◆ SpookStack

Approved For Release 20031M@HASS¢AURDP96-00788R001300020001-6 ST-—CS-01-169-72 July 1972 syndromes of disordered consciousness, and pathological impulsiveness), if it occurs in a condition of sharply expressed affective tension and a tendency to pass into action; c. Systematic delirious syndromes with a chronic deteriorating course, if they determine the socially dangerous conduct of the sick person; d. Hypochondriac delirious conditions causing incorrect, aggressive attitudes of the sick person towards particular persons, organizations and institutions. The morbid conditions enumerated above, tending within themselves to undoubted social danger, may occur with extermally correct conduct and dissimulation. In this connection special care must be used when assessing the mental condition of such persons, so that the indications for immediate hospitalization are not stretched to fit the case, and, at the same time, the possibility of socially dangerous behavior on the part of the mentally sick can be prevented by means of timely hospitalization. The indica- tions’ for immediate hospitalization enumerated above are not exhaustive, but are only a list of the more frequently occurring illnesses which present a social danger, 4, Simple, although acute, alcoholic intoxication is not an indication for immediate hospitalization in a mental institu- tion, as is not also intoxication brought about by other narcotic compounds (except serious intoxicational psychosis and psychotic variations of abstential conditions), and affective reactions of persons who are not suffering from mental illness. 5. Doctor-psychiatrists effect the immediate hospitalization directly, but in districts where there are no psychiatric institu- tions doctors belonging to the general medical service do So, as the ill person must be immediately conveyed to the nearest psychiatric hospital. 6. When immediate hospitalization is indicated, the doctor committing the sick person to the hospital is under obligation to give full details of the medical and social grounds for his decision, and in the conclusion of his report on the case, to mention his place of work, the post he occupies, his name, and the time when the decision on immediate hospitalization had been reached. 128 UNCLASSIFIED