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 fascinating book provides a comprehensive overview of the extensive post-disaster mental health recovery program implemented after the 1988 Armenian earthquake. Covering the program's evolution, from the initial acute phase of clinical fieldwork, to its expansion as a three-year teaching and training program for local therapists, to the building of mental health clinics in devastated cities. Featuring poignant memoirs detailing the daily challenges and rewards of working in the trenches, the book presents a conceptual framework that can guide post-disaster clinical and research efforts, lessons learned from this work and other disasters, and highlights recent advances in disaster psychiatry. This school-based intervention program has informed subsequent disaster response efforts in many countries and has provided clinically relevant cutting-edge research findings from longitudinal and treatment outcomes studies conducted over 25 years. Essential reading for psychologists, psychiatrists, social workers and other mental health professionals and those working for relief organizations following disasters.

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.

'One of the non-fiction books of the year.' Andrew O' Hagan A powerful, evocative and deeply personal journey into the world of missing people When Francisco Garcia was just seven years old, his father, Christobal, left his family. Unemployed, addicted to drink and drugs, and adrift in life, Christobal decided he would rather disappear altogether than carry on dealing with the problems in front of him. So that's what he did, leaving his young wife and child in the dead of night. He has been missing ever since. Twenty years on, Francisco is ready to take up the search for answers. Why did this happen and how could it be possible? Where might his father have gone? And is there any reason to hope for a happy reunion? During his journey, which takes him all across Britain and back to his father's homeland of Spain, Francisco tells the stories of those he meets along the way: the police investigators; the charity employees and volunteers; the once missing and those perilously at risk around us; the families, friends and all those left behind. If You Were There is the moving and affecting story of one man's search for his lost family, an urgent document of where we are now and a powerful, timeless reminder of our responsibility to others.

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.

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.

Reflection is a process by which professionals consider experiences to gain insights about their practice. It supports people to continually improve the way they work and the care they provide, it allows for mistakes to be accepted and analysed rather than repeated, and it is encouraged by professional bodies wishing to foster improvements in services and continuous professional development. Specifically designed for staff working across health and social care, this self-development workbook guides users to reflect on experiences, focus their thoughts, generate new ideas about what good practice looks like, and understand the impact of their actions on others. Expert CQC inspector Terri Salt stresses that through careful reflection everyone in a service can make a difference - and that only when every member of staff seeks to do so can services move beyond the ordinary and start to become genuinely 'Outstanding'.

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.

It's Madness examines Korea's years under Japanese colonialism, when mental health first became defined as a medical and social problem. As in most Asian countries, severe social ostracism, shame, and fear of jeopardizing marriage prospects compelled most Korean families to conceal the mentally ill behind closed doors. This book explores the impact of Chinese traditional medicine and its holistic approach to treating mental disorders, the resilience of folk illnesses as explanations for inappropriate and dangerous behaviors, the emergence of clinical psychiatry as a discipline, and the competing models of care under the Japanese colonial authorities and Western missionary doctors. Drawing upon unpublished archival as well as printed sources, this is the first study to examine the ways in which "madness" was understood, classified, and treated in traditional Korea and the role of science in pathologizing and redefining mental illness under Japanese colonial rule.

My brother Ronan, a long term chronic depression and schizophrenia patient, was admitted to Cork University in the summer of 2005 to undergo treatment with the breakthrough drug, Clozapine. However despite our family's misgivings and protestations and against our wishes, he was discharged before he had time to become fully accustomed to this new medication. Shortly afterwards he disappeared. He had very little money and no mobile phone. He had no passport and since all he had was a bus-pass, we convinced ourselves that he had just gone to Dublin for a few days. However following two weeks of no word and futile searching in Ireland, we took a decision to go to the national media to appeal for help. As a result of intensive media coverage, including the RTE News and the national press, we finally discovered that Ronan had somehow managed to fly to the UK on the day of his disappearance. Our search then moved to London. Extensive enquiries revealed that Ronan had returned to Heathrow Airport on a number of occasions. He was eventually ejected from the airport by the Metropolitan Police. Although forewarned of the seemingly insurmountable difficulties involved, my elder brother Martin and I, managed to crack the London media, garner the assistance of Scotland Yard and bluffed our way into the Irish Embassy in London. During our search we witnessed at first hand the appalling isolation and despair of the homeless in Ireland and London. We saw the darker side of London. We also encountered enormous support, assistance and goodwill from the most unexpected quarters. Against all the odds, we broke down wall after wall and with perseverance and some good fortune, we eventually found our brother, Ronan. Following a period of care in London, Ronan returned home to Cork, where he lives to this day, safe and sound - a dearly loved member of our large family. Ronan's story is timeless and is not only about mental health and homelessness. It is also about love, despair, hope and determination. It is about achieving the impossible. I have been asked may times to write this story but I feel this is the moment to do so. The story deals with the two biggest human interest topics in the public and media forums at the moment. The homeless situation in Ireland and is now at crisis point. While there are numerous causes and reasons for homelessness, research shows that it is related to and often overlaps with the growing incidence of serious mental health issues, particularly in young men. This is a unique and special story which I intend to market aggressively through radio, television and other media platforms as a means of highlighting the current crisis in Irish mental health care and the growing number of people needlessly living and dying on the streets of Ireland.

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.

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.

The Social Worker's Guide to Child and Adolescent Mental Health provides a comprehensive guide to working with children and young people who are experiencing mental health problems, and equips the reader with the knowledge and skills to provide the best service to these vulnerable young people. The first part of the book considers what role social work can play in child and adolescent mental health, and explores key ideas related to mental health and young people, including attachment issues, children's emotional development and common and complex mental health problems. The author then covers how social work skills and methods can be applied to working with children and young people with mental health problems, including guidance on assessment tools, intervention, and multi-disciplinary working. The final section focuses on the wider context, such as legislative and policy frameworks and the importance of considering cultural, spiritual and religious identity. Case examples, reflective activities and practical exercises are included to underpin theory and knowledge. This book will be essential reading for all pre- and post-qualifying social work practitioners involved with children, adolescents and families, in particular those working in mental health settings, as well as approved mental health professionals.