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.

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.

Mental health has always been a low priority worldwide. Yet more than 650 million people are estimated to meet diagnostic criteria for common mental disorders such as depression and anxiety, with almost three-quarters of that burden in low- and middle-income countries. Nowhere in the world does mental health enjoy parity with physical health. Notwithstanding astonishing medical advancements in treatments for physical illnesses, mental disorder continues to have a startlingly high mortality rate. However, despite its widespread neglect, there is now an emerging international imperative to improve global mental health and wellbeing. The UN's current international development agenda finalised at the end of 2015 contains 17 Sustainable Development Goals (SDGs), including SDG3, which seeks to ensure healthy lives and promote wellbeing for all at all ages. Although much broader in focus than the previous eight Millennium Development Goals (MDGs), the need for worldwide improvement in mental health has finally been recognised. This Handbook addresses the new UN agenda in the context of mental health and sustainable development, examining its implications for national and international policy-makers, decision-makers, researchers and funding agencies. Conceptual, evidence-based and practical discussions crossing a range of disciplines are presented from the world's leading mental health experts. Together, they explore why a commitment to investing in mental health for the fulfilment of SDG3 ought to be an absolute global priority.

This book provides a structured, sequential, and evidence-based approach for treating children and adolescents who are experiencing trauma or grief. This approach can be used for all types of traumatic events and is suitable for both experienced and novice mental health professionals. Two of the interventions presented in the book SITCAP-ART and I Feel Better Now have proven useful in multiple settings with diverse cultures. This book reflects a resilience perspective and explores the factors that lead to and support resilience and recovery. Accessible and practical, this useful guide is filled with all the activities needed for individual sessions--packaged in an easily reproducible format.

Combining a scholar's care and thoroughness with searing personal insight, David A. Karp brings the private experience of depression into sharp relief, drawing on a remarkable series of intimate interviews with fifty depressed men and women. By turns poignant, disturbing, mordantly funny, and wise, Karp's interviews cause us to marvel at the courage of depressed people in dealing with extraordinary and debilitating pain. We hear what depression feels like, what it means to receive an "official" clinical diagnosis, and what depressed persons think of the battalion of mental health experts-doctors, nurses, social workers, sociologists, psychologists, and therapists-employed to help them. Ranging in age from their early twenties to their mid-sixties, the people Karp profiles reflect on their working lives, career aspirations, and intimate relationships, and confide strategies for overcoming paralyzing episodes of hopelessness. Throughout, Karp probes the myriad ways society contributes to widespread alienation and emotional exhaustion. In a new and extensive introduction since the original publication of Speaking of Sadness twenty years ago, Karp evaluates the state of and social movements for the depression experience. He traces his personal depression journey along with the reception of his readers since the book's original publication. In addition, he offers a clear perspective on the consequences of wholesale medicalization permeating cultural treatment of depression, and calls towards a movement to listen to and to voice the experiences of the marginalized. Speaking of Sadness remains distinctive in its dedication to recounting stories and discovering clear patterns in them. Karp pierces through the terrifying isolation of depression to uncover the connections linking the depressed as they undertake their personal journeys through this very private hell. This book will bring new understanding to professionals seeking to see the world as their clients do, and provide vivid insights and renewed empathy to anyone who cares for someone living with the cruel unpredictability of depression.

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.

Integrated care incorporates behavioral and physical health services into primary care and specialty medical environments. Integrated care models are patient-centered; delivered by teams of medical professionals, utilize care coordination, and a population-based approach. This book is practical, office-based, and comfortably accessible to students, residents, faculty, and all mental health professionals, primary care and medical specialists. We examine and recommend applying collaborative care and other existing models of integrated care based on existing literature. When there is no literature supporting a specific approach, our experts offer their ideas and take an aspirational approach about how to manage and treat specific behavioral disorder or problems We assume the use of integrated team staffing including a primary care or specialist provider(s), front desk staff, medical assistant(s), nurse(s), nurse practitioners, behavioral health specialist(s), health coaches, consulting psychiatrist, and care coordinator(s)/manager(s).

This revised and updated edition of Care of the Mentally Disordered Offender in the Community provides a comprehensive, evidence-based guide to theory and practice. The social and clinical context within which mental health care is provided to offenders in community settings has changed significantly in recent years. An increasing proportion of all mental health care is provided in the community and our knowledge of the links between violence and mental illness has advanced. Existing psychological and pharmacological treatments have been refined and new treatments have been introduced. Epidemiological and intervention-based research has evaluated these changes and suggested new avenues for clinical development. Over three sections, the second edition of Care of the Mentally Disordered Offender in the Community explores the key areas of the field. Part 1 describes the social, administrative and clinical context within which care is now given. Part 2 discusses treatment and the evaluation of violence risk when determining the most appropriate treatment. Part 3 explores psychiatric services and their relationship with other agencies. The text has been updated to cover recent developments in theory and practice. New chapters have been added that cover US provision for people with mental disorders leaving prison, the community management of sexual offenders, the relationship between care and coercion and the treatment of personality disorders. Written by a global team of experts, the book provides critical insights into the social, clinical, and institutional aspects of an increasingly important part of psychiatric community care.

New edition of an acclaimed manual which uses the solution focused approach to take an empathetic and validating approach to working with individuals considering suicide. * Offers invaluable guidance for suicide prevention by showing what works in treating those struggling with suicidal thoughts * Provides straightforward ways to deal frankly with the subject of suicide, along with a range of tools and techniques that are helpful to clients * Includes actual dialogue between practitioners and clients to allow readers to gain a better understanding of how to work with suicidal clients * Compares and contrasts a ground-breaking approach to suicide prevention with more traditional approaches to risk assessment and management * Features numerous updates and revisions along with brand new sections dealing with the international landscape, blaming the suicided person, Dr Alys Cole-King s Connecting with People , and telephone work with the suicidal, Human Givens Therapy, and zero suicide

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 book aims to show the value but also the difficulties encountered in the application of 'insider knowledge' in service user research. Mental health service users in research considers ways of 'doing research' which bring multiple understandings together effectively, and explains the sociological use of autobiography and its relevance. It examines how our identity shapes the knowledge we produce, and asks why voices which challenge contemporary beliefs about health and the role of treatment are often silenced. An imbalance of power and opportunity for service users, and the stigmatising nature of services, are considered as human rights issues.Most of the contributors to the book are service users/survivors as well as academics. Their fields of expertise include LGB issues, racial tensions, and recovering from the shame and stigma of alcoholism. They stress the importance of research approaches which involve mutualities of respect and understanding within the worlds of researcher, clinician and service user/survivor.

Mental Health: A person-centred approach adopts an all-encompassing approach to engaging with, responding to and supporting people with mental illness and substance abuse. This substantially updated second edition incorporates the latest mental health research, including a new chapter focusing on psychotropic medications, while retaining the strong narrative approach of the first edition. Readers are encouraged to connect theory, practice and the lived experiences of consumers and carers. The diverse range of consumer and carer perspectives enhances readers' understanding of the process of recovery from mental illness, the use of mental health services and the provision of mental health support, by encouraging them to make human connections as they read. Written by an expert author team, Mental Health: A person-centred approach is an essential resource for students, supporting the development of safe, high-quality, person-centred care in both the Australian and New Zealand contexts.

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.

Drawing from her personal experiences, Judy Endow, author of the 2010 and 2011 Hidden Curriculum Calendars, provides lots of hidden curriculum items that pertain to most areas of adult life. In relating how she personally has learned to more successfully maneuver social interactions, she also presents a framework for developing the ability to more quickly assess a situation and take steps to avoid making social blunders BEFORE they have been committed. A sampling of strategies includes Pause and Match, Laugh Along, Recognize and Expand Black-and-White Thinking, and It Is Not Necessary to Report All My Truths. Judy's framework enables readers to learn to create their own social "rules" and, as a result, live freer, more successful lives. The fact that the book is written by an autistic person who has learned by trial and error makes it all the more valuable.

The care home sector is large, with over 400 000 residents in the UK and a similar number employed within the homes. It is therefore an area of considerable economic importance. Care home residents are often very old, and many have multiple physical and mental health needs, meaning that their care poses particular challenges. They are also a distinctly and profoundly marginalised group who are often invisible in the wider debates on quality of care including those about care homes.
Mental Health and Care Homes is a coherent and evidence-based text exploring these issues. Bringing together both clinical and research perspectives it will help those working in the care home sector to deliver high quality care and support to both residents and staff. This important, yet neglected, area is thoroughly reviewed by a range of experts including residents, family carers, staff, researchers, and clinicians.
The book has four sections: 'the inside view' which includes several first-hand accounts of care home life; 'the outside view' which discusses the regulatory, funding, and legislative context in which care homes operate; 'mental health and care', a detailed review of the major mental and other health issues that arise in care homes, as well as interventions and services to offer support; and a section exploring the 'promotion of health and wellbeing' including examples of good practice. It concludes by synthesising key themes and setting an agenda for further enquiry.
The book is written in a style that encourages engagement, with the inclusion of contemporary case studies and examples, making it topical and readable. It will be valuable for a broad professional and vocational audience across both health and social care, as well as students and researchers.

A Right to Care? considers the reconciliation of unpaid care and paid work which is among the most pressing and difficult problems currently facing employment law. The incompatibility of carers' needs and the demands of the labor market is commonly identified in relation to working mothers, but is by no means confined to this group as dependency for aspects of personal care can arise as a result of disability, illness or aging. In all of its forms, unpaid care is predominantly provided by women so that its intersection with paid work is severely gendered. In recent years European integration has focused on the need to increase employment rates whilst maintaining labor market flexibility. Many workers who seek to combine unpaid care with paid employment find themselves engaged in increasingly precarious forms of work, yet legal and policy responses have, to date, been reactive and incremental, resulting in a framework which is operationally ineffective in certain respects.
Nicole Busby explores the potential for the development of a specific right to care within European employment law which would facilitate the reconciliation of these two central aspects of an individual's life and, in raising the status of care, would assist in the rebalancing of paid and unpaid work between men and women. The central premise is that the current constitutional and regulatory framework is in fact sufficiently flexible to take account of the diverse circumstances and resulting needs of working carers and that the European Court of Justice has the competence and capability to provide the necessary creativity to give effect to such a right. She argues that what is needed to instil coherence and consistency is a specific focus on unpaid work within European employment law, and provides a policy solution on how this should be brought about.

Borderline personality disorder (BPD) has been widely viewed as a chronic disorder, which has led many clinicians to avoid treating patients with this diagnosis. BPD is also one of the most stigmatized of psychiatric disorders, due to the awkward manner in which these individuals attempt to get their needs met. As such those with BPD are increasingly marginalized by society and prevented from accessing quality care. In the Fullness of Time debunks the common myth that BPD is incurable, drawing on the findings of the NIMH-funded study, the McLean Study of Adult Development, which has found that BPD has the best symptomatic outcome of all major psychiatric illnesses. Citing and analyzing the results of this landmark, decades-long study, Mary Zanarini explains why there is reason for optimism when it comes to BPD: remissions lasting two to eight years are common and stable; furthermore, remission of all 24 symptoms of the disorder are also quite typical. Equally promisingly, the acute and most life-threatening symptoms of BPD, such as self-harm and suicide attempts, remit rapidly, and recur less frequently than do temperamental symptoms. Zanarini also reports on more sobering findings concerning high levels of poor outcomes relating to vocational impairment and physical health, reported by the 40% of patients who have not recovered, which have significant impact on wellbeing and use of medical and other services. Considered together, the findings generated by this important research provide much-needed hope for those diagnosed with BPD, particularly in guiding future research on and treatment for borderline personality disorder.

People with mental illness commonly describe the stigma and discrimination they face as being worse than their main condition. Discrimination can pervade every part of their daily life - their personal life, working life, sense of citizenship, their ability to maintain even a basic standard of living. Though things have certainly improved in the past 50 years, discrimination against the mentally ill is still a major problem throughout the world. It can manifest itself in subtle ways, such as the terminology used to describe the person or their illness, or in more obvious ways - by the way the mentally ill might be treated and deprived of basic human rights. Should we just accept such discrimination as deeply rooted and resistant to change, or is this something that we can collectively change if we understand and commit ourselves to tackling the problem? Shunned presents clearly for a wide readership information about the nature and severity of discrimination against people with mental illness and what can be done to reduce this. The book features many quotations from people with mental illness showing how this has affected their home, personal, social, and working life. After showing, both from personal accounts and from a thorough review of the literature, the nature of discrimination, the book sets out a clear manifesto for change. Written by a leading figure in mental health in a lively and accessible manner, the book presents a fascinating and humane portrayal of the problem of stigma and discrimination, and shows how we can work to reduce it.

In February 2015, Ivan Maisel received a call that would alter his life forever: his son Max's car had been found abandoned in a parking next to Lake Ontario. Two months later, Max's body would be found in the lake. There'd been no note or obvious indication that Max wanted to harm himself; he'd signed up for a year-long subscription to a dating service; he'd spent the day he disappeared doing photography work for school. And this uncertainty became part of his father's grief. I Keep Trying to Catch His Eye explores with grace, depth, and refinement the tragically transformative reality of losing a child. But it also tells the deeply human and deeply empathetic story of a father's relationship with his son, of its complications, and of Max and Ivan's struggle-as is the case for so many parents and their children-to connect. I Keep Trying to Catch His Eye is a stunning, poignant exploration of the father and son relationship, of how our tendency to overlook men's mental health can have devastating consequences, and how ultimately letting those who grieve do so openly and freely can lead to greater healing.

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.

Self-harm and suicidal behaviours are increasingly common in young people, but are often hidden. It can be hard to know what might be causing a young person to self-harm, and how to help and support them. Practical and easy to read, A Short Introduction to Understanding and Supporting Children and Young People Who Self-Harm guides the reader through what self-harm is, how to recognise it, and how best to respond. It combines case studies with professional and practical advice, covering all aspects from warning signs and treatment to communication and how the family is affected. The book also emphasizes the importance of parents and carers seeking support for themselves. This book is an invaluable source of information and guidance for parents, teachers, youth workers, and others who care for a young person showing signs of self-harm or suicidal behaviour.