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Books > Social sciences > Sociology, social studies > Social welfare & social services > Care of the mentally ill
With 1 in 4 people experiencing a mental health problem in any given year, mental health is a more important part of social work training than ever before, and all successful social workers need to understand the core values, skills and knowledge that underpin excellent practice in a modern mental health system. Written as an accessible introduction to the complex issues around mental health, this book has become a classic in its field. Law and policy are clearly outlined while the authors give space to important ethical considerations when working with the most vulnerable in society. There are clear links between policy, legislation and real life practice as well as a wealth of learning features.
Anyone who works within children and adolescent mental health services will tell you what a challenging and complex world it is. To help prepare you, the authors have produced a clear introduction to child and adolescent mental health that takes you step-by-step on a journey through the subject. Beginning with the foundations, the book explores the common mental health concepts and influences that you can expect to encounter examining topics like the difference between emotional and mental health issues and how mental health problems develop. It then moves on to explore the vital skills that you will need to develop like effective communication and basic counselling skills, and introduces some of the common interventions like Cognitive Behavioural Therapy, Psychodynamic theory and Family work. Written by a multi-disciplinary team of passionate and experienced experts, the book strikes an effective balance between introducing the relevant theory and showing how this can be applied in the real world. It is an essential starting point to the subject of child and adolescent mental health and suitable for any students planning to support this group.
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.
Events in a neurological intensive care unit are not always predictable and patients can often be unstable. This practical manual is a clear and concise guide for recognising and managing neurological emergencies. Each chapter covers a crucial topic in neurocritical care, from understanding the pathophysiology of various neurological diseases, to neuroradiology used in diagnosis, and best practice for difficult decision making in the ICU. A variety of conditions are described such as haemorrhage (intracerebral, subdural, and subarachnoid), seizures, trauma and temperature dysregulation. An international team of experts have contributed chapters, providing a breadth of experience and knowledge for readers. This is an invaluable guide for clinicians on the front line of caring for patients with neurological emergencies who need life-saving answers quickly.
This book presents a review and criticism of all sociological literature on suicide, from Emile Durkheim's influential Suicide (1897) to contemporary writings by sociologists who have patterned their own work on Durkheim's. Douglas points out fundamental weaknesses in the structural-functional study of suicide, and offers an alternative theoretical approach. He demonstrates the unreliability of official statistics on suicide and contends that Durkheim's explanations of suicide rates in terms of abstract social meanings are founded on an inadequate and misleading statistical base. The study of suicidal actions, Douglas argues, requires an examination of the individual's own construction of his actions. He analyzes revenge, escape, and sympathy motives; using diaries, notes, and observers' reports, he shows how the social meanings of actual cases should be studied. Originally published in 1967. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
Introducing life story work, a way for people with dementia to connect with their relatives, carers and the professionals working with them. This evidence-based book explains the many benefits of life story work, with practical guidance for introducing it in a variety of settings. The authors show how life story work can empower people with dementia to inform care practitioners and family members what care and support they may need now and in the future, by taking into account their past and their future wishes and aspirations. The book includes practical information on how to get started, ethical considerations such as consent and confidentiality, and considers issues of diversity and how to address them. The voices of practitioners, researchers and family carers sit alongside those of people living with dementia to present a wide-range of perspectives on life story work.
As human migration brings an ever more diverse range of people, cultures and beliefs into contact, Western medical systems must adapt to cater for the different approaches it encounters towards illness, the body, gender, mental health and death. Based upon training courses taught by the author to staff at hospitals, mental health professionals, and on degree courses, this complete resource provides an essential foundation for understanding the complex and manifold approaches to medicine and health around the world. An awareness of this diversity moreover allows healthcare professionals to better engage with their patients and offer them satisfactory care and support in the future.
How can carers and relatives support a person's identity, relationships and emotional wellbeing through changes that occur in the later stages of dementia? Drawing on over ten years' experience of working with people with dementia, Karrie Marshall provides a toolkit of tried and tested creative activities to support communication and relationships. Activities are vast and varied, with outdoor activities such as bird-watching and star-gazing aimed at supporting physical health, artistic activities such as collage creation to support identity, and musical activities such as sounds and voice warm-ups to support self-expression. Marshall also sensitively covers end of life care for people with dementia, explaining how emotional support can be provided through gentle breathing activities and even puppetry, as well as covering the legal importance of power of attorney.
In any society a small proportion of people with mental disorder present with behaviour that transgresses norms and violates the rights of others. Yet these people are often vulnerable themselves to violence, abuse or exploitation by others, or may be at risk of neglect or self-harm. There has been a growing realisation that both protection of the public and the personal recovery of these patients must be championed by progressive, specialist clinicians. This book brings together a wealth of wide-ranging views and evidence from diverse perspectives, including academic expertise and viewpoints from clinicians and patients, on how to manage risk in secure care. It covers the full spectrum of people with mental disorder who require secure care across boundaries of age, diagnosis and gender. Written by experienced clinicians and mental health professionals, the book is invaluable to multidisciplinary mental health teams and criminal justice services. General and forensic psychiatrists, service managers and hospital and community psychiatric nurses will find this thorough handbook an essential resource in their daily work.
With contributions from experienced dementia practitioners and care researchers, this book examines the impact of culture and ethnicity on the experience of dementia and on the provision of support and services, both in general terms and in relation to specific minority ethnic communities. Drawing together evidence-based research and expert practitioners' experiences, this book highlights the ways that dementia care services will need to develop in order to ensure that provision is culturally appropriate for an increasingly diverse older population. The book examines cultural issues in terms of assessment and engagement with people with dementia, challenges for care homes, and issues for supporting families from diverse ethnic backgrounds in relation to planning end of life care and bereavement. First-hand accounts of living with dementia from a range of cultural and ethnic backgrounds give unique perspectives into different attitudes to dementia and dementia care. The contributors also examine recent policy and strategy on dementia care and the implications for working with culture and ethnicity. This comprehensive and timely book is essential reading for dementia care practitioners, researchers and policy makers.
Forced to perform a delicate balancing act of offering the best possible care for their clients while carefully adhering to various managed care policies and procedures, providers in particular often wince at the prospect of having to deal with managed care companies, or MCOs. Fearing burdensome paperwork, low reimbursement rates, and denials of care, it's not surprising that a number of mental health professionals choose to limit their involvement with managed care companies-or eliminate it altogether. "My clients are all on different health plans; how can I keep the policies straight?" "Getting services approved is so time-consuming that I'm better off accepting only self-paying clients, aren't I?" "Do the benefits of working with MCOs really outweigh the drawbacks?" The answer, according to two industry insiders, is yes. If you know how to work with the system, the system can work for you. Mental Health Provider's Guide to Managed Care is the first handbook of its kind to offer clinicians a window into the inner-workings of MCOs. Authors Reich and Kolbasovsky candidly draw on their combined 37 years experience in the field to walk readers through all the major elements of how to successfully work within the system: marketing yourself and your practice to an MCO, getting onto a MCO's network, maintaining a good relationship and communicating with MCOs for quick service approval, reducing your liability, understanding your rights and responsibilities, getting paid, and more. Every issue big and small is covered, from capitation versus fee-for-service payment arrangements to evaluating which MCOs are a good fit to join, and everything in between. After explaining how to work with the system, the authors reveal how to put the system to work for you. Tips for building your practice through referrals, generating business through doctor collaboration, and understanding future practice opportunities are all covered.By demystifying the complexities of managed care and offering a unique, inside view of the process, this book mitigates the negative connotations associated with MCOs and exposes the hidden benefits of a seemingly burdensome process. Exceedingly reader-friendly and packed with insightful tips and vignettes, Mental Health Provider's Guide to Managed Care is one clinician's guide you won't want to be without."
Personalisation builds on person-centred care to focus on how people with dementia can have more choice and control over decisions affecting them, and be supported to be part of their communities. This practical guide explains how to deliver personalised services and support for people with dementia through simple, evidence-based person-centred practices. The authors clearly explain personalisation and current person-centred thinking and practice, providing many vivid examples of how it has been achieved in community as well as residential care settings. They guide the reader through using a range of person-centred practices. Strategies for ensuring a good match between the person with dementia and the staff and volunteers supporting them are also described. In the final chapter, the reader is introduced to Progress for Providers, a photocopiable tool for tracking progress in delivering appropriate personalised support for people with dementia living in care homes. This is essential reading for dementia care practitioners and managers, as well as social and health care workers, community workers and students.
There's so many different types of abuse, and it all comes down to the same thing. It's making people nothing. And Fran was nothing. There was never anything nice said about her, everything was negative. And she had to put up with that, and we had to put up with that, until we all sort of believed it, almost.' Preventing the Emotional Abuse and Neglect of People with Intellectual Disability throws light onto the traumatic experiences faced by people with intellectual disability living in disability accommodation services. Through the narratives of nine people with intellectual disability and their family members, it reveals: the problem of systematic abuse; the cumulative impact of emotional and psychological abuse and neglect over time; recognition of the abuse by people with intellectual disability; and the lack of moral authority afforded to them in abuse acknowledgement and reporting. The author suggests a number of positive approaches and methods to help all those working with people with intellectual disability to prevent emotional abuse, respond appropriately and effectively support the recovery of victims. This book will prove to be indispensable for social care workers, care home managers, social workers, researchers and academics in the disability field, social sciences students, human rights workers and abuse practitioners.
The history of 'personality disorder' services is problematic to say the least. The very concept of 'personality disorder' is under heavy fire, services are often expensive and ineffective, and many service users report feeling that they have been lied to, stigmatised and excluded. Yet while there are inevitably challenges involved in working with a population that can be complex, demanding and destructive, creative networks of learning do exist - people who are striving to provide progressive, compassionate services for and with this client group. Working Effectively with 'Personality Disorder' shares this knowledge, articulating an alternative way of working that acknowledges the contemporary debate around diagnosis, reveals flawed assumptions underlying current approaches, and argues for services that work more positively, more holistically and with a wider, more socially focused agenda.
Trauma informed approaches have not generally been made available to staff working in services supporting people who have both a personality disorder and an intellectual disability. This distinctive training manual enables facilitators who already have some level of understanding of psychodynamic concepts to help support staff better understand the people they care for in the context of their histories of trauma, and their own emotional and behavioural responses. It offers professionals who are called on to support services (psychologists, psychiatrists, psychotherapists, nurses, occupational therapists etc) a standardised way of training and educating care staff in thinking about how best to provide support and a safe and supportive service to some of the most challenging clients. In doing so, it addresses contentious and challenging issues such as the terms 'personality disorder' and 'challenging behaviour', the traumatised carer and the difficulties of working competently with people who have complex emotional needs. Most importantly, it improves the understanding and confidence of staff in supporting their clients. The manual provides a course of three 2 hour sessions with guidelines and participant materials.
Fewer concepts in American society have received more attention recently than the need for skilled crisis intervention. Images of crises inundate internet and newspaper headlines, television screens and mobile devices. As a result of the growing amount of acute crisis events portrayed in the media that impact the lives of the general public, interest in crisis intervention, response teams, management, and stabilization has grown tremendously. Skills and methods to effectively manage acute crisis situations are in high demand. While many claim to understand the rapidly growing demand for effective crisis management, few provide clearly outlined step-by-step processes to educate and guide health and mental health professionals. This is a thorough revision of the first complete and authoritative handbook that prepares the crisis counselor for rapid assessment and timely crisis intervention in the 21st century. Expanded and fully updated, the Crisis Intervention Handbook: Assessment, Treatment, and Research, Fourth Edition will focus on crisis intervention services for persons who are victims of natural disasters, school-based and home-based violence, violent crimes, and personal or family crises. It applies a unifying model of crisis intervention, making it appropriate for front-line crisis workers-clinical psychologists, social workers, psychiatric-mental health nurses, and graduate students who need to know the latest steps and methods for intervening effectively with persons in acute crisis.
The correlation between 'disengagement' and illness in people with dementia living in long-term care settings is becoming more widely recognised, and developing and adapting front-line staff responses to the changing needs of individuals is a crucial factor in addressing this problem. This book presents a complete practical framework for whole person assessment, care planning and review of persons with dementia or signs of dementia (including those with learning disabilities) who are in need of, or already receiving, health and/or social support. The book provides photocopiable assessment forms, guidelines for carrying out the assessment, and suggestions for tailored interventions based on the profile that emerges from the assessment process. The authors also include a clear explanation of the five theoretical components of dementia that are considered in the assessment: health, biography, personality, neurological impairment and social psychology. This good practice guide will provide a step up to the challenge of providing person centred care as a minimum standard rather than just an ideal. Care workers in residential settings and social workers assessing clients for their support requirements will find this an essential resource.
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