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.

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 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.

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 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.

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.

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.

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

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.

Recently there has been a growing awareness of the process of recovery from serious mental illness and the importance of coming to terms with the challenges resulting from the illness. Acceptance of one's mental illness is a critical milestone of the recovery journey, fostering empowerment, hope, and self-determination. In addition, there has been a developing interest in the role of culture in influencing the experience of mental illness, treatment, and recovery. Yet, the topic of how people with diverse cultural backgrounds come to recognize and cope with their mental illness is often overlooked in the literature. Acceptance of Mental Illness adheres to a recovery-oriented philosophy that understands recovery as not simply symptom elimination, but as the process of living a meaningful and satisfying life with mental illness. The book synthesizes research on this topic and offers extensive case histories gathered by the authors to provide readers with an understanding of the multidimensional process of acceptance of mental illness across genders, ethnicities, and sexual orientations. The aim is for clinical readers to be better equipped to support people with mental illness across culturally diverse groups to experience empowerment, mental wellness, and growth. Chapters focus on providing a historical overview of the treatment of people with mental illness, examining the acceptance process, and exploring the experience of acceptance among women, men, racial-ethnic minorities, and LGBT individuals with serious mental illnesses. The book is a useful tool for mental health educators and providers, with each chapter containing case studies, clinical strategies lists, discussion questions, experiential activities, diagrams, and worksheets that can be completed with clients, students, and peers.

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.

"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 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.

RD Laing remains one of the most famous psychiatrists of the last 50 years. In the 1960s he enjoyed enormous popularity and received much publicity for his controversial views challenging the psychiatric orthodoxy. He championed the rights of the patient, and challenged the often inhumane methods of treating the mentally ill.
Based on a wealth of previously unexamined archives relating to his private papers and clinical notes, Portrait of the Psychiatrist as a Young Man sheds new light on RD Laing, and in particular his early formative years - a crucial but largely overlooked period in his life. The first half of the book considers Laing's intellectual journey through the world of ideas and his development as a psychiatric theorist. An analysis of his notebooks and personal library reveals Laing's engagement not only with psychiatric theory, but also with a wide range of other disciplines, such as philosophy, literature, and religion. This part of the book considers how this shaped Laing's writing about madness and his evolution as a clinician. The second half draws on a rich and completely unexplored collection of Laing's clinical notes, which detail his encounters with patients in his early years as a psychiatrist, firstly in the British Army, subsequently in the psychiatric hospitals of Glasgow, and finally in the Tavistock Clinic in London. These notes reveal what Laing was actually doing in clinical practice, and how theory interacted with therapy. The majority of patients who were to appear in Laing's first two books, The Divided Self and The Self and Others have been identified from these records, and this volume provides a fascinating account of how the published case histories compare to the original notes.
There is a considerable mythology surrounding Laing, partly created by himself and partly by subsequent commentators. By a careful examination of primary sources, Allan Beveridge, both a psychiatrist and an historian, examines the many mythological narratives about Laing and provide a critical but not unsympathetic account of this colourful and contradictory thinker, who addressed questions about the nature of madness which are still being asked today.
This book will be of interest to mental health workers and social historians alike as well as anybody interested in the philosophy of psychiatry.

This open access book examines the conversations around gendered mental health in contemporary Western media culture. While early 21st century-media was marked by a distinct focus on happiness, productivity and success, during the 2010s negative feelings and discussions around mental health have become increasingly common in that same media landscape. This book traces this turn to sadness in women's media culture and shows that it emerged indirectly as a result of a culture overtly focused on happiness. By tracing the coverage of mental health issues in magazines, among female celebrities, and on social media this book shows how an increasingly intimate media environment has made way for a profitable vulnerability, that takes the shape of marketable and brand-friendly mental illness awareness that strengthens the authenticity of those who embrace it. But at the same time sad girl cultures are proliferating on social media platforms, creating radically honest spaces where those who suffer get support, and more capacious ways of feeling bad are formed. Using discourse analysis and digital ethnography to study contemporary representations of mental illness and sadness in Western popular media and social media, this book takes a feminist media studies approach to popular discourse, understanding the conversations happening around mental health in these sites to function as scripts for how to think about and experience mental illness and sadness

Thoughout the world the number of refugees and asylum seekers continues to increase at an astonishing rate. Given that most will have left their country due to persecution, war, or appalling violations of their human rights, many will have specific mental health needs. Cultural and socioeconomic factors play a major role in expressions of distress, help seeking, pathways into care, and acceptance or rejection of treatments. Being a refugee or asylum seeker raises questions about an individual's self respect and altered identity. Too often though, the needs of this population are ignored by policy makers and clinicians, and these people are left to fend for themselves.
Mental Health of Refugees and Asylum Seekers presents both the theoretical and practical aspects of the mental health needs of refugees and asylum seekers. It looks at the impact of migration on mental health and adjustment, collective trauma, individual identity, and diagnostic fallacies. A practical section highlights cultural factors, ethnopsychopharmacology, therapeutic interaction, therapeutic expectation and psychotherapy. The final part of the book focuses on special problems - such as bereavement, sexual violence, and post traumatic stress disorders, as well as considering mental health problems in special groups, such as child refugees.
This book will be an essential resource for all mental health professionals- helping them better understand the needs of refugees and asylum seekers, how their problems can be managed, and how they can best be helped.

Whether you call yourself a parent advisor, advocate, coordinator, support specialist, liaison, mentor, coach, or another term, this guide provides the essential information you need as a parent helping parents. The book is divided into four parts for easy reference:
Part One: Addresses important skills you will want to hone, such as listening, collaboration, priority setting, and group management.
Part Two describes the mental health system and gives guidance for helping parents obtain appropriate treatment for their child.
Part Three covers working with the school system and the different special education options families should consider.
Part Four explains education laws and how they should be used to ensure children receive all the appropriate services they need.
Specifically designed to assist you in your work with families, this guide includes the following helpful features: -A useful self-assessment to zero in on the key areas where you will want to focus your efforts -Concrete strategies that work-- all based on the wisdom and experience of parent mentors just like you from across the country -Practical, easy-to-read instruction co-written by experts 'in the trenches' and leading university researchers -Tips for parents and important points highlighted throughout the book for quick reference -Self study questions at the end of each chapter to help reinforce what you've learned -A handy appendix with a wealth of current resources for more information on advocacy, training programs, and children's mental health
Helping parents 'take charge' of their children's mental health care is a rewarding job. It is also a challenging one. In your workempowering parents, this guide will become an invaluable resource of the knowledge you require to succeed.

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.

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.

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.

The Cambridge Handbook of International Prevention Science offers a comprehensive global overview on prevention science with the most up-to-date research from around the world. Over 100 scholars from 27 different countries (including Australia, Bhutan, Botswana, India, Israel, Mexico, Singapore, South Korea, Spain and Thailand) contributed to this volume, which covers a wide range of topics important to prevention science. It includes major sections on the foundations of prevention as well as examples of new initiatives in the field, detailing current prevention efforts across the five continents. A unique and innovative volume, The Cambridge Handbook of International Prevention Science is a valuable resource for established scholars, early professionals, students, practitioners and policy-makers.

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.

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

Research shows that LGBTQ individuals seek therapy at higher rates than the general population, and yet there is a lack of effective, evidence-based treatment support for the unique challenges facing LGBTQ individuals. This workbook changes that by presenting cognitive-behavioral therapy techniques that directly respond to the distinct stressors facing LGBTQ individuals. LGBTQ-affirmative Cognitive-Behavioral Therapy is the first mental health treatment designed by and for LGBTQ individuals to have been tested in randomized controlled trials. LGBTQ-affirmative Cognitive-Behavioral Therapy: Client Workbook is designed to enhance mental wellbeing and help you with a broad range of mental health challenges, such as depression, anxiety, substance use problems, and psychological distress. Using the exercises, quizzes, and worksheets you will learn how to monitor your feelings, thoughts, and behaviors; confront uncomfortable emotions; and learn more effective ways of coping with your experiences. It can be used individually, or in addition to the complementary Therapist Guide in a therpeautic setting. This workbook provides essential tools for helping you to effectively respond to mental health challenges in an effective, identity-affirming way.