The national public asylum system in Ireland was established during the early nineteenth century and continued to operate up to the close of the twentieth century. These asylums / mental hospitals were a significant physical and social feature of Irish communities. They were used intensively and provided a convenient form of institutional intervention to manage a host of social problems. Irish Insanity identifies the long-term trends in institutional residency through the development of a detailed empirical data set, based on an analysis of original copies of the reports of Inspector of Asylums/Mental Hospitals in Ireland. Damien Brennan explores core social and historical features linked to this data including: the political context governance and social policy the relationship between church and state changing economic structures and social deprivation professionalization legislation and systems of admission and discharge categorisation and diagnostic criteria international developments family dynamics This book demonstrates that the actual rate of asylum utilisation in Ireland was the highest by international standards, but challenges the idea that an "epidemic of Irish insanity" actually existed. Offering a historical and sociological insight into an institutional legacy that is unusual within the international context, this book will be of particular relevance and interest to scholars within the fields of sociology, criminology, law, history, Irish studies, social policy, anthropology, nursing and medicine.

The use of first-hand service user accounts of mental illness is still limited in the professional literature available. This is, however, beginning to change, with a new 'recovery' focus in mental health services meaning that the voices of service users are finally being heard. Recovering from Psychosis: Empirical Evidence and Lived Experience synthesises a narrative approach alongside an evidence-based review of current treatment by including Stephen Williams' own personal experience as it relates to psychosis, recovery and treatment. A mental health professional himself, the author's account of his own recovery from severe mental health difficulties, without sustained intervention, challenges the orthodoxy of representation of service users in mental health. Recovering from Psychosis critically explores and reviews the current state of the art of research and knowledge about the nature and treatment of psychosis. Working simultaneously from empirical, lived experience and philosophical perspectives, Stephen Williams: Evaluates political and power related issues in professional understanding, knowledge-creation and treatment of people with psychosis; Introduces the current 'recovery movement', unpacking its origins and implications for the future development of 'recovery oriented services'; Reviews, summarizes and critiques the current state of 'recovery' research, looking at the advantages and disadvantages of such an approach, examining how this is influencing the transformation of UK mental health services; Analyses the difficulties in organisational implementation of recovery approaches, summarises the most empirically robust approaches to practice, personal and service delivery measurement; Reviews current 'models' of psychosis and how various professional scientific groups explain the experience and nature of psychosis; Uses lived-experience accounts taken from the scientific literature, portraying the nature of such experiences and analysing them in the face of contemporary psychological models. Recovering from Psychosis is an essential comprehensive guide for mental health professionals, psychologists, social workers and carers, who are working with people with severe and enduring mental health difficulties diagnosed as psychosis. It addresses the practical implications of working with such difficult conditions and serves as a hopeful story of recovery for service users.

In many African countries, mental health issues, including the burden of serious mental illness and trauma, have not been adequately addressed. These essays shed light on the treatment of common and chronic mental disorders, including mental illness and treatment in the current climate of economic and political instability, access to health care, access to medicines, and the impact of HIV-AIDS and other chronic illness on mental health. While problems are rampant and carry real and devastating consequences, this volume promotes an understanding of the African mental health landscape in service of reform.

In many African countries, mental health issues, including the burden of serious mental illness and trauma, have not been adequately addressed. These essays shed light on the treatment of common and chronic mental disorders, including mental illness and treatment in the current climate of economic and political instability, access to health care, access to medicines, and the impact of HIV-AIDS and other chronic illness on mental health. While problems are rampant and carry real and devastating consequences, this volume promotes an understanding of the African mental health landscape in service of reform.

This book explores an ethical value central to all mental health professions. Although "dignity" appears near the beginning of many codes of ethics, it has been largely unexamined in the professional literature. Potter Stewart famously declared about pornography that we can't define it but we know it when we see it. Likewise with dignity. This book addresses that gap. The book considers the role of dignity as an ethical dimension of practice: in individual psychotherapeutic and psychoanalytic work; in the therapeutic community; and in groups, organizations and nations. It outlines dignity in individual development and families, the role of dignity violations in the understanding and treatment of trauma, and how dignity and its violations can be a powerful force in conflict resolution. The book will also address dignity in relations to specific populations, with chapters on the African-American and the LGBT experiences. Listening, with the question of dignity in mind, offers a fresh non-pathologizing framework for the practitioner.

Gendered Violence, Abuse and Mental Health in Everyday Lives: Beyond Trauma offers new insights into the social dimensions of emotional distress in abuse-related mental health problems, and explores the many interconnections between gendered violence, different forms of abuse and poor mental health. Looking at how individuals can overcome the impact of abuse over the course of their lives, Moulding maps a feminist-informed recovery-oriented approaches to therapy and prevention. Drawing on sociological perspectives and a wide range of international research, as well as original qualitative data presented here for the first time, this book: -Demonstrates how gender and other social power relations play out in the specific emotional dimensions of some of the mental health problems most strongly linked to abuse, including post-traumatic stress disorder, anxiety, depression and eating disorders; -Critiques the way that mainstream psychological theory and research pathologises the effects of abuse through various mental illness diagnoses, obscuring the nature of the individual emotional distress involved, its social context and relational nature; -Outlines a feminist-informed, recovery-oriented approach that aims to reduce violence against women and children. This innovative volume is an important contribution to the literature on the impact of violence and abuse on the lives and health of its survivors. It will be of interest to students and researchers from a range of disciplines and professions, including social work, gender studies, sociology, social policy, psychology, counselling, mental health, public health, medicine and nursing.

Youth residential mental health care is often a last resort after a long time searching for help. Despite engaging with residential care, moving from residential mental health programs to life in the community, many youth still confront disturbing prospects. Incorporating vignettes, chapter summaries, as well as theory and evidence in fields such as education, juvenile justice, child welfare, independent living, supporting families, and positive youth development, this book proposes a template that is both credible and feasible for improving community living outcomes for youth leaving residential mental health programs.

Ronald T. Potter-Efron consciously connects anger management and domestic violence, two long separated fields, and addresses treatment options and intervention methods that meet the needs of individual clients, couples, families, and groups. Therapists, counselors, social workers, and other treatment specialists will find this book a useful overview and reference for anger and anger management techniques as well as domestic violence approaches. This new edition is split into four distinct sections: * A description of anger and domestic violence focused upon helping clients use the principles of neuroplasticity to dramatically alter their behavior * Assessment for anger problems and/or domestic violence * Group treatment for individuals with anger problems and/or domestic violence * Individual, couples, and family treatment of these concerns. Woven through this book is a fair and balanced treatment of gender issues, reflected in the diversity of case examples that address jealousy, chronic anger, behavioral problems, group and individual counseling, and more. Readers are also shown how anger develops and can lead to verbal and physical outbursts, the five types of rage reactions, and how to treat anger turned inward. Potter-Efron also details four different approaches to treating anger: behavioral, cognitive, affective, and existential/spiritual. Mental health professionals are provided numerous questionnaires and worksheets to utilize with their clients. Handbook of Anger Management and Domestic Violence Offender Treatment is an essential guidebook that illustrates effective theory and practice.

Problem gambling is a recognised mental disorder and a significant public health issue internationally. A Clinician's Guide to Working with Problem Gamblers introduces the reader to the concept of problem gambling as an illness, it describes the current gambling habits and explores the way problem gambling may present in an individual. This guide is the product of a collaboration between two of the country's most eminent experts on problem gambling as a psychiatric disorder. Bowden-Jones and George bring together contributions from leading clinicians working in the field to provide an outline of the epidemiology, aetiology, research, assessment procedures and treatment practices which are discussed and presented in an accessible and engaging manner. The inclusion of questionnaires and screening tools adds to the 'hands on' feel of the book. The book covers a range of topics that clinicians and trainees need in order to review and understand the disorder, including, amongst others: Cognitive behavioural models of problem gambling Psychiatric co-morbidity Family interventions Gambling and women Remote gambling A Clinician's Guide to Working with Problem Gamblers will be essential reading for mental health professionals working with problem gamblers, as well as those in training, it is a comprehensive reference point on all aspects of this psychiatric condition. It is also aimed at various other groups of people who have an interest in the field of problem gambling, including academics, researchers, policy makers, NHS commissioners, probation officers, other health care professionals, the lay reader and family members of those affected by gambling.

This book examines the formation of colonial social identities inside the institutions for the insane in Australia and New Zealand. Taking a large sample of patient records, it pays particular attention to gender, ethnicity and class as categories of analysis, reminding us of the varied journeys of immigrants to the colonies and of how and where they stopped, for different reasons, inside the social institutions of the period. It is about their stories of mobility, how these were told and produced inside institutions for the insane, and how, in the telling, colonial identities were asserted and formed. Having engaged with the structural imperatives of empire and with the varied imperial meanings of gender, sexuality and medicine, historians have considered the movements of travellers, migrants, military bodies and medical personnel, and 'transnational lives'. This book examines an empire-wide discourse of 'madness' as part of this inquiry. -- .

The nineteenth-century asylum was the scene of both terrible abuses and significant advancements in treatment and care. The essays in this collection look at the asylum from the perspective of the place itself - its architecture, funding and purpose - and at the experience of those who were sent there.

First published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.

This comprehensive text-noted for its facility in integrating principles into practice--prepares social work students to play a key role within an interdisciplinary health care team: that of counseling clients who are taking medications used to treat common mental health conditions. The third edition has been fully revised to include new medications and reflect changes resulting from the publication of the DSM 5. Sample treatment plans, case examples, and a full glossary of medications have been updated, and the addition of a comprehensive Instructor's Manual further enhances the text's value. Also included is information on prescription drug abuse, expanded discussions of psychopharmacological considerations related to gender and culture, a new section on medical marijuana, pregnant women, and new content related to suicide warnings and internet availability and electronic records. The third edition also features a discussion of potential interactions with medications used to treat chronic conditions and emphasizes professional collaboration. The text is replete with guidance on common medicine-related issues social workers encounter in practice, including identifying potentially dangerous drug interactions and adverse side effects, improving medication compliance, recognizing the warning signs of drug dependence, and understanding how psychopharmacology can work in conjunction with psychosocial interventions. The role of the social worker taking into account treatment planning is stressed. The text also addresses the particular needs of children, older adults, and pregnant women and the treatment of specific mental health conditions.

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.

This accessible book provides an overview of trauma-informed care and related neuroscience research across populations. The book explains how trauma can alter brain structure, identifies the challenges and commonalities for each population, and provides emergent treatment intervention options to assist those recovering from acute and chronic traumatic events. In addition, readers will find information on the risk factors and self-care suggestions related to compassion fatigue, and a simple rubric is provided as a method to recognize behaviours that may be trauma-related. Topics covered include: children and trauma adult survivors of trauma military veterans and PTSD sexual assault, domestic violence and human trafficking compassion fatigue. Trauma-Informed Care draws on the latest findings from the fields of neuroscience and mental health and will prove essential reading for researchers and practitioners. It will also interest clinical social workers and policy makers who work with people recovering from trauma.

First published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.

More than half of children either in foster care, or adopted from care in the developed world, have a measurable need for mental health services, while up to one quarter present with complex and severe trauma- and attachment-related psychological disorders. This book outlines how services can effectively detect, prevent, and treat mental health difficulties in this vulnerable population. Responding to increasing evidence that standard child and adolescent mental health services are poorly matched to the mental health service needs of children and young people who have been in foster care, this book provides expert guidance on the design of specialised services. The first part provides an overview of these children's mental health needs, their use of mental health services and what is known about the effectiveness of mental health interventions provided to them. The second part presents some recent innovations in mental health service delivery, concentrating on advances in clinical and developmental assessment and treatment. The final part confronts the challenges for delivering effective mental health services in this area. This is the definitive international reference for the design of specialised mental health services for children and young people in care and those adopted from care. It is invaluable reading for health and social care professionals working with this population and academics with an interest in child and adolescent mental health from a range of disciplines, including social work, nursing and psychology.

In countries with democratic traditions, police interactions with the mentally ill are usually guided by legislative mandates giving police discretion and possibly resulting in referrals for assistance and treatment. But all too frequently, the outcome of these interactions is far less therapeutic and leads to a cycle of arrests and ultimately incarceration. Stemming from an initiative in Memphis, Tennessee two decades ago, police departments in many parts of the world have set up specific programs with crisis intervention teams to facilitate police contact with the mentally ill. Policing and the Mentally Ill: International Perspectives examines how these types of programs have fared in jurisdictions across the world. The book begins with developments in North America and Europe-traditionally the locus of much of the innovation and change in policing and related areas. It demonstrates how a number of jurisdictions in Europe have only recently begun to recognize therapeutic intervention with the mentally ill as a priority issue, and still frequently suffer from a lack of significant resources. The largest section of the book focuses on Australia, where local law enforcement agencies have displayed a remarkable enthusiasm for and commitment to change in their management of interactions with citizens with mental illness. Finally, the book examines the particular challenges of providing humane and effective policing for persons with mental illnesses in parts of the developing world. These challenges often involve dealing with entrenched cultural beliefs and practices based on superstition, fear, and prejudice regarding persons thought to be mentally ill. Interactions between police and persons with mental illnesses comprise an important and sensitive aspect of everyday policing. The 16 chapters in this book offer a wide range of cross-cultural perspectives on this essential aspect of policing, enabling police practitioners to develop a best practices approach to managing their interactions with this vulnerable segment of the community.

First published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.

The national public asylum system in Ireland was established during the early nineteenth century and continued to operate up to the close of the twentieth century. These asylums / mental hospitals were a significant physical and social feature of Irish communities. They were used intensively and provided a convenient form of institutional intervention to manage a host of social problems. Irish Insanity identifies the long-term trends in institutional residency through the development of a detailed empirical data set, based on an analysis of original copies of the reports of Inspector of Asylums/Mental Hospitals in Ireland. Damien Brennan explores core social and historical features linked to this data including: the political context governance and social policy the relationship between church and state changing economic structures and social deprivation professionalization legislation and systems of admission and discharge categorisation and diagnostic criteria international developments family dynamics This book demonstrates that the actual rate of asylum utilisation in Ireland was the highest by international standards, but challenges the idea that an "epidemic of Irish insanity" actually existed. Offering a historical and sociological insight into an institutional legacy that is unusual within the international context, this book will be of particular relevance and interest to scholars within the fields of sociology, criminology, law, history, Irish studies, social policy, anthropology, nursing and medicine.

First published in 1998. This is Volume I, of seven in the Sociology of Mental Health series. This is a study of the work and effects of the psychiatric services in two typical areas in the pioneering Manchester Hospital Region where comprehensive psychiatric care units have been evolved alongside the main hospital offering in-house and out-patient care.

First published in 1998. This is Volume VII, the final of seven in the Sociology of Mental Health series. Written in 1953, this book is about individuals who choose and are chosen for psychiatric social work, the use that they make of training and the shaping of their careers when they enter employment.

First published in 1998. This is Volume IV, of seven in the Sociology of Mental Health series. Written in 1962, this study looks at of what mental hospitals actually do, what problems they face, how they use their resources, and how their efficiency can be assessed. We begin in Part I by briefly describing the provision of mental hospitals in England and Wales, and analysing current trends in hospital and community care, together with the arguments for and against the retention of the mental hospital.

In her role as devoted wife, the Hindu goddess Parvati is the divine embodiment of viraha, the agony of separation from one's beloved, a form of love that is also intense suffering. These contradictory emotions reflect the overlapping dissolutions of love, family, and mental health explored by Sarah Pinto in this visceral ethnography. Daughters of Parvati centers on the lives of women in different settings of psychiatric care in northern India, particularly the contrasting environments of a private mental health clinic and a wing of a government hospital. Through an anthropological consideration of modern medicine in a nonwestern setting, Pinto challenges the dominant framework for addressing crises such as long-term involuntary commitment, poor treatment in homes, scarcity of licensed practitioners, heavy use of pharmaceuticals, and the ways psychiatry may reproduce constraining social conditions. Inflected by the author's own experience of separation and single motherhood during her fieldwork, Daughters of Parvati urges us to think about the ways women bear the consequences of the vulnerabilities of love and family in their minds, bodies, and social worlds.

Over the last century public health efforts, such as immunization, safer food practices, public health education and promotion, improved sanitation, and water purification have been very successful in eradicating and controlling a host of diseases. The result has been a dramatic improvement in health and life expectancy. However, the impact that mental illnesses have on individuals and society as a whole has largely been overlooked by the discipline.
This pioneering volume examines the evidence-base for incorporating mental health into the public health agenda by linking the available research on population mental health with public mental health policy and practice. Issues covered in the book include the influence of health and mental health policies on the care and well-being of individuals with mental illness, the interconnectedness of physical and mental disorders, the obstacles to adopting a public health orientation to mental health/mental illness, and the potential application of public health models of intervention.
Setting out a unique and innovative model for integrated public mental health care, Population Mental Health identifies the tools and strategies of public health practice surveillance and screening, early identification, preventive interventions, health promotion and community action and their application to twenty-first century public mental health policy and practice.