷Hüƒå-Jœ²@%é‚ÇŽÇ¢|ÀÈ™$ÉØ²§Uû÷LÒTB¨ l,Ù3÷ž;ãr½µÃ˜œ§J¯òB+$ëG]¥ß7OÙ­V‰�$ùãûÿ©«×îÇ !)OÚ^ýrÍC$ñy@“°íÝö/­yH*œ˜ñ„´½)‘Þµ�÷ß»Š×UDb‚`}"×qÛ‹”J×—–¤ÃX^æ)I`nÌEŒ¼Šp)øèÆli¹V[]Š1M<”àÈÞ�©OÐP“ô6râ=¯‰’zÀgb Ig…Áu��SÙebÖö€OÀ�†ä¾òÃRÁDÛ«™Ÿ·´qu ¯g‹˜Z°¶´®o~ÙºlAp°lxŠpT0­÷­+[}`j×ëõº½zAϰV–2ÍF­ÞÉi–@öqžv·Ö¬5\|‰þʜ̭N§Óle²X¢dsøµÚjcsÙÁ�Å7çð�Îf·»êà ÈâWçðý+­Õ†‹7 ˆÑä`­ÚïgÔ È˜³íJøÀ×j|†‚h(¢K³óD-еß㢠dXÑ©iJÆØ‡(îâx$(Ö ð:Á¥;ä˹!Í I_ÐTµ½S 1£÷êù÷¯ž?EÇž?øéøáÃã?ZBΪmœ„åU/¿ýìÏÇ£?ž~óòÑÕxYÆÿúÃ'¿üüy5Òg&΋/ŸüöìÉ‹¯>ýý»GðM�Geø�ÆD¢›äíó3Vq%'#q¾ÃÓòŠÍ$”8ÁšKýžŠôÍ)f™w9:ĵàå£ x}rÏx‰‰¢œw¢ØîrÎ:\TZaGó*™y8IÂjæbRÆíc|XÅ»‹Ç¿½I u3KGñnD1÷NIBÒsü€� íîRêØu—ú‚K>Vè.EL+M2¤#'šf‹¶i ~™Vé þvl³{u8«Òz‹ºHÈ Ì*„æ˜ñ:ž(W‘☕ ~«¨JÈÁTøe\O*ðtHG½€HYµæ–}KNßÁP±*ݾ˦±‹ŠTѼ�9/#·øA7ÂqZ…Ð$*c?�¢íqUßån†èwðNºû%Ž»O¯·ièˆ4 =3¾¼N¸¿ƒ)cbJ u§VÇ4ù»ÂÍ(TnËáâ 7”Ê_?®�ûm-Ù›°{UåÌö‰B½w²ÒzÏû¨nœ”ÇÊœ"Z úàxŠÕJÜZšìp;‹“Êì ØåÞ{/å<óP;™Ž,)''KÐQÛk5—›òqÚöÆpN†Ç8¯KÝGbÂe“¯„ ûS“ÙdùÌ›­\17 êpõaí>§°SR!Õ–‘ 3•…K4'+ÿrÌzQ TT£³I±²Áð¯Ivt]KÆc⫲³K#Úvö5+¥|¢ˆDÁ±‰ØÇà~ª O@%\w˜Š _ànN[ÛL¹Å9Kºò�˜ÁÙqÌÒgåV§hžÉn R!ƒy+‰ºUÊn”;¿*&å/H•rÿÏTÑû Ü>¬Ú>\ Œt¦´=.TÄ¡ ¥õûS; Zà~¦!¨à‚ÚüäPÿ·9gi˜´†C¤Ú§!ö# Bö ,™è;…X=Û»,I–2UW¦Vì9$l¨kàªÞÛ=A¨›j’•ƒ;î{–A£P79å|s*Y±÷Úø§;›Ì ”[‡MC“Û¿±hf»ª]o–ç{oY=1k³yV³ÒVÐÊÒþ5E8çVk+ÖœÆËÍ\8ðâ¼Æ0X4D)Ü!!ýö?*|f¿vè uÈ÷¡¶"øx¡‰AØ@T_²�ÒÒŽ q²ƒ6˜4)kÚ¬uÒVË7ë ît ¾'Œ­%;‹¿Ïiì¢9sÙ9¹x‘ÆÎ,ìØÚŽ-45xödŠÂÐ8?ÈǘÏdå/Y|t½ß &LILð�J`è¡& ù-G³tã/ÿÿPK! Ñ�Ÿ¶'theme/theme/_rels/themeManager.xml.rels„�M Â0„÷‚wooÓº‘&݈ЭÔ„ä5 6?$Qìí ®,.‡a¾™i»—�Éc2Þ1hª:é•qšÁm¸ìŽ@RN‰Ù;d°`‚Žo7íg‘K(M&$R(.1˜r'J“œÐŠTù€®8£�Vä"£¦AÈ»ÐH÷u} ñ›|Å$½b{Õ–Pšÿ³ý8‰g/]þQAsÙ…(¢ÆÌà#›ªLÊ[ººÄßÿÿPK-!éÞ¿ÿ[Content_Types].xmlPK-!¥Ö§çÀ6 0_rels/.relsPK-!ky–ƒŠtheme/theme/themeManager.xmlPK-!0ÝC)¨¤Ötheme/theme/theme1.xmlPK-! Ñ�Ÿ¶'² theme/theme/_rels/themeManager.xml.relsPK]­ J ÿÿÿÿÄJ J ð8ð@ñÿÿÿ€€€÷ð’ðð0ð( ð ððB ðS ð¿Ëÿ ?ðÿÿ�#Ž#�#aL pL 9*€urn:schemas-microsoft-com:office:smarttags€place€8*€urn:schemas-microsoft-com:office:smarttags€date€8*€urn:schemas-microsoft-com:office:smarttags€City€ ˆZ×€1€2007€8€Day€Month€Year/3« ³ L d l L 3žŸL L !å  .e+îY-Fn3±8: TŽiUçf�lEbl•zm~nqpÓC€Æ„½r�¡V–Ñ;˜Ï¡m[¤^j§¨1¸o/ÀkÄ,ÊÐPÊgÊEÓRÓ¤ßí~ßÖ~ú÷küJ L ÿ@€J È@ÿÿUnknownÿÿÿÿÿÿÿÿÿÿÿÿG�ÿ*àAxÀ ÿTimes New Roman5�€Symbol3.� ÿ*àCxÀ ÿArial5.� ÿ.á[`À)ÿTahomaA�Cambria Math"qˆðÐhг‡Š³‡, ³†Õu Õu !ð ´´��24D D  3ƒQðÿýHX)ðÿ?äÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿEÓ2!xx  Üÿÿ$Exeter Partnership NHS Trust Recordsnb259Petrie, Hannahþÿà…ŸòùOh«‘+'³Ù0l€ˆ¸ÈØ ðü  ( 4 @LT\dä(91´«Ã½ Partnership NHS Trust Recordsnb259NormalPetrie, Hannah2Microsoft Office Word@FÃ#@Àçö[Ç@Äè8ŸÎ@Äè8ŸÎÕu þÿÕÍÕœ.“—+,ù®0  hp�˜ ¨ °¸ÀÈ Ð ä91´«Ã½D  %91´«Ã½ Partnership NHS Trust Records Title þÿÿÿþÿÿÿ !"#$þÿÿÿ&'()*+,þÿÿÿýÿÿÿ/þÿÿÿþÿÿÿþÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿRoot Entryÿÿÿÿÿÿÿÿ ÀF°2>ë8ŸÎ1€1Tableÿÿÿÿÿÿÿÿ«WordDocumentÿÿÿÿÿÿÿÿ.SummaryInformation(ÿÿÿÿDocumentSummaryInformation8ÿÿÿÿÿÿÿÿÿÿÿÿ%CompObjÿÿÿÿÿÿÿÿÿÿÿÿrÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿþÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿþÿ ÿÿÿÿ ÀF Microsoft Word 97-2003 Document MSWordDocWord.Document.8ô9²q