The federal government is involved in mental health care in various ways, including direct provision of services, payment for services, and indirect support for services. Policy makers have demonstrated interest in the federal government's broad role in mental health care. They have done so primarily by holding hearings and introducing legislation addressing the interrelated topics of quality of mental health care, access to mental health care, and the cost of mental health care. This book begins with a working definition of the mental health workforce and a brief discussion of alternative definitions. It then describes three dimensions of the mental health workforce that may influence quality of care, access to care, and costs of care. The book then briefly discusses how these dimensions of the mental health workforce might inform certain policy discussions, and provides statements and testimonies from various individuals on mental health care.

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.

The first of its kind, this guidebook provides an overview of clinical holistic interventions for mental-health practitioners. Submissions from 21 contributors examine the validity of different methods and provide information on credentialed training and licensure requirements necessary for legal and ethical practice. Chapters covering a range of healing modalities describe the populations and disorders for which the intervention is most effective, as well as the risks involved, and present research on the effectiveness of treatment, with step-by-step sample clinical sessions.

The moving memoir of a doctor who became a family caregiver and learned why care is so central to all our lives 'Beautiful and deeply moving. A truly extraordinary work that will change how we think about our lives and the society we live in' Michael Puett, author of The Path When Dr Arthur Kleinman, an eminent Harvard psychiatrist and social anthropologist, began caring for his wife, Joan, after she was diagnosed with early-onset Alzheimer's disease, he found just how far the act of caregiving extended beyond the boundaries of medicine. In The Soul of Care, he delivers a deeply inspiring story about what it means to grapple with illness from both sides, as an experienced doctor and a loving husband. Caregiving is long, hard, unglamorous work - at moments joyous, more often tedious, sometimes agonizing, but always rich in meaning. Describing the practical, emotional and moral aspects of caring, Kleinman explores how we must ask uncomfortable questions of ourselves and of our doctors. Poignant and honest, The Soul of Care is an uplifting story about what really matters in our lives.

An anthology of first-person stories by patients and their families, "Success Stories from the Frontline" is a frank depiction of what life is like for people with both a developmental disability as well as a mental illness (for example, autism combined with obsessive-compulsive disorder). Acclaimed by psychiatric professionals, this is essential reading for those who have a loved one with this double diagnosis or who work in the mental health field. These stories are real and powerful. A useful resource, the books summary explains causes of mental illness and the diagnostic process, while the glossary provides succinct explanations of mental disorders, symptoms and medications. The book highlights the need to raise awareness of this dual-diagnosis population and to provide more resources to address their special vulnerabilities.

Dillon J. Carroll's Invisible Wounds examines the effects of military service, particularly combat, on the psyches and emotional well-being of Civil War soldiers-Black and white, North and South. Soldiers faced harsh military discipline, arduous marches, poor rations, debilitating diseases, and the terror of battle, all of which took a severe psychological toll. While mental collapses sometimes occurred during the war, the emotional damage soldiers incurred more often became apparent in the postwar years, when it manifested itself in disturbing and self-destructive behavior. Carroll explores the dynamic between the families of mentally ill veterans and the superintendents of insane asylums, as well as between those superintendents and doctors in the nascent field of neurology, who increasingly believed the central nervous system or cultural and social factors caused mental illness. Invisible Wounds is a sweeping reevaluation of the mental damage inflicted by the nation's most tragic conflict.

A whip-smart, dark comedy for fans of Sally Rooney, Fleabag and My Year of Rest and Relaxation 'Janet is my soulmate' LUCY MANGAN 'Surprising and irreverent' NEW YORK TIMES *** If there was a pill that promised happiness... Would you take it? Meet Janet. Janet is sad. Not about her life, about the world. Have you seen it these days? The thing is, she's not out to make anyone else sad. She's not turning up to weddings shouting that most marriages end in divorce. She just wants to wear her giant coat, get rid of her passive-aggressive boyfriend, and avoid human interaction at the rundown dog shelter where she works. That is, until word spreads about a new pill that promises cynics like her one day off from being sad. When her family stages an intervention, and the prospect of making it through Christmas alone seems like too much, Janet finally decides to give them what they want. What follows is life-changing for all concerned - in ways no one quite expects. Hilarious, provocative and profound, Sad Janet is the antidote to our happiness-obsessed world. *** PRAISE FOR SAD JANET: 'The dog-whispering, post-Goth cousin to Phoebe Waller-Bridge's Fleabag' CLAUDIA DEY 'Like a grown up Daria' HELEN MCCLORY 'If you're a Halle Butler fan or like despair cut with humour, you'll love this' Leigh Stein, author of SELF CARE 'As I was reading this, my partner kept asking why I was laughing. This book is dark and hilarious and will speak to everyone who's ever wondered why they spend time with humans and not just dogs' Rowan Hisayo Buchanan, author of Starling Days and Harmless Like You 'A tragicomic riot of a book - charging, foul-mouthed and tender, across the modern condition' Claudia Dey, author of Heartbreaker 'Try reading Sad Janet ... It might just make you happy' Marcy Demansky, author of Very Nice 'A biting, pitch-perfect novel about one woman's desire to stay true to herself in a world that rewards facile happiness ... a dazzling debut' Cynthia D'Aprix Sweeney 'The narrative voice of Janet in Britsch's debut novel is a skin-tingling combination of new and necessary' Booklist starred review 'Loved this book... it made me lol via the dark humour and dry observations. An artful take on the "happiness economy"' Emma Gannon, author of Olive 'I loved SAD JANET'S cynical humour. Superbly original, with spot-on one-liners. Brilliantly bleak, but with a spark of hope' Caroline Hulse, author of The Adults 'Hilarious, wise, wicked and tender' CYNTHIA D'APRIX SWEENEY 'Loved this book' EMMA GANNON 'Sharp, sad, hilarious' CLARE BEAMS

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.

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.

How did the Victorians view mental illness? After discovering the case-notes of women in Victorian asylums, Diana Peschier reveals how mental illness was recorded by both medical practitioners and in the popular literature of the era, and why madness became so closely associated with femininity. Her research reveals the plight of women incarcerated in 19th century asylums, how they became patients, and the ways they were perceived by their family, medical professionals, society and by themselves.

Researching child and adolescent mental health can be a daunting task, but with the right practical skills and knowledge your students can transform the way they work with children and young people, giving them a 'voice' through their research in the wider community.

Michelle O'Reilly and Nikki Parker combine their clinical, academic and research expertise to take your students step-by-step through each stage of the research process. From first inception to data collection and dissemination, they'll guide them through the key issues faced when undertaking their research, highlighting the dilemmas, challenges and debates, and exploring the important questions asked when doing research with this population.

Providing practical advice and strategies for dealing with the reality of conducting research in practice, this book will;

- Provide your students with an overview of the theories that underpin methodological choice and the value of using qualitative research.

- Guide them through the planning stage of your project, clearly outlining important ethical and legal issues.

- Take them through the most popular qualitative data collection techniques and support them with their analysis.

- Help them write up their findings and demonstrate how research evidence translates into effective clinical practice.

Supported by helpful hints and tips, case examples and definitions of key terms, this highly practical and accessible guide throws a lifebelt to any students or mental health practitioner learning about the research process for the first time.

What does it mean to engage in ethical, anti-racist pastoral care with women with mental illness, particularly if these women are residents of an inpatient psychiatric hospital? This book draws on interviews with eighteen chaplains in three psychiatric facilities to examine psychiatric chaplaincy with women in the context of a state psychiatric hospital. It combines the voices of the chaplains with the disciplines of Christian social ethics and feminist, womanist, and intercultural pastoral care to create Just Care, an approach to pastoral care that accounts for both personal and societal-systemic factors in its practice of ministry. Just Care proposes that pastoral care that addresses the entirety of the person necessitates a commitment to justice and an attention to cultural dynamics as foundational for ethical pastoral care. It argues that psychiatric pastoral care must honor the communal and individual nature of care-both the particularity of the caregiver and care seeker as well as intersections of culture, gender, race, and class.

Now in its 5th edition, Mental Health in Intellectual Disabilities continues to address the need for a handbook which, while well-grounded in research and latest clinical practice, is essentially non-academic and accessible for staff occupying many roles. For example support workers and managers in learning disability service settings, GPs, psychologists, psychiatrists, community learning disability teams and other professionals who may find themselves supporting a person with an intellectual disability from time to time, as well as students of mental health and intellectual disability. The new edition represents a complete revision and updating, aiming to address key knowledge requirements and concerns of people working in the field and provide opportunities for reflection and continuing professional development. The content is illustrated by case studies to help the reader explore how best to address mental health issues in practice.

The Oxford Handbook of Behavioral Emergencies and Crises includes the most up-to-date and valuable research on the evaluation and management of the most challenging patients or clients faced by mental health providers-individuals who are at high risk of suicide, of other-directed violence, or of becoming the victims of interpersonal violence. These are cases in which the outcome can be serious injury or death, and there can be negative consequences not only for the patient, but also for the patient's family and friends, for the assessing or treating clinician, and for the patient's clinic or medical center. Virtually all mental health clinicians with an active caseload will see individuals with such issues. This Handbook is comprised of chapters by leading clinicians, researchers, and scholars in this area of practice. It presents a framework for learning the skills needed for assessing and working competently with such high-risk individuals. Chapters draw a distinction between behavioral emergencies and crises, and between emergency intervention and crisis intervention. The book examines the inter-related aspects of the major behavioral emergencies; that is, for example, the degree to which interpersonal victimization may lead an individual on a pathway to later suicidal or violent behavior, or the degree to which suicidal individuals and violent individuals may share certain cognitive characteristics. This resource is not simply a knowledge base for behavioral emergencies; it also presents a method for reducing stress and acquiring skills in working with high-risk people.

In this thought-provoking text, a collection of respected authors with a wealth of academic and practice experience come together to challenge some of the prevailing ideas serving as the foundation for the current child and adolescent mental health services (CAMHS) structure. Providing a fresh new perspective on critical issues and seeking to stimulate reflection and debate; from managers and commissioners to newly qualified practitioners and students, this book will both challenge and energise readers, spurring them on to reconsider some of the pressing CAMH issues of our time.

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.

Even among mental health clinicians, the communications of individuals experiencing psychosis have historically been considered mysterious, bizarre, and invalid. These judgmental, inaccurate interpretations and accusatory attitudes can cause iatrogenic trauma, a significant obstacle to recovery. Healing the Distress of Psychosis focuses on practice-based and evidence-informed interventions to effectively understand and communicate with people who are experiencing psychotic symptoms. The text thoughtfully describes: the experience of psychosis, as well as the unique intervention method of fostering the therapeutic relationship; and the psychotic thought process from neurological, linguistic, and existential-psychological perspectives. Mental health professionals, individuals with lived psychotic experiences, and their family members and loved ones will find this book to be a strong and accurate voice that highlights the past and present disappointments in mainstream public mental health treatment, while delivering hope in creating a secure, self-determined life.

In 2003 the Bush Administration's New Freedom Commission asked mental health service providers to begin promoting ""recovery"" rather than churning out long-term, ""chronic"" mental health service users. Recovery's Edge sends us to urban America to view the inner workings of a mental health clinic run, in part, by people who are themselves ""in recovery"" from mental illness. In this provocative narrative, Neely Myers sweeps us up in her own journey through three years of ethnographic research at this unusual site, providing a nuanced account of different approaches to mental health care. Recovery's Edge critically examines the high bar we set for people in recovery through intimate stories of people struggling to find meaningful work, satisfying relationships, and independent living. This book is a recipient of the Norman L. and Roselea J. Goldberg Prize from Vanderbilt University Press for the best book in the area of medicine.

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 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.

Using rare interviews with former inmates and workers, institutional documentation, and governmental archives, Claudia Malacrida illuminates the dark history of the treatment of "mentally defective" children and adults in twentieth-century Alberta. Focusing on the Michener Centre in Red Deer, one of the last such facilities operating in Canada, A Special Hell is a sobering account of the connection between institutionalization and eugenics. Malacrida explains how isolating the Michener Centre's residents from their communities served as a form of passive eugenics that complemented the active eugenics program of the Alberta Eugenics Board. Instead of receiving an education, inmates worked for little or no pay - sometimes in homes and businesses in Red Deer - under the guise of vocational rehabilitation. The success of this model resulted in huge institutional growth, chronic crowding, and terrible living conditions that included both routine and extraordinary abuse. Combining the powerful testimony of survivors with a detailed analysis of the institutional impulses at work at the Michener Centre, A Special Hell is essential reading for those interested in the disturbing past and troubling future of the institutional treatment of people with disabilities.

This practical book enables those already practicing or joining social work to consider the various ways that people can be supported to live well with dementia. Areas focused on include how the personalisation agenda is changing services through self-directed support, re-enablement and telecare, how risk can be managed while choice and independence are maintained, and how safeguarding of people with dementia can be positively practiced. The authors present information on essential new developments in the field of dementia care including changes in legislation and Government policy as well as providing examples of positive practice from around the country.

This complete and comprehensive guide to the Mental Health Act 1983 for any mental health professional - from social workers, psychologists and occupational therapists, to doctors and nurses. The book aims to simplify mental health law so that it's accessible to busy professionals at all stages of practice as well as those affected by mental health law. Key chapters include details on who operates the Act, who is affected by it, how the law governs issues of capacity and consent to treatment, how to appeal against compulsion, and the role of the nearest relative. There are also important chapters on advocacy, children and human rights issues, as well as an extensive appendices which provide access to the 1983 Act itself, important rules and regulations, and a summary of key cases. This fourth edition includes: - Practical advice and checklists for working the Act - Information on detention of patients in hospital under The Mental Health Act - The impact of the Policing and Crime Act 2017 on periods of detention and places of safety - Additional case law detailing patient discharges and Deprivation of Liberty Safeguards. - The Supreme Court 2019 judgement in the case of D (A Child)

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 nonhuman 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.

Group homes are the dominant form of residential accommodation for people with severe learning or intellectual disabilities, and yet there are significant problems within these living environments. This book seeks to highlight the key issues for both residents and staff, and offers practical suggestions for improving community living. Based on original empirical research and drawing on extensive field notes, the book paints a picture of life in group homes today. The authors propose a framework for increasing community presence and participation, and consider the barriers to be overcome if progress is to be made in achieving these key goals. The notion of 'homeliness', the challenge of maintaining a balance between individual and group needs and the concept of practice leadership are all explored. Group Homes for People with Intellectual Disabilities is essential reading for anyone working with people with learning or intellectual disabilities in residential services, as well as academics and students of disability studies, social work and health and social care programmes.