Admission Details for Patient: Robert Cardwell Jones (6669)
Name Mismatch: 6669 , 2476
Gender: Male Age: 25
Marital Status: Single Religion: Church of England
Occupation: Railway goods porter
Address: Portmadoc, Carnarvonshire
Date of Admission: December 4, 1905
Date of Discharge: Not Recorded
Disease: Melancholia
Supposed Cause: Previous attack
Medical Certificate:
Afflicted with the delusion that he is constantly followed by a man who is a detective and who is constantly disturbing him all night. He also fancies this man poisons his food , incoherent in his statements.
Dorothy Jones, his mother, states that she found him with the scissors in his possession threatening to do away with himself. Fits of despondancy, crying and craving for a razor, wants to get out of the house to drown himself.
DR. Pierce Jones, Is y Coed, Portmadoc.
Approximate duration of present attack: 21 days
Number of Previous Attacks: 1
Number of Previous Admissions: 1
Number of Subsequent Admissions: 0
Total Number of Admissions: 2
Relatives affected:
Number of Previous Attacks: 1
Epileptic: No
Suicidal: Threatened and attempted
Dangerous: No
Clean Habit: -
Food Refusal: -
Sleep Habit: -
Destructive Habit: -
Disposition: Very steady habits
Education: Fair can read and write
Physical/Mental State at Examination: Health good. Has been very well since his discharge 6 years ago, until about five weeks ago, when he began to feel unsettled and dissatisfied with himself and everybody else. This developed into a condition with suicidal tendencies and delusions of persecution. He has always been steady and they say there is no family history of mental disease.
Current Diagnosis: Schizophrenia (F20.1)
Case Notes
1905 Dec 11 - In very much the same state as when admitted 6 years ago. Good bodily health.
A case of Melancholia w. delusions of persecution and some tendency to suicide. He is quiet, dull and apathetic and takes no interest in anything.
Eats and sleeps well. 24 - The same.
1906 Jan 10 - Rather improved. Does a little work and more cheerful. Mar 6 - Improving slowly. June 1906 to Feb 1910 - No further change. 1910 June - A chronic case. Noisy at times and demanding his release. Depressed and untidy. Nov - The same.
1911 Mar - No mental change.
A quiet chronic case.
1912 July 31 (copy report) - NOTICE OF ESCAPE.
This patient was employed carrying soiled clothing to the Laundry. A door was opened and he was permitted to go through it alone, by the Master Tailor, who has not long been in the Asylum Services.
RECAPTURE. He was met in a Lane close to the Asylum by two Artisans who brought him back to the Asylum. He had been away three quarters of an hour.
1912 Sept - No mental change.
1912 Nov 4 (copy report) - He is suffering from Chronic Mania. He is simple had childish in his manner and habits and entertains delusions of persecution against his fellow workers on the Railway, stating that it was due to their evil influences that he was brought here.
He attempted to escape during this Summer.
He is in fair bodily health and condition.
1913 July - No improvement. Does a little work. Very untidy in his habits.
Oct 1 - He is very restless and simple.
1914 June 2 - Shows no mental improvement.
(Notes continued in Loose Leaf Case Book).
There is no record of this patient's discharge or death. The registers go up to 1962 and he does not appear in these so possibly died after that date. He would have been 82 in 1962.
Medications/Treatments:
Additional Notes
Previous admission:
7th April 1899 (No. 5507) with Mania.
The Medical Certificate reads: I (1) Violent and abusive; having smashed doors, torn clothes, upset furniture, and quite unmanageable (2) Accusing his relative of attempting to poison him and refusing food on that account (3) That he was pursued by Frenchmen and snakes.
II (1) By his mother, Dorothy Jones: That he had run out of the house partially undressed to escape his pursuers (2) That he had used very abusive language to next door neighbours with whom he had always been most friendly (3) In all his acts and sayings being most averse to her.
Discharged recovered on 24th August 1899.
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