In this important book, one of the most exciting and promising developments in clinical psychology-behavior modification is applied to the treatment of the mentally retarded, particularly those whose behavior poses difficult problems for institutions. Professor Gardner presents an easily intelligible yet detailed account of the concepts and practices of behavior modification and the underlying learning systems, with numerous clinical illustrations of applying specific techniques to various educational and rehabilitation problems. A thorough discussion of the inadequacies of the psychological evaluation systems normally used in education and rehabilitation is offered, along with an alternative behavior analysis approach that provides a method of translating evaluation data into treatment practices. In explaining behavior analysis, the author takes into account the limited behavioral repertoire of the retarded and environmental deficits. Individual chapters on respondent, operant, and observational learning, and a detailed discussion of a functional analysis approach to evaluation, are included. Proven behavior modification strategies are presented along with a review of related research and clinical studies. The book closes with a detailed description of a research program for the design and testing of sheltered workshop systems for the retarded and emotionally disturbed. The positive approach inherent in the belief that behavior is modifiable-even in the severely limited retarded-is in marked contrast to the pessimism of other systems of therapy, education, and training. Also, the author has concentrated throughout on making the book understandable to clinicians and students with no previous knowledge of behavior modification. Besides serving as a valuable handbook for all treatment personnel, the book can also be used as a basic text for various courses dealing with mental retardation. William I. Gardner is Professor Emeritus in the Department of Rehabilitation Psychology and Special Education at the University of Wisconsin School of Education; Madison. Professor Gardner has contributed widely to psychology journals and has served on the staff of the President's Panel on Mental Retardation.

Mental Health Issues and the Media provides students and professionals in nursing and allied professions, in psychiatry, psychology and related disciplines, with a theoretically grounded introduction to the ways in which our attitudes are shaped by the media.

A wide range of contemporary media help to create attitudes surrounding mental health and illness, and for all health professionals, the ways in which they do so are of immediate concern. Health professionals need to:

• be aware of media influences on their own perceptions and attitudes
• take account of both the negative and positive aspects of media intervention in mental health promotion and public education
• understand the way in which we all interact with media messages and how this affects both practitioners and service users.

Covering the press, literature, film, television and the Internet, this comprehensive text includes practical advice and recommendations on how to combat negative images for service users, healthcare workers and media personnel.

Mental Health Issues and the Media provides students and professionals in nursing and allied professions, in psychiatry, psychology and related disciplines, with a theoretically grounded introduction to the ways in which our attitudes are shaped by the media.

A wide range of contemporary media help to create attitudes surrounding mental health and illness, and for all health professionals, the ways in which they do so are of immediate concern. Health professionals need to:

• be aware of media influences on their own perceptions and attitudes
• take account of both the negative and positive aspects of media intervention in mental health promotion and public education
• understand the way in which we all interact with media messages and how this affects both practitioners and service users.

Covering the press, literature, film, television and the Internet, this comprehensive text includes practical advice and recommendations on how to combat negative images for service users, healthcare workers and media personnel.

The past two decades have seen serious reappraisal of the role of psychiatric institutions and mental health services in modern societies, and in recent years there has been much greater sympathy for the purpose and benefits of dedicated, as well as secure, accommodation from those suffering from more serious forms of mental illness. Taking forward the debate on the role and power of institutions for treating and incarcerating the insane, this volume challenges this recent scholarship and focuses on a wide range of factors impacting on the care and confinement of the insane since 1850, including: the community, poor Law authorities, local government, and the voluntary sector. Questioning the notion that institutions were generally 'benign' and responsive to the needs of households, this work also emphasizes the important role of the diversity of interests in shaping institutional facilities. A fresh, stimulating step forward in the history of institutional care, Mental Illness and Learning Disability Since 1850 is undoubtedly an important resource for student and scholar alike.

A uniqueand effectiveapproach to mental health practice Clinical Case Management for People with Mental Illness combines theory, practice, and plenty of clinical examples to introduce a unique approach to case management that's based on a biopsychosocial vulnerability-stress model. This practice-oriented handbook stresses the dynamic interplay among biological, psychological, social, and environmental factors that influences the developmentand severityof a person's mental illness. Filled with case examples to illustrate the assessment and intervention process, the book is an essential resource for working with people who suffer from depression, anxiety disorders, schizophrenia, and personality disorders. Author Daniel Fu Keung Wong draws on his experiences as an educator, cognitive therapist, mental health worker, and case manager working in Asia and Australia to explore the concepts and contexts of clinical case management for individuals suffering from mild and chronic mental illness. He guides you through the creative use of various therapeutic approaches that emphasize different aspects of a person's condition that can influence the cause and course of mental illness. Clinical Case Management for People with Mental Illness examines a range of important topics, including the roles and functions of mental health workers, relapse prevention, assessment and clinical intervention, psychiatric crisis management, and working with families. In addition, the book includes checklists, worksheets, activity charts, and three helpful appendices. Clinical Case Management for People with Mental Illness examines: models of assessment microskills in assessment areas of assessment and intervention understanding the roles and psychological reactions of family members assessing and working with individuals with suicidal risk or aggressive behaviors and much more! Clinical Case Management for People with Mental Illness is an essential resource for mental health professionals, including psychologists, occupational therapists, mental health social workers, nurses, counselors, and family social workers.

Schizophrenic Women is a fascinating report on the lives of seventeen families that suffered the experiences associated with the hospitalization of the wife and mother for mental illness. A description and analysis of representative experiences is presented here in an attempt to investigate various key issues--the patterns of family living preceding the crisis leading to medical hospitalization; how the patterns fell apart; how personal and family crises became psychiatric emergencies; how the hospital experiences modified both the immediate crises and the earlier patterns of living--and how durable those changes were once the patients had returned home. The book goes beyond the immediate lives of the women and their families--the authors direct attention to patterns of psychiatric care and to the ways in which such crises as those experienced by these women and their families come to professional attention and are managed. The authors explore how help is found and used and some of the functions hospitalization serves for patients and their families. They point out some of the ways that traditional patterns of psychiatric care limit the power to observe, understand, and effectively influence a pathological course of events. In her new introduction to Schizophrenic Women, Rita J. Simon notes that, "Although the study was conducted in the 1950s, readers will recognize its current relevance and importance for scholars and the lay public interested in the problem of mental illness and intrafamily relationships." Harold Sampson is president and co-founder of the San Francisco Psychotherapy Research Group. He is a member of the San Francisco Psychoanalytic Institute as well as being on the Institute faculty. He is also Clinical Professor of Psychiatry at the University of California San Francisco, and is in private practice in San Francisco. Sheldon L. Messinger was professor emeritus, and vice-chair of the Center for the Study of Law and Society at the Law School, University of California, Berkeley. He died in 2003. Robert D. Towne was a psychiatrist and member of the San Francisco Psychoanalytic Society. Rita J. Simon is University Professor in the School of Public Affairs at the Washington College of Law at American University. She is the editor of the journal Gender Issues, published by the Transaction Periodicals Consortium.

Originally published in 1997, this title describes therapeutic applications of simple to complex combinations of medications to treat common psychiatric disorders among adults. Dr Joseph discusses practical, clinical guidelines that both the beginner and experienced practitioner will find useful. The 100 psychopharmacological cases presented in Part 2 illustrate the application of the diagnostic and treatment concepts described in Part 1. The cases are grouped into simple, moderately complex, and complex cases. The clinical cases, besides evoking a "hands-on" feeling which facilitates learning, can be used to compare your current treatment approach to that of an experienced and highly successful practicing psychiatrist. A vital addition to every psychiatrist's library, this guidebook is indispensable to those seeking a better understanding of patients' problems from a psychopharmacological perspective that is both practical and effective. Numerous and varied clinical presentations are reduced to treatable symptoms so that even physicians who lack experience with a specific medication or combination of medications will be able to use these interventions successfully. For each of the 100 clinical cases presented in the book, the clinical history, treatment course, medication doses, and treatment outcome are carefully detailed in a step-by-step analysis. Unique features of this book that will be useful to psychiatrists, primary care physicians, and all mental health clinicians include: its symptom-focused approach; its discussion of modern rational polypharmacy; specific dosing guidelines; office management of severe disorders; treatment of special patients, such as celebrities and other doctors; clinical cases; and sample answers to common questions asked by patients. Psychiatrists, psychiatric residents, psychotherapists, psychiatric nurses, and other physicians will find thorough and clear explanations of treatment strategies and their nuances in this volume. Physicians interested in learning balanced and rational use of various psychotropic medication combinations will find themselves turning to this book again and again as they strive to alleviate psychiatric symptoms in patients and exercise techniques that minimize or avoid inpatient psychiatric hospitalization.

According to the World Health Organisation during their lifetime more than one quarter of all individuals will develop one or more mental or behavioural disorders. Given prevalence data like this it is not surprising that wherever they reside on the planet many persons suffering from a mental disorder, or as is more commonly termed in popular parlance a mental illness, are likely to come into contact with police at some stage in their lives. Indeed, research conducted in a number of countries suggests that about 10 per cent of all community police work involves some form of interaction with a person with a mental illness. From a police perspective these encounters are not only frequent but also often sensitive and challenging. Despite the difficulties associated with this important aspect of community policing surprisingly scant attention has been given to the development of empirically tested and established best practice approaches to managing police interactions with persons with mental illnesses. The literature that does exist is principally derived from North American sources although more recent and interesting developments have been reported in Australia and the United Kingdom. The principal aim of Police Responses to People with Mental Illnesses is to seek to reduce this gap in the literature by providing an international overview of some of the latest research and policy developments in the field, and the challenges still to be confronted in many places in overcoming cultural and associated barriers to protecting the rights of the mentally ill. This book was originally published as a special issue of Police Practice and Research: An International Journal.

"Bedlam " The very name, derived from a nickname for the Bethlehem Hospital, conjures up graphic images of naked patients in filthy conditions, or parading untended wards deluded that they are Napoleon or Jesus Christ. This common image of madness can be traced to William Hogarth's 1735 "Rake's Progress "series, which depicts Bedlam as a freak show providing entertainment for Londoners between trips to the zoo, puppet shows, and public executions. That this is still the most powerful image of Bedlam, more than two centuries later, says much about the prevailing attitude to mental illness, although the Bedlam of the popular imagination is long gone. The hospital was relocated to the suburbs of Kent in 1930, and Sydney Smirke's impressive Victorian building in Southwark took on a new role as the Imperial War Museum. Following the historical narrative structure of "Necropolis," this history examines the capital's treatment of the insane over the centuries, from the founding of Bethlehem Hospital in 1247 through the heyday of the great Victorian asylums to the more enlightened attitudes that prevail today.

"Evidence-Based Practice and Intellectual Disabilities" responds to the recent increased focus on, and need for, the use of evidence-based practice (EBP) in treating intellectual disabilities.The first book wholly dedicated to addressing EBP specifically in relation to intellectual disabilitiesProvides clinical guidelines based on the strength of evidence of treatments for a given problematic behavioral topography or disorderHighly relevant to a wide-ranging audience, including professionals working in community services, clinicians and parents and carers

Drawing on the authors' experience in developing and implementing global mental health programs in crisis and development settings, A Guide to Global Mental Health Practice: Seeing the Unseen is designed for mental health, public health, and primary care professionals new to this emerging area. The guide is organized topically and divided into four sections that move from organizing and delivering global mental health services to clinical practice, and from various settings and populations likely to be encountered to special issues unique to global work. Case studies based around a central scene are threaded throughout the book to convey what global mental health work actually involves. Mental health professionals of all backgrounds, including social workers, nurses, nurse practitioners, psychologists, and psychiatrists, as well as public health professionals and community level medical professionals and mental health advocates will benefit from this engaging primer. It is the book for anyone committed to addressing mental health issues in a low resource or crisis-hit setting, whether international or domestic.

In American and NATO Veteran Reintegration, MaryCatherine McDonald and Gary Senecal examine mental health issues among former American service members. Data shows that American veterans suffer from post-traumatic stress disorder (PTSD) at significantly higher rates than veterans in other NATO ally countries involved in the war in Afghanistan. McDonald and Senecal argue that sociocultural factors, such as military training and civilian culture, have a dramatic impact on these rates.

A need for comprehensive services for young people requiring more intensive mental health services has been identified and this book explores what works in Child and Adolescent Mental Health (CAMHS) at this level. Specialist Mental Healthcare for Children and Adolescents looks at intensive outpatient and community services; assertive outreach teams; inpatient residential and secure provision; and other highly specialised assessment, consultation and intervention services. Based on the best available evidence, each chapter provides key points, research summaries and an overview of available treatments. It outlines emerging good practice guidance, service models, assessment, and training and workforce development requirements. This accessible text is essential reading for commissioners and professionals - including psychiatrists, psychologists, nurses, therapists, social workers and teachers - working in specialist CAMHS services, as well as all those studying for qualifications in child and adolescent mental health.

The field of ethics is expanding and has assumed new significance as a compulsory part of study for psychiatrists and all mental health professionals. Ethics and Mental Health: The Patient, Profession and Community presents a new approach to these ethical dilemmas that have become an increasing part of modern practice. The book begins by exploring current normative theories of psychiatric ethics. It describes how empirical methods can make codes of conduct more representative of professional values. Considering their previous work, concepts of justice, and the moderate communitarian position, the authors outline their methodology, which argues that mental health professionals exist within a perpetual state of tension, caused by conflicts between the Hippocratic Oath, personal values, notions of social justice, and the potentially harmful influences of their social role. Applying their theory to the area of involuntary psychiatric treatment, the authors address the context of psychiatric practice and the moral agency of psychiatrists. They outline the different influences on the craft of psychiatry to better illustrate the diverse forces that impact moral deliberation and the practice of ethics in mental health. In doing so, they cover areas as diverse as cultural, economic, scientific, and political domains. The final section of the book applies the methodology to contemporary problems in mental health ethics, formulating how mental health clinicians can approach these quandaries. The book brings a new perspective to classic dilemmas from the past, to contemporary challenges, and in anticipation, to new concerns that will inevitably arise in a dynamic and complex professional context.

Events in a neurological intensive care unit are not always predictable and patients can often be unstable. This practical manual is a clear and concise guide for recognising and managing neurological emergencies. Each chapter covers a crucial topic in neurocritical care, from understanding the pathophysiology of various neurological diseases, to neuroradiology used in diagnosis, and best practice for difficult decision making in the ICU. A variety of conditions are described such as haemorrhage (intracerebral, subdural, and subarachnoid), seizures, trauma and temperature dysregulation. An international team of experts have contributed chapters, providing a breadth of experience and knowledge for readers. This is an invaluable guide for clinicians on the front line of caring for patients with neurological emergencies who need life-saving answers quickly.

The most authoritative evidence-based approach to mental health policy and design. Rooted in research findings that support an evidence-based orientation to treatment and recovery, the sixth edition of Mental Health and Social Policy takes a multidisciplinary approach to mental health and social policy. It examines the nature, origins, distribution, and consequences of disorders, while detailing information on the services, programs, and social policies that have been developed to assist people with mental health problems. This text is available in a variety of formats - print and digital. Check your favorite digital provider for your etext, including Coursesmart, Kindle, Nook, and more. To learn more about our programs, pricing options and customization, click the Choices tab. Learning Goals Upon completing this book, readers will be able to: * Understand the nature, origins, distribution and consequences of mental disorders. * Examine the services, programs, and social policies developed to assist people with mental health problems. Note: MySearchLab with eText does not come automatically packaged with this text. To purchase MySearchLab with eText, please visit: www.mysearchlab.com or you can purchase a ValuePack of the text + MySearchLab with eText: ValuePack ISBN-10: 0205922430 / ValuePack ISBN-13: 9780205922437

In an era when more people are taking psychiatric drugs than ever before, Joanna Moncrieff's explosive book challenges the claims for their mythical powers. Drawing on extensive research, she demonstrates that psychiatric drugs do not 'treat' or 'cure' mental illness by acting on hypothesised chemical imbalances or other abnormalities in the brain. There is no evidence for any of these ideas. Moreover, any relief the drugs may offer from the distress and disturbance of a mental disorder can come at great cost to people's physical health and their ability to function in day-to-day life. And, once on these drugs, coming off them can be very difficult indeed. This book is a wake-up call to the potential damage we are doing to ourselves by relying on chemical cures for human distress. Its clear, concise explanations will enable people to make a fully informed decision about the benefits and harms of these drugs and whether and how to come off them if they so choose.

Why do the UK and US disproportionately incarcerate the mentally ill, frequently poor people of color? Via multiple re-framings of the question-theological, socioeconomic, and psychological- Andrew Skotnicki diagnoses a "persecution of the prophetic" at the heart of the contemporary criminal justice system. This interdisciplinary book draws on criminology, theology, philosophy, sociology, psychology, and psychiatric history to consider the increasingly intractable issue of mass incarceration. Inviting a new, collaborative conversation on penal reform as a fundamentally "life-affirming" project, it defends the dignity of those diagnosed as mentally unstable and their capacity for spiritual transcendence.

Within the domains of criminal justice and mental health care, critical debate concerning 'care' versus 'control' and 'therapy' versus 'security' is now commonplace. Indeed, the 'hybridisation' of these areas is now a familiar theme. This unique and topical text provides an array of expert analyses from key contributors in the field that explore the interface between criminal justice and mental health. Using concise yet robust definitions of key terms and concepts, it consolidates scholarly analysis of theory, policy and practice. Readers are provided with practical debates, in addition to the theoretical and ideological concerns surrounding the risk assessment, treatment, control and risk management in a cross-disciplinary context. Included in this book is recommended further reading and an index of legislation, making it an ideal resource for students at undergraduate and postgraduate level, together with researchers and practitioners in the field.

A paradigm shift in the ways in which mental health services are delivered is happening-both for service users and for professional mental healthcare workers. The landscape is being changed by a more influential service user movement, a range of new community-based mental healthcare programmes delivered by an increasing plurality of providers, and new mental health policy and legislation. Written by a team of experienced authors and drawing on their expertise in policy and clinical leadership, Working in Mental Health: Practice and Policy in a Changing Environment explains how mental health services staff can operate and contribute in this new environment. Divided into three parts, the first focuses on the socio-political environment, incorporating service user perspectives. The second section looks at current themes and ways of working in mental health. It includes chapters on recovery, the IAPT programme, and mental healthcare for specific vulnerable populations. The final part explores new and future challenges, such as changing professional roles and commissioning services. The book focuses throughout on the importance of public health approaches to mental healthcare. This important text will be of interest to all those studying and working in mental healthcare, whether from a nursing, medical, social work or allied health background.

Throughout the 1960's and 1970's, a revolution in mental health policy and practice known as deinstitutionalization occurred in Europe and the US. This movement was catalyzed by criticisms of psychiatric institutions and resulted in the release of thousands of people with serious mental illness from long-term care facilities into the community. It is acknowledged that these reforms held great promise, but have had numerous unintended negative consequences. Moreover, deinstitutionalization has strained the resources and reach of community-based mental health treatment systems, spilling into other institutions such as criminal justice and education. Volume 17 of Advances in Medical Sociology will examine deinstitutionalization's legacies approximately 50 years after reintegration began, turning a critical lens toward contemporary problems and solutions related to mental illness in countries where reform occurred. This volume will highlight pressing issues around mental health treatment, social and health policy, and the lived experiences of people and families coping with mental illness that were or continue to be significantly influenced by deinstitutionalization reforms.

LGBTQ individuals seek therapy at higher rates than the general population, but the mental health profession has historically lacked evidence-based guidance for supporting the unique presenting concerns of LGBTQ clients. This book changes that by presenting how-to guidance for delivering cognitive-behavioral therapy that directly responds to the distinct stressors facing LGBTQ individuals. LGBTQ-affirmative Cognitive-Behavioral Therapy is the first mental health treatment designed by and for LGBTQ individuals that has been tested in several randomized controlled trials with diverse segments of the LGBTQ community. Results of these trials show that this transdiagnostic treatment is associated with reductions in depression, anxiety, substance use problems, and psychological distress, making it suitable for a broad range of presenting concerns. LGBTQ-affirmative Cognitive-Behavioral Therapy: Therapist Guide teaches the principles and techniques that mental health practitioners can use to affirmatively respond to the distinct stressors that their LGBTQ clients often face. The book follows a clear step-by-step approach with nine modules, each of which teaches skills for enhancing LGBTQ clients' mental well-being by undoing the deep impact that early and ongoing LGBTQ-related stress can have on basic psychological processes. This Therapist Guide is intended to be accompanied by the Client Workbook, which contains accessible, step-by-step guidance and worksheets for clients to follow when participating in this treatment. This guide provides essential tools for helping therapists effectively and affirmatively respond to the unique needs of their LGBTQ clients.

This book examines the complexities of the relationship between policing and mental health - in Australia especially - including the circumstances that lead to police use of force, and the ways in which news media typically report deaths resulting from police contact with people in mental health crisis. When a vulnerable member of society is killed by the police, it is only natural that questions are asked about the behaviour and actions of those involved. Police are, after all, meant to be the 'protectors of society'. By virtue of these circumstances, fatal encounters between police and mentally ill individuals in crisis often attract heightened media and legal attention, as well as public debate. Drawing together research interviews and extensive case study analysis, the book explores the conditions for the production of this news media coverage, the ways in which it can shape public perceptions of police-involved mental health crisis interventions, and the potential impacts on those involved in and affected by such events. The implications for police agencies are also considered in the context of how they respond to vulnerable people in the community, while being in the media spotlight. This book will appeal to students, scholars and practitioners in journalism, media studies, policing, criminology, sociology, and mental health as well as those interested in learning about the relationship between policing, mental illness, and media representation.

This book is a challenge to the enduring status and domination of bio-medical approaches in mental health services. Contributors from four continents argue that this domination, along with modernization and multidisciplinary work, will not improve people's lives unless social and psychological perspectives are appreciated and integrated. This implies new forms of relationships and social arrangements. AAMental Health at the Crossroads: the Promise of the Psychosocial Approach AA is a timely analysis of the psychosocial approach as it resonates across the discipline divide, considering the past and future development. It is written from the perspectives of service users and careers, managers, practitioners, educators, researchers and policy makers, illustrated with case studies from Australia, Brazil, Italy, UK and the USA. This book presents an alternative approach to conventional thinking in mental health, providing a fascinating and valuable resource for those seeking new perspectives, grounded in theory with practice examples, in order to influence the current agenda and change practice.

Examine the psychosocial factors that affect lesbian and bisexual women's mental health This essential guide presents up-to-date, evidence-based information that can be implemented to improve mental health services for lesbian and bisexual women in a variety of settings. It examines the systemic factors that play a role in their psychological and emotional well-being, and presents new research on protective factors that play an important role when lesbian/bisexual women face depression, anxiety, and other mental health disorders. Lesbian and Bisexual Women's Mental Health reviews the past literature on mental health and sexual orientationciting biased and inadequate assessment, diagnosis, and treatment approaches currently in use in the care of lesbian and bisexual women. This essential guide for clinicians and researchers presents new empirical research on lesbian/bisexual women's mental health. It explores specific challenges that face various lesbian and bisexual female populations, with research on: dysthymia depression and anxietyincluding a chapter on depressive distress among African-American women the way that community size and religiosity impact lesbian/bisexual women's psychosexual development the relationship between shame and a client's attachment style the mental health implications of same-sex marriage mental health in Taiwan's T-Po lesbian communitywith a focus on community members' sexual orientation, gender roles, and gender identity the interconnectedness of sexual fantasies, psychological adjustment, and close relationship functioning in lesbian/bisexual women body image and eating issues As the diversity of this population becomes progressively more evident, so does the necessity for deeper exploration of the mental health problems facing lesbians and bisexuals. Whether you are a student, an educator, or an experienced clinician, Lesbian and Bisexual Women's Mental Health is an essential resource for relevant and meaningful information that focuses much-needed attention on the mental health of lesbian and bisexual women.