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.

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.

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

This book examines the origins and early development of private mental health-care in England, showing that the current spectacle of commercially-based participation in key elements of service provision is no new phenomenon. In 1815, about seventy per cent of people institutionalised because of insanity were being kept in private 'madhouses'. The opening four chapters detail the emergence of these madhouses and demonstrate their increasing presence in London and across the country during the long eighteenth century. Subsequent chapters deal with specific aspects in greater depth - the insane patients themselves, their characteristics, and the circumstances surrounding admissions; the madhouse proprietors, their business activities, personal attributes and professional qualifications or lack of them; changing treatment practices and the principles that informed them. Finally, the book explores conditions within the madhouses, which ranged from the relatively enlightened to the seriously defective, and reveals the experiences, concerns and protests of their many critics.

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.

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.

Use a strengths perspective for working with your younger clients! Mental Health Practice with Children and Youth: A Strengths and Well-Being Model presents new insights into successfully working with children by concentrating on their capabilities and resilience. This book explores the continuum of children's needs and challenges from early childhood through adolescence. This text also supports child-centered and strengths-oriented approaches to intervention with children and introduces specific strategies for maximizing pro-social behaviors, self-concept, learning, and positive peer relationships in children at home, at school, and in the community. Mental Health Practice with Children and Youth shows how children's rights have slowly evolved over many years, from children's status as property in the 1600s to the twentieth-century innovations that give a child a specific legal status with a certain amount of freedom and self-determination. By emphasizing the self-concept and self-esteem guidelines outlined by this book, social workers, mental health specialists, and childcare professionals can help children transition into healthy adults, despite hardships, disabilities, or parent negligence. Chapters highlighting interview and assessment techniques as well as media-directed, creative child therapies will enhance your counseling and intervention practices. Mental Health Practice with Children and Youth provides you with insight on: the relationships between children and family environmentfrom two-parent families to foster families child socialization and peer relationshipsin school and around the community adolescencegender roles, ethnic and racial diversity, sexual orientation, and adult transitioning educational needsteacher expectations, special education, diversity, home schooling and more! The strengths perspective is not always included in traditional child welfare and children's practice texts, and this textbook fills that gap for working with younger clients. Children in child welfare, educational, mental health, family service, and recreational settings will all benefit from the inclusion of Mental Health Practice with Children and Youth: A Strengths and Well-Being Model in your work. Augmented with case scenarios and studies, empirical findings, and questions for discussion in every chapter, this book will help child service professionals as well as university faculty and students.

Structured clinical management (SCM) is a unified approach to the treatment of people with personality disorder, which is within reach of general mental health professionals without extensive additional training. However, implementation can be fraught with difficulties, and clinical leads, managers, and practitioners can struggle to implement SCM across complex mental health systems. This book provides an easy to read, practical, and detailed guide on how mental health services can implement SCM in their current clinical pathways and how clinicians can transform their general techniques into a coherent interventional approach for people with personality disorder. Containing insights from clinical experts, researchers, service users, and practitioners of SCM from across the UK and Europe, each chapter outlines a core aspect of the SCM model and its delivery in clinical services. Detailed case studies demonstrate real-world applications of the SCM model, and details are provided about the involvement of carers and families, along with tips on enhancing clinical outcomes and increasing service user engagement. This book will be a valuable resource for qualified and in-training mental health professionals, including psychologists, nurses, occupational therapists, social workers, and psychiatrists. It is particularly relevant to those involved in delivering first-line treatments to people diagnosed with Borderline Personality Disorder and other personality difficulties.

This is the first international handbook on Black community mental health, focussing on key issues including stereotypes in Mental health, misdiagnoses, and inequalities/discrimination around access, services and provisions. Making use of a cultural competence framework throughout, the book covers many of the classic mental health/developmental areas such as schizophrenia, mental health disorders, ASD and ADHD, but it also looks at more controversial areas in mental health, like inequalities, racism and discrimination both in practice and in graduate school training and the supervisory experiences of black students in universities. Unique among traditional academic texts addressing mental health, the book presents rich personal accounts from Black therapists and students. Many Black students who are training to become therapists or academics in mental health report negative experiences with white university staff in terms of a lack of support, encouragement, resulting in poor graduation outcomes.While institutional racism is a major issue both in society and universities, the editors of this Handbook take personal-level racism, microaggression and everyday racism as better models for understanding and analysing both these students; racialised interaction/communication experiences with white staff at university, as well as the racialised communications and inequalities in misdiagnoses, access to services and provisions in healthcare settings with white managers.

Anhedonia is a risk factor for poor prognosis and suicidality, and yet treatments to date have been relatively ineffective for anhedonia. Based on advances in behavioral and neural science, Positive Affect Treatment was developed to specifically target areas of reward sensitivity that are believed to contribute to anhedonia. These include the anticipation and motivation for reward, the response to attainment of reward, and the learning of associations between actions and reward outcomes. Positive Affect Treatment for Depression and Anxiety: Therapist Guide is intended to be used by clinicians who are familiar with cognitive-behavioral therapy (CBT) generally and with clinical presentation of depression, anxiety and anhedonia. Results show that Positive Affect Treatment not only improves positive mood state but also decreases depression and anxiety. This guide will be an indispensable resource for all practitioners who wish to effectively and efficiently help individuals regain interest and enjoyment in their usual activities while improving their quality of life.

A whip-smart black comedy for fans of The New Me and My Year of Rest and Relaxation Named one of the Best Books of the Summer by LitHub, The Millions, Refinery29, and Hey Alma. 'Surprising and irreverent...Be prepared for edginess, dark humor and profanity. The only sweet thing about "Sad Janet" is its cover, which might be the most adorable one I've seen all year' New York Times 'Hilarious, wicked, wise and tender' - Cynthia D'Aprix Sweeney, bestselling author of The Nest *** Meet Janet. Janet is sad. Not about her life, about the world. Have you seen it these days? The thing is, she's not out to make anyone else sad. She's not turning up to weddings shouting that most marriages end in divorce. She just wants to wear her giant coat, get rid of her passive-aggressive boyfriend, and avoid human interaction at the rundown dog shelter where she works. That is, until word spreads about a new pill that promises cynics like her one day off from being sad. When her family stages an intervention, and the prospect of making it through Christmas alone seems like too much, Janet finally decides to give them what they want. What follows is life-changing for all concerned - in ways no one quite expects. Hilarious, provocative and profound, Sad Janet is the antidote to our happiness-obsessed world. *** PRAISE FOR SAD JANET: 'If you're a Halle Butler fan or like despair cut with humour, you'll love this' Leigh Stein, author of SELF CARE 'As I was reading this, my partner kept asking why I was laughing. This book is dark and hilarious and will speak to everyone who's ever wondered why they spend time with humans and not just dogs' Rowan Hisayo Buchanan, author of Starling Days and Harmless Like You 'A tragicomic riot of a book - charging, foul-mouthed and tender, across the modern condition' Claudia Dey, author of Heartbreaker 'Try reading Sad Janet ... It might just make you happy' Marcy Demansky, author of Very Nice 'A biting, pitch-perfect novel about one woman's desire to stay true to herself in a world that rewards facile happiness ... a dazzling debut' Cynthia D'Aprix Sweeney 'The narrative voice of Janet in Britsch's debut novel is a skin-tingling combination of new and necessary' Booklist starred review 'Loved this book... it made me lol via the dark humour and dry observations. An artful take on the "happiness economy"' Emma Gannon, author of Olive 'I loved SAD JANET'S cynical humour. Superbly original, with spot-on one-liners. Brilliantly bleak, but with a spark of hope' Caroline Hulse, author of The Adults

People with mental illness are often painfully familiar with overt prejudice or more subtle forms of mistreatment. The stigma and discrimination associated with their disorders can have effects in several areas of life: in social interactions, in work and healthcare settings, in the legal system and the media. Many withdraw due to shame and do not seek help. In turn, stigma can prove to be a more serious problem than the disorder itself. Yet too little is done to reduce stigma and its impact. The Stigma of Mental Illness: Strategies Against Discrimination and Social Exclusion offers up the knowledge necessary to understand and fight against stigma and discrimination. It will be invaluable to all health professionals, social workers, healthcare managers and policy makers with an involvement or interest in mental illness. Broad coverage of the forms and consequences of stigma Specific treatment of stigma in relation to diagnoses such as dementia and autism Perspectives and strategies of a service user and a relative Up-to-date concepts regarding exclusion and discrimination Practical strategies for service users, relatives, healthcare professionals and policy makers

The Handbook of Forensic Mental Health in Africa traces the history of forensic mental health in Africa, discussing the importance of considering cultural differences when implementing Western-validated practices on the continent while establishing state-of-the-art assessment and treatment of justice-involved persons. Experts in the field of forensic mental health throughout Africa explore the current state of forensic mental health policy and service provision, as well as the unique ethical challenges which have arisen with the recent growth of interest in the field. The African and international research literature on violence risk assessment, competency to stand trial, malingering assessment, Not Guilty by Reason of Insanity (NGRI) evaluations, report writing as an expert witness and mental health legislation in the context of forensic practice are explored throughout. Finally, future directions for forensic mental health in Africa are discussed for juvenile, female and elderly offenders. This text is ideal for mental health, criminal justice and legal professionals working in clinical, research and policy contexts.

In this timely analysis, Rich Moth assesses mental health services in a period of major change. Based on extended fieldwork in community mental health services, he explores the many impacts of policy reform, marketisation and austerity on NHS mental health provision, and positions developments in the contexts of neoliberalism and an increased emphasis on individual responsibility. Firmly rooted in the lived experiences of people using mental health services and the everyday practices of social workers, nurses and psychiatrists, he develops a stimulating perspective on how mental distress is understood and responded to within these settings.

Mental health professionals who don't specialize in trauma practice are discovering more and more frequently that trauma survivors represent a high percentage of their client population. "Trauma 101" is a concise, current, balanced, and accessible overview of one of the most pervasive, yet controversial psychological issues faced today. It is grounded in the most up-to-date research and theories on trauma and its effects, and covers not only the concepts of what trauma is and the ways in which different kinds of traumas affects people, but also considers how it is diagnosed in the wake of the DSM-V and is treated with both evidence-based and alternative methods.

Written by a leading researcher and clinician in the field, the book is an entry-level text for students. It is illustrated with first-person accounts from trauma survivors and encompasses theories, diagnosis, and treatment as well as how trauma affects family members and caregivers. The text also addresses the potential health consequences of trauma and illuminates controversies in the field and such emerging topics as post-traumatic growth, multiple trauma, and how traumatic events affect communities.

Key Features: Provides a comprehensive yet concise overview of trauma for entry-level students Considers theoretical frameworks for understanding trauma and its impact on physical and mental health Addresses diagnosis, treatment and controversial and emerging topics Covers post-traumatic growth, multiple trauma, evidence-based treatments and alternative treatments Includes plentiful firsthand accounts of trauma survivors

Lone-actor terrorism has unfortunately been on the rise in recent decades, causing major adverse societal effects in the United States and abroad. While lone-actor terrorists can be driven by a range of identifiable factors such as extremist views or availability of weapons, the process of becoming and identifying these individuals is deeply complicated. Lone-Actor Terrorism: An Integrated Framework outlines the societal causes and impacts of lone-actor terrorism from a multi-disciplinary, international perspective. Drawing together seasoned insights across clinical and forensic mental health, sociology, criminology, law, military and intelligence, and security, this volume explores patterns common to lone-actor terrorists across four major sections: historical and case examples, clinical aspects, non-clinical professional and allied perspectives, and assessment and potential approaches to reducing the risk of lone-actor terrorism. Contributors describe both individual clinical factors affecting lone-actors, including developmental aspects, mental health variables, psychoactive drugs, psychometrics and linguists, along with broader social factors such as propaganda and rhetoric, social media, and geographical considerations. This volume concludes with a review of the available threat and risk assessment tools applicable to lone-actor terrorism cases and provides guidance for professionals seeking to reduce risk. While there is no uniform approach to the concept of lone-actor terrorism, this edited volume provides a diverse yet authoritative overview for those interested in better understanding the threats of lone-actor terrorism and its professional response.

Over the last 30 years, the prevalence of eating disorders has increased to become a widespread problem across the UK and worldwide. This book offers a comprehensive guide written by people with eating disorders, their families and leading researchers, clinicians and therapists, all aiming to improve understanding of practical ways of helping people with eating disorders to live and thrive in their communities. The handbook covers the important topics of understanding eating difficulties in our society's context, including the role of social media and the fashion industry, and how health care professionals and voluntary organisations currently support those with an eating disorder. It explores the value of exercise, nutrition and sleep, and considers support from parents and schools for children, as well as making reasonable accommodations for young people and adults in higher education and the workplace. Particular therapies for stabilisation and recovery are detailed, and a final section sets out examples of creative and arts-based approaches.

'Read this book. Then talk to your sons. It is essential reading' Jamie Theakston 'An extraordinary and important book. Read it immediately' Claudia Winkleman 'Superbly written, this deeply moving book underlines how truly precious mother-daughter relationships are, and never more so than in those teenage years' Gloria Hunniford A gripping memoir of two battling narratives and a mother-daughter relationship stretched to its absolute limits. Roxy was 13 years old when she was coerced then blackmailed into sending explicit photos, which were spread around her school. The shame led to self-loathing. The blame led to a psychotic breakdown. Roxy started hearing voices. Then she started seeing things... What happens when your teenager starts to lose it, and then you lose each other? What happens when you can't tell your mother you desperately need help? And how can a family move past a devastating mental health crisis? When You Lose It is a brutally honest true story, written from two perspectives, of consent, coercion and shattering consequences.

A practical guide to providing home-based mental health services, Providing Home Care for Older Adults teaches readers how to handle the unique aspects of home-based care and apply and adapt evidence-based assessment and treatment within the home-based setting. Featuring contributions from experienced, board-certified home care psychologists, social workers, and psychiatrists, the book explains the multifaceted role of a home-based provider, offers concrete and practical considerations for working within the home, and highlights adaptations to specific evidence-based methods used in treating homebound older adults. Also covered are special topics related to hoarding, safety, capacity evaluations, caregivers, case management, and use of technology. Each chapter includes engaging case examples with practical tips that illustrate what it is like to work in this new and exciting frontier. Psychologists, counselors, and other mental health practitioners in home settings will be able to use this guide to provide effective home-based care to older adults.

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.

The relationship between migration and mental health is controversial, contested, and pertinent. In a highly mobile world, where voluntary and enforced movements of population are increasing and likely to continue to grow, that relationship needs to be better understood, yet the terminology is often vague and the issues are wide-ranging. Getting to grips with them requires tools drawn from different disciplines and professions. Such a multidisciplinary approach is central to this book. Six historical studies are integrated with chapters by a theologian, geographer, anthropologist, social worker and psychiatrist to produce an evaluation that addresses key concepts and methodologies, and reflects practical involvement as well as academic scholarship. Ranging from the mid-nineteenth century to the present, the book explores the causes of mental breakdown among migrants; the psychological changes stemming from their struggles with challenging life circumstances; and changes in medical, political and public attitudes and responses in different eras and locations.