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.

A psychiatrist's travels through the history of mental illness - Who is 'mad'? Who is not? And who decides? In this fascinating new exploration of mental illness, Professor Brendan Kelly examines 'madness' in history and how we have responded to it over the centuries. We travel from the psychiatric institutions of India to Victorian scientific studies of the brain. Covering institutionalisation, lobotomy and the Nazis' 'Aktion T4', as well as Freud, psychoanalysis, cognitive behavioural therapy (CBT) and neuroscience, Professor Kelly examines the shift from 'psychobabble' to 'neurobabble' in recent times. In Search of Madness is an all-encompassing history of one of the most basic fears to haunt the human psyche, and it concludes with a passionate manifesto for change: four proposals to make mental health services more effective, accessible and just.

The topic of anxious children is on the front burner these days, both among parents and mental health professionals and it is only gaining attention as more and more clinicians are presented with anxious children in their practices. Anxiety symptoms-whether panic, OCD, phobias, social or separation anxiety-are one of the primary reasons parents seek help from a mental health professional for their child. And yet, parents may unintentionally reward or encourage the problem through their own behaviour (overprotection on the one hand, punishment on the other, or avoidance of all possible anxiety-provoking situations). This book will tackle that very issue, exploring the critical parent-child "dance" at the centre of child development and uncovering how, with the proper knowledge and tools at hand, therapists can guide parents in changing their dynamic so anxious outbursts are reduced and a child's confidence and growth are better supported.

The definitive guide to identify, assess, and create individualized treatment plans for high-risk clients who suffer from challenging co-occurring disorders

"Treat the person and not the diagnosis. Respect that all behaviors are purposeful. Remain mindful that nobody changes behaviors without motivation. These essential guiding principles are the framework of this book. They will be repeated quite often as we examine the challenging population of men and women with co-occurring disorders."

--From "Integrated Treatment for Co-Occurring Disorders"

Annual studies reveal that 70 percent of men and women who died by suicide were diagnosed with a mental illness or personality disorder and used drugs to gain temporary relief from the symptoms. Until now, very little has been written about how to identify, assess, and treat this population. "Integrated Treatment for Co-Occurring Disorders: Treating People, Not Behaviors" addresses that need.

Respectful of the client and filled with practical advice, this book: Examines the guiding principles for treating clients with co-occurring disordersDetails the methods of formulating an evidence-based individualized treatment plan for the self-medicating mentally illExplores how to assess this population for suicide risk and vulnerabilityFocuses on the person and not a behaviorally defined diagnostic categoryReflects state-of-the-art knowledge for the treatment of co-occurring disordersIllustrates how Motivational Enhancement Therapy can be an effective treatment strategy

With numerous clinical case studies to illustrate key points and reinforce learning, "Integrated Treatment for Co-Occurring Disorders" encourages a flexible, person-centered treatment approach that focuses on the individual rather than the diagnosis.

The Transition to Retirement (TTR) program aims to help older people with long-term disability gradually build an active and socially inclusive retirement lifestyle through volunteering and participating in mainstream community groups. Members of these groups are trained to act as mentors and provide support. The three-year TTR research project and subsequent years of TTR service delivery have shown that this approach is feasible and has enduring positive outcomes for people with disability, mentors and community groups.The TTR manual and video material aim to make these benefits available more widely. They provide implementation details for all components of the TTR program, as well as practical tips and accounts of individual participant's experiences. DVD stories and video clips illustrate key issues. Planning forms are also included, together with an explanation of the process of teaching a person with long-term disability to use public transport independently. The TTR program is consistent with Australia's National Disability Insurance Scheme (NDIS) which focuses on building community participation and independence, and with the National Disability Strategy's emphasis on promoting social inclusion in community settings.

Meeting the complex needs of some of the most vulnerable populations in our society often involves the need for connected networks of care providing health, social care, educational and voluntary sector services. This presents major challenges for both clients and practitioners for this to work well. Adaptive mentalization based integrative treatment (AMBIT) has been developed over the last 15 years to address the needs of both clients and practitioners in trying to make this work well. The basic framework for AMBIT was set out by the authors in AMBIT: A Guide for Teams to Develop Systems of Care in 2017 but continues to evolve through collaboration with practitioners across the world who work with people (both young people and adults) for whom many current services are not experienced as helpful. AMBIT for People with Multiple Needs: Applications in Practice describes the progress of this collaboration and shows how AMBIT has been applied in health, social care and education settings across the world. Contributors convey the detail of what it is like to apply AMBIT to their work by combining case illustrations with detailed descriptions of therapeutic practice and technique, along with inspiring and remarkable stories of therapeutic change. The chapters examine therapeutic casework in very different services providing community and residential based care with adults and young people across Europe and the UK. With AMBIT constantly evolving, the book explores recent developments in the AMBIT model and provides rich new thinking about how "helping" services can be supported to provide meaningful help and change.

People with autism often experience difficulty in understanding and expressing their emotions and react to losses in different ways or in ways that carers do not understand. In order to provide effective support, carers need to have the understanding, the skills and appropriate resources to work through these emotional reactions with them. Autism and Loss is a complete resource that covers a variety of kinds of loss, including bereavement, loss of friends or staff, loss of home or possessions and loss of health. Rooted in the latest research on loss and autism, yet written in an accessible style, the resource includes a wealth of factsheets and practical tools that provide formal and informal carers with authoritative, tried and tested guidance. This is an essential resource for professional and informal carers working with people with autism who are coping with any kind of loss.

A core function of social work is to assist, empower, and protect the most vulnerable in society. Social workers make difficult decisions in complex and challenging situations every day. They work in organizations that have clear statutory duties. Therefore, it is essential that social work students know what their responsibilities are. Familiarity with law, legislation, and legal processes is consequently fundamental to sound social work practice. This best-selling book helps social work students gain this foothold in understanding law as it applies to social work practice. It avoids complicated legal jargon remote from the everyday realities of practice, offering instead a grounding in legally-appropriate, rights-based social work. It covers the full range of social work law, including services for children and families and child protection, adult care law, youth justice, court work, professional regulation, and human rights.

Stigma is one of the major barriers to care for people with mental health and related disorders. Stigma includes negative beliefs about and hostile perceptions towards others, shame and self-stigma, discriminatory practices in hiring, promotion and recognition of people who suffer from mental health challenges, and structural and organizational policies and processes that result in inequalities for people who have mental health challenges. Stigma has been recognized as a significant factor in the well-being of people with mental health and related problems and can be more debilitating than the direct effects of mental health problems themselves. The Mental Health Commission of Canada (MHCC) was established to conduct policy reviews and to promote initiatives related to mental health. The Opening Minds program of the MHCC is the largest systematic effort in Canadian history to reduce stigma related to mental illnesses. The program has adopted the systematic development, evaluation and deployment of targeted programs based on theories of change, best practices and available research evidence as a model for stigma reduction. The Stigma of Mental Illness is an important vehicle to communicate conceptual issues in the field of stigma reduction, to document the work done to date within the MHCC Opening Minds program, and to offer practical strategies to broaden the scope and utility of the work for different contexts, cultures, and countries. This volume will be a global interest, given the growing importance of stigma reduction related to mental disorders and related problems.

The Routledge History of Madness and Mental Health explores the history and historiography of madness from the ancient and medieval worlds to the present day. Global in scope, it includes case studies from Africa, Asia, and South America as well as Europe and North America, drawing together the latest scholarship and source material in this growing field and allowing for fresh comparisons to be made across time and space. Thematically organised and written by leading academics, chapters discuss broad topics such as the representation of madness in literature and the visual arts, the material culture of madness, the perpetual difficulty of creating a classification system for madness and mental health, madness within life histories, the increased globalisation of knowledge and treatment practices, and the persistence of spiritual and supernatural conceptualisations of experiences associated with madness. This volume also examines the challenges involved in analysing primary sources in this area and how key themes such as class, gender, and race have influenced the treatment and diagnosis of madness throughout history. Chronologically and geographically wide-ranging, and providing a fascinating overview of the current state of the field, this is essential reading for all students of the history of madness, mental health, psychiatry, and medicine.

A total institution is defined by Goffman as a place of residence and work where a large number of like-situated, individuals, cut off from the wider society for an appreciable period of time, together lead an enclosed, formally administered round of life. Prisons serve as a clear example, providing we appreciate that what is prison-like about prisons is found in institutions whose members have broken no laws. This volume deals with total institutions in general and, mental hospitals, in particular. The main focus is, on the world of the inmate, not the world of the staff. A chief concern is to develop a sociological version of the structure of the self.

Each of the essays in this book were intended to focus on the same issue--the inmate's situation in an institutional context. Each chapter approaches the central issue from a different vantage point, each introduction drawing upon a different source in sociology and having little direct relation to the other chapters.

This method of presenting material may be irksome, but it allows the reader to pursue the main theme of each paper analytically and comparatively past the point that would be allowable in chapters of an integrated book. If sociological concepts are to be treated with affection, each must be traced back to where it best applies, followed from there wherever it seems to lead, and pressed to disclose the rest of its family.

Coping Long-Term with Active Suicide Program (CLASP): Clinician Guide is an indispensable resource for clinicians, researchers and mental health practitioners who are interested in implementing a cost-effective and proven suicide prevention intervention, with the newly developed 'Coping Long Term with Active Suicide Program' (CLASP). With a foundation grounded in theoretical models of suicide prevention, as well as in the relevant empirical literature, CLASP is unique among suicide prevention interventions in that it targets multiple risk factors for suicide using a combination of formats and therapeutic strategies. The treatment can be delivered in-person and/or via telehealth to focus on values-goals clarification, problem solving, and significant other support. This book introduces the rationale and empirical support for the CLASP intervention, followed by a session-by-session description of how to implement CLASP in clinical practice and with specific targeted populations at risk.

This treatment program targets the criminal, behavioral, and mental health problems of inmates in segregated housing that prevents them from living prosocially and productively within the general prison population. The program makes use of a bi-adaptive psychoeducational and cognitive-behavioral treatment model to increase inmates' understanding about the psychological and criminal antecedents that contributed to their current placement, and to teach them the skills necessary for managing these problem areas. This flexible intervention assists inmates with significant problem behaviors by reducing psychological impairment and improving their ability to cope with prison life. This book includes a program introduction and guide for clinicians, the inmate workbook, and accompanying eResources to assist clinicians in both successful program implementation and evaluation of treatment outcomes. Designed to account for the safety and physical limitations that make the delivery of needed mental and behavioral health services difficult, this guide is essential reading for practitioners working with high-needs, high-risk inmate populations.

This treatment program targets the criminal, behavioral, and mental health problems of inmates in segregated housing that prevents them from living prosocially and productively within the general prison population. The program makes use of a bi-adaptive psychoeducational and cognitive-behavioral treatment model to increase inmates' understanding about the psychological and criminal antecedents that contributed to their current placement, and to teach them the skills necessary for managing these problem areas. This flexible intervention assists inmates with significant problem behaviors by reducing psychological impairment and improving their ability to cope with prison life. This book includes a program introduction and guide for clinicians, the inmate workbook, and accompanying eResources to assist clinicians in both successful program implementation and evaluation of treatment outcomes. Designed to account for the safety and physical limitations that make the delivery of needed mental and behavioral health services difficult, this guide is essential reading for practitioners working with high-needs, high-risk inmate populations.

Bridging the social and life sciences to unlock the mystery of how cities shape mental health and illness Most of the world's people now live in cities and millions have moved from the countryside to the rapidly growing megacities of the global south. How does the urban experience shape the mental lives of those living in and moving to cities today? Sociologists study cities as centers of personal progress and social innovation, but also exclusion, racism, and inequality. Psychiatrists try to explain the high rates of mental disorders among urban dwellers, especially migrants. But the split between the social and life sciences has hindered understanding of how urban experience is written into the bodies and brains of urbanites. In The Urban Brain, Nikolas Rose and Des Fitzgerald seek to revive the collaboration between sociology and psychiatry about these critical questions. Reexamining the relationship between the city and the brain, Rose and Fitzgerald explore the ways cities shape the mental health and illness of those who inhabit them. Drawing on the social and life sciences, The Urban Brain takes an ecosocial approach to the vital city, in which humans live and thrive but too often get sick and suffer. The result demonstrates what we can gain by a vitalist approach to the mental lives of those migrating to and living in cities, focusing on the ways that humans make, remake, and inhabit their urban lifeworlds.

This critical interdisciplinary study charts the modern history of mental health services, reflects upon the evolution of care in communities, and considers the most effective policies and practices for the future. Starting with the development of community care in the 1960s, Cummins explores the political, economic, and bureaucratic factors behind the changes and crises in mental health social care, returning to those roots to identify progressive principles that can pave a sustainable pathway forward. This is a groundbreaking contribution to debates about the role, values, and future of community care, and is vital reading for students, teachers, and researchers in the field of social work and mental health.

"Picturing myself dying in a way I choose myself seems so comforting, healing and heroic. I'd look at my wrists, watch the blood seeping, and be a spectator in my last act of self-determination. By having lost all my self-respect it seems like the last pride I own, determining the time I die."-Kyra V., seventeen Reading the confessions of a teenager contemplating suicide is uncomfortable, but we must do so to understand why self-harm has become epidemic, especially in the United States. What drives teenagers to self-harm? What makes death so attractive, so liberating, and so inevitable for so many? In Teenage Suicide Notes, sociologist Terry Williams pores over the writings of a diverse group of troubled youths to better grasp the motivations behind teenage suicide and to humanize those at risk of taking their own lives. Williams evaluates young people in rural and urban contexts and across lines of race, class, gender, and sexual orientation. His approach, which combines sensitive portrayals with sociological analysis, adds a clarifying dimension to the fickle and often frustrating behavior of adolescents. Williams reads between the lines of his subjects' seemingly straightforward reflections on alienation, agency, euphoria, and loss, and investigates how this cocktail of emotions can lead to suicide-or not. Rather than treating these notes as exceptional examples of self-expression, Williams situates them at the center of teenage life, linking them to abuse, violence, depression, anxiety, religion, peer pressure, sexual identity, and family dynamics. He captures the currents that turn self-destruction into an act of self-determination and proposes more effective solutions to resolving the suicide crisis.

This important book brings together research from scholars and experts in a variety of disciplines to explore a broad range of issues which affect Camphill life. The essays examine social, political and educational topics as diverse as spiritual needs, residential childcare, disabled identity, working with autistic children and the development of Camphill communities around the world. The lack of easily accessible literature about Camphill communities has contributed to a common and unjustified perception of Camphill as 'closed' communities which have little interest in communicating with the 'the outside world'. Some influential officials and practitioners who determine education and social-work policy and practice still know little or nothing about Camphill, which increases the risk of misunderstanding and threatens the future of Camphill communities. This book seeks not only to bridge that gap, but to demonstrate to a wider audience the unique and inspiring qualities of Camphill communities. This book is essential reading for anyone with an interest in the provision of services for children and adults with special needs.

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.

This clinical training manual presents a critical analysis of several, very challenging individual therapy cases of severely mentally ill clients of colour. Key interchanges and cultural dynamics in the therapies are explored through discussion questions. Key hypotheses about those interchanges are supported with citations from research on the subject and are linked to relevant theories. This helps to establish an evidence-based framework for the larger discussion matter. The integration of contemporary theory, research and practice makes this a must have addition to your library of clinical training materials.

In 2013, about 10 million adults in the United States had a serious mental illness. The U.S. mental health care system includes a range of federal programsacross multiple agencies for those with mental illness. Past efforts to develop a list of federal programs supporting individuals with serious mental illness have highlighted the difficulty of identifying such programs. This book identifies the federal programs that support individuals with serious mental illness; the extent to which federal agencies coordinate these programs; and the extent to which federal agencies evaluate such programs. Determining how many people have a mental illness can be difficult, and prevalence estimates vary. While numerous surveys include questions related to mental illness, few provide prevalence estimates of diagnosable mental illness (e.g., major depressive disorder as opposed to feeling depressed, or generalized anxiety disorder as opposed to feeling anxious), and fewer still provide national prevalence estimates of diagnosable mental illness. This book briefly describes the methodology and results of three large surveys that provide national prevalence estimates of diagnosable mental illness.

This clinical training manual presents a critical analysis of several, very challenging individual therapy cases of severely mentally ill clients of colour. Key interchanges and cultural dynamics in the therapies are explored through discussion questions. Key hypotheses' about those interchanges are supported with citations from research on the subject and are linked to relevant theories. This helps to establish an evidence-based framework for the larger discussion matter. The integration of contemporary theory, research and practice makes this a must have addition to your library of clinical training materials.

Mental health is "a state of well-being in which the individual realises his or her own abilities; can cope with the normal stresses of life; can work productively and fruitfully; and is able to make a contribution to his or her community". Mental illness is defined as "collectively, all diagnosable mental disorders" or "health conditions that are characterised by alterations in thinking, mood, or behaviour (or some combination thereof) associated with distress and/or impaired functioning." Mental disorders, especially depressive disorders, are related to many chronic diseases like diabetes, cancer, cardiovascular disease, asthma and obesity. In recent years, there has been an alarming number of school shootings with youth or adults involved who are seriously mentally disturbed. There has also been an increase in suicides and mental pathology in the military and in fact, many professionals perceive that the increase in psychiatric drugs negatively impacts our population. In spite of more people receiving psychotropic medication at a large expense to the individual and society, it does not seem that people are getting better on the whole. As a result, there is a need to re-evaluate our policy and interventions, but also a need for more accurate data and information.

Foster children, often being removed from neglectful or abusive homes, are one of the country's most vulnerable populations. With the often traumatic circumstances that define their early lives, it is no wonder studies show their tendency for more mental health conditions than other children. Facing these and other significant challenges surrounding foster care programs, state authorities, caseworkers, and parents, are given few options on appropriate treatments. These options often include prescribing heavy-duty psychotropic drugs such as antidepressants and, in some cases, even antipsychotics -- drugs which have little research available supporting their use in children. This book examines the practice of medicating America's foster children with a focus on the financial and societal costs.