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.

Almost forgotten by time, tucked away beyond the sight of the passerby, there is a little piece of old England, which was for many years a forgotten wilderness. If it were not for a weather-beaten plaque on the gatepost few would realise that beyond the rusted gates there lies, in unmarked paupers' graves, 2,861 former patients of the once formidable Menston Asylum. To be admitted to a lunatic asylum in the nineteenth century was fraught with danger, and in many cases meant a life sentence hidden away from society. It is estimated as many as 30 per cent of the asylum population was incarcerated incorrectly and up until 1959 there was no form of appeal. Looking into the faces of the long dead, the forgotten former inmates of this once bustling institution, it is impossible not to feel a certain sadness at their plight. Abandoned by an intolerant society and their families these people all had one thing in common, when death came there was no one to shed a tear or collect their remains. They were given a pauper's funeral and forgotten, until now.

With a fine-tuned ethnographic sensibility, Janis H Jenkins explores the lived experience of psychosis, trauma, and depression among people of diverse cultural orientations, revealing how mental illness engages fundamental human processes of self, desire, gender, identity, attachment, and interpretation. Extraordinary Conditions illuminates the cultural shaping of extreme psychological suffering and the social rendering of the mentally ill as non-human or not fully human. Jenkins contends that mental illness is better characterized in terms of struggle than symptoms and that culture is central to all aspects of mental illness from onset to recovery. Her analysis refashions the boundaries between the ordinary and the extraordinary, the routine and the extreme, and the healthy and the pathological. This book asserts that the study of mental illness is indispensable to the anthropological understanding of culture and experience, and reciprocally that understanding culture and experience is critical to the study of mental illness.

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.

Youth crime and youth violence blights our communities and shapes the lives of many, whether they are victims, perpetrators or family members. This book examines the application of psychological thinking and practice when working with young people who display high risk behaviours across a broad range of forensic mental health settings in the UK. It provides an up-to-date account of current thinking and practice in the field and the challenges of applying effective psychological approaches within forensic settings for young people. The contributors to Young People in Forensic Mental Health Settings are drawn from a range of environments including universities, youth offending services, secure in-patient settings, young offender institutions, Community Forensic Child and Adolescent Mental Health Services (F-CAMHS), and secure children's homes. This volume serves as an important platform for debate and as a forum for discussing the future delivery of psychologically informed services, intervention and mental health provision with young people who display high-risk behaviours.

This book is open access under a CC BY license and charts the rise and fall of various self-harming behaviours in twentieth-century Britain. It puts self-cutting and overdosing into historical perspective, linking them to the huge changes that occur in mental and physical healthcare, social work and wider politics.

Courts recognize that those who are involved in medico-legal proceedings have a stake in the outcome of their psychological assessment, regardless of whether they are high- or low-functioning individuals. Accounting for the validity of the evaluation in low-functioning examinees is frequently made more difficult by impairment; when evaluating testimony from people with intellectual disability (ID), neuropsychologists and psychologists must acknowledge the differences between the medico-legal evaluation and the clinical evaluation. This book provides helpful guidelines for assessing validity in low-functioning claimants. It charts recent advances in psychological and neuropsychological assessment pertaining to civil and criminal proceedings while examining issues such as validity and motivation, assessments of disability, criminal and civil capacities, capital cases, Miranda waiver cases, and others. In disability cases, the Social Security Administration has had a long-standing policy that prevents neuropsychologists and psychologists from using validity instruments-yet, using this book, an accurate and valid assessment can still be obtained. Evaluators who perform assessments in capital cases will find up-to-date discussions of the Flynn Effect, measurement of intellectual functioning, problems associated with the assessment of adaptive functioning, and the challenge of validity assessment. Miranda waiver evaluations for those with low IQ are discussed concerning issues of capacity measurement, including reading and language analysis for the Miranda advisement in the particular jurisdiction in question. Testamentary capacity is discussed at length, showing how understanding of the legal standard is helpful in guiding the examination. Competency to stand trial, or adjudicative competence, is the main topic in the area of criminal competencies, with exploration of the Dusky standard and the various tests used to evaluate this competence, focusing on individuals with ID.

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.

Spirituality often plays a critical role in health and wellness, yet few have explored in detail the process through which practitioners can identify and use clients' spiritual strengths to their mutual advantage. To address this gap, this practice-oriented text equips helping professionals with the tools they need to administer spiritual assessments ethically and professionally. David R. Hodge outlines a number of assessment approaches, including an implicit method for evaluating "secular" forms of spirituality. Case examples illustrate the implementation of these strategies in different clinical settings and with groups from diverse racial, geographic, and socioeconomic backgrounds.

'A Victorian Tragedy', for the first time, describes how the landmark court case of Banks v Goodfellow (1870) came about, what happened to the protagonists and how an enlightened judgment provided a practical definition of testamentary capacity that has since been used throughout the common law world law. This fascinating story is set against the backdrop of the mid-Victorian world and how it affected the lives of those caught up in the case. Set in the Lake District, around Keswick, the central issue was the mental illness of the testator, John Banks, and how he coped with living in a world that often derided his paranoia - "From the appearance of the man anyone would take him for a person out of his mind" as a local clergyman put it. The lives of John's relatives were scarred, and often ended early, by other illnesses common at that time, but these lives also interweave with 19th century issues of emigration, marriage reform and early mortality. Extensive use is made of original court papers and contemporary newspaper reports, both from the national and local press, to present the picture that was placed before the court of how John Banks was affected by his insane delusions. The conduct of the Assize court hearing is explained, together with how the court and jury dealt with the radically opposed evidence from either side. 'A Victorian Tragedy; covers this case in detail not previously dealt with before and offers a different approach to re-evaluate an important case in the context of its time and the treatment of the insane in the 19th century. While the book will undoubtedly appeal to lawyers, the book's portrayal of a mid-Victorian family and the treatment of the insane will also be of interest to the more general reader.

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.

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.

This fully revised and updated edition of Learning Disability Today provides an accessible and thought-provoking introduction to some of the key issues in the lives of people with learning disabilities and the practice of those who support them. Learning Disability Today was first published in 2007 to meet the need for a handbook which, while well-grounded in latest research and practice, was accessible for staff occupying many roles, such as support workers and managers in learning disability service settings, community learning disability teams and professionals who may find themselves supporting a person with an intellectual disability from time to time, families and voluntary supporters, as well as students of learning disability/intellectual disability. It has continued to be a highly successful title, and has been published in three previous editions over the past nine years. This new, fourth edition is a complete revision, aiming to address key knowledge requirements, challenges and concerns for people working in the field and provide opportunities for reflection and continuing professional development. The content is illustrated throughout by case studies to help the reader explore how best to address issues in practice.

This book gives readers critical insights into the human impact of extreme trauma, and the various levels of mental impairment suffered by both victims and survivors. Renowned trauma experts William Dorfman and Lenore Walker give this book immediate relevance through the use of real-life examples from a wide range of crisis situations. They have also deliberately minimized research citations within the text for greater readability.

Schizophrenia arguably is the most troubling, puzzling, and complex mental illness. No single discipline is equipped to understand it. Though schizophrenia has been investigated predominately from psychological, psychiatric and neurobiological perspectives, few attempts have been made to apply the tool kit of philosophy to schizophrenia, the mix of global analysis, conceptual insight, and argumentative clarity that is indicative of a philosophical perspective. This book is a major effort at redressing that imbalance. Recent developments in the area of philosophy known as the philosophy of psychiatry have made it clear that it is time for philosophy to contribute to our understanding of schizophrenia. The range of contributions is many and varied. Some contributors are professional philosophers; some not. Some contributions focus on matters of method and history. Others argue for dramatic reforms in our understanding of schizophrenia or its symptoms. The authors in this book are committed to the idea that philosophy can indeed help to understand schizophrenia in a way which is different from but complements traditional medical-clinical approaches. The book should appeal to every reader who wants to better understand a major mental illness, including its distinctive character, conscious content, and sources of puzzlement. Readers will find the essays gathered here afford stimulating insights into the human mind and its conditions of vulnerability.

African American women have commonly been portrayed as "pillars" of their communities -- resilient mothers, sisters, wives, and grandmothers who remain steadfast in the face of all adversities. While these portrayals imply that African American women have few psychological problems, the scientific literature and demographic data present a different picture. They reveal that African American women are at increased risk for psychological distress because of factors that disproportionately affect them, including lower incomes, greater poverty and unemployment, unmarried motherhood, racism, and poor physical health. Yet at the same time, rates of mental illness are low. This invaluable book is the first comprehensive examination of the contradictions between the strengths and vulnerabilities of this population. Using the contexts of race, gender, and social class, "In and Out of Our Right Minds" challenges the traditional notions of mental health and mental illness as they apply to African American women.

Ivor Browne is Professor Emeritus, University College, Dublin and retired as Chief Psychiatrist of the then Eastern Health Board in 1994. This book, through his writings, charts the growth of one man's journey in relation to psychiatry and human development. Ivor Browne has been a central and controversial figure in Irish life up until the mid-nineties when he retired. This book charts the career of a man who has always been respected for his compassion, quirky way of thinking and fearless opposition to orthodox psychiatry. Ivor Browne has had a positive input into Irish life on both sides of the border. As a young man he was given a fellowship to Harvard University where he studied Public and Community Mental Health. He returned to Ireland determined to put what he had learned into practice and it was his initiative which took the care of mental patients away from large institutions into the community. He conceived and was director of the Irish Foundation for Human Development. This set up the first Community Association in Ireland in Ballyfermot one of the early large housing estates in Dublin. Ballyfermot was merely a housing estate without any facilities, he went in with a professional team and helped the residents to turn it into a thriving working class community. This project was so successful that an offshoot was established in Derry, called the Inner City Trust which not only rebuilt, but transformed the city of Derry during the years it was being torn down by both sides in the conflict. The work of rebuilding was done by young people of Derry, who were trained by the Trust and inspired away from taking part in the destruction of their home town. Derry was made a model for The Prince of Wales' urban village development project and other urban renewal developments around the world.

In a Victorian-era German asylum, seamstress Agnes Richter painstakingly stitched a mysterious autobiographical text into every inch of the jacket she created from her institutional uniform. Despite every attempt to silence them, hundreds of other patients have managed to get their stories out, at least in disguised form, and so it continues today. A vast gulf exists between the way medicine explains psychiatric illness and the experiences of those who suffer. Hornstein's brilliant work helps us to bridge that gulf, guiding us through the inner lives of those diagnosed with schizophrenia, bipolar illness, depression, and paranoia and emerging with nothing less than a new model for understanding so-called 'mental illness', one another and ourselves. One which asks not 'what's wrong with you' but 'what happened to you and how did you manage to survive?'

This expanded and updated new edition reflects the growing importance of the structured professional judgement approach to violence risk assessment and management. It offers comprehensive guidance on decision-making in cases where future violence is a potential issue. * Includes discussion of interventions based on newly developed instruments * Covers policy standards developed since the publication of the first edition * Interdisciplinary perspective facilitates collaboration between professionals * Includes contributions from P.Randolf Kropp, R. Karl Hanson, Mary-Lou Martin, Alec Buchanan and John Monahan

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.

Voice-hearing experiences associated with psychosis are highly varied, frequently distressing, poorly understood, and deeply stigmatised, even within mental health settings. Voices in Psychosis responds to the urgent need for new ways of listening to and making sense of these experiences. It brings multiple disciplinary, clinical, and experiential perspectives to bear on an original and extraordinarily rich body of testimony: transcripts of forty in-depth phenomenological interviews conducted with people who hear voices and who have accessed Early Intervention in Psychosis services. The book addresses the social, clinical, and research contexts in which the interviews took place, thoroughly investigating the embodied, multisensory, affective, linguistic, spatial, and relational qualities of voice-hearing experiences. The nature, politics, and consequences of these analytic endeavours is a focus of critical reflection throughout. Each chapter gives a multifaceted insight into the experiences of voice-hearers in the North East of England and to their wider resonance in contexts ranging from medieval mysticism to Amazonian shamanism, from the nineteenth-century novel to the twenty-first century survivor movement. By deepening and extending our understanding of hearing voices in psychosis in a striking way, the book will be an invaluable resource not only for academics in the field, but for mental health practitioners and members of the voice-hearing community. An open access title available under the terms of a CC BY-NC-ND 4.0 International licence.

Mental illness is a leading cause of suffering in the modern world. In sheer numbers, it afflicts at least 20 percent of people in developed countries. It reduces life expectancy as much as smoking does, accounts for nearly half of all disability claims, is behind half of all worker sick days, and affects educational achievement and income. There are effective tools for alleviating mental illness, but most sufferers remain untreated or undertreated. What should be done to change this? In Thrive, Richard Layard and David Clark argue for fresh policy approaches to how we think about and deal with mental illness, and they explore effective solutions to its miseries and injustices. Layard and Clark show that modern psychological therapies are highly effective and could potentially turn around the lives of millions of people at little or no cost. This is because treating psychological problems generates huge savings on physical health care, as well as massive economic savings through more people working. So psychological therapies would effectively pay for themselves, generating potential savings for nations the world over. Layard and Clark describe how various successful psychological treatments have been developed and explain what works best for whom. They also discuss how mental illness can be prevented through better schools and a better society, and the urgency of doing so. Illustrating why we cannot afford to ignore the issue of mental illness, Thrive opens the door to new options and possibilities for one of the most serious problems facing us today.

With chapters written by leading scholars and researchers, the third edition of A Handbook for the Study of Mental Health provides an updated, comprehensive review of the sociology of mental health. The volume presents an overview of the historical, social, and institutional frameworks for understanding mental health and illness. Part I examines the social factors that shape psychiatric diagnosis and the measurement of mental health and illness, the theories that explain the definition and treatment of mental disorders, and cultural variability in mental health. The section addresses the DSM-5 and its potential influence on diagnosis and research on mental health outcomes. Part II investigates the effects of social context on mental health and illness. Part III focuses on the organization, delivery, and social context of mental health treatment. The chapters in Part III address the likely impact of the Affordable Care Act on mental health care. This volume is a key resource for students, researchers, advocates, and policymakers seeking to understand mental health and mental health delivery systems.

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.

For people with dementia, the world can become a lonely and isolated place. Music has long been a vital instrument in transcending cognitive issues; bringing people together, and allowing a person to live in the moment. Connecting through Music with People with Dementia explains how a caregiver can learn to use melody or rhythm to connect with someone who may be otherwise non-responsive, and how memories can be stimulated by music that resonates with a part of someone's past. This user-friendly book demonstrates how even simple sounds and movements can engage people with dementia, promoting relaxation and enjoyment. All that's needed to succeed is a love of music, and a desire to gain greater communication and more meaningful interaction with people with dementia. The book provides practical advice on using music with people with dementia, and includes a songbook suggesting a range of popular song choices and a chapter focusing on the importance of caregivers looking after themselves as well as the people they care for. Suitable for both family and professional caregivers with no former experience of music therapy, and for music therapy students and entry level professionals, this accessible book will lay bare the secrets of music therapy to all.