Outreach in the community is the treatment of choice for the severely mentally ill in the community. It involves taking services directly to patients rather than requiring them to attend clinics and hospitals. This approach is a significant addition to routine mental health care practice and addresses the needs of marginalized communities and those that struggle to attend appointments. Outreach in Community Mental Health Care: A Manual for Practitioners has been fully updated since the last edition, providing readers with an in-depth, practical guide to mental health care in the community setting today. It addresses the significant changes in mental health service organizations over the years, including the various new teams devised and the importance of central planning and targets. The authors Tom Burns and Mike Firn are pioneers in this field of research and are active in community outreach as practitioners, researchers, and supervisors. In 29 chapters they cover key discussions in conceptual issues, health and social care practice, management and development, which provides readers with an insight into the reality of community outreach work.

Responding To Individuals With Mental Illnesses Is Designed As A Guide For Recognizing Mental Illnesses And Responding To People Affected By These Disorders, Especially During Times Of Crises. The Text Describe The Signs And Symptoms Of A Variety Of Psychiatric Illnesses, Substance Use Disorders, And Developmental Disabilities, Especially Those That May Be Most Frequently Encountered By First Responders And Public Safety Officials, As Well As Professionals In The Criminal Justice System. Many Of The Chapters Deal With Specific Categories Of Mental Illnesses And Provide Basic Skills To Enhance Interactions With People With These Disorders Who May Be Facing Stressful Situations. This Is Not A Comprehensive Textbook About Psychiatric Disorders, But Rather A Practical Guide That Aims To Enhance Knowledge And Skills For Non-Mental Health Professionals Who Interact With Individuals With Such Illnesses.

Being the world's most populated country, the People's Republic of China shoulders the largest number of persons with mental illness in the world. According to related documents, there are around 16 millions of persons with mental illness that necessitate prolonged treatment and rehabilitation, 30 million children and adolescents with behavioural and emotional problems, 6 millions with persons with epilepsy and numerous elderly persons with mental problems. Facing these insurmountable needs of mental health services, despite the drastic economic development in these decades, there are various challenges for policy makers and caring professionals in providing adequate and qualitative services for persons with mental problems in China. To name a few, these challenges include insufficient mental health facilities; a great diversity in social, cultural and political contexts among different regions in China; poor mental health literacy, and highly inadequate financial support to mental health services. All these challenges occurs both in fast growing urban cities where mental problems increase drastically within a highly competitive and stressful city life as well as in deprived rural areas where mental illnesses are neglected and ignored because of unsolvable poverty problems. This book tackles these problems head on.

The past half-century has been marked by major changes in the treatment of mental illness: important advances in understanding mental illnesses, increases in spending on mental health care and support of people with mental illnesses, and the availability of new medications that are easier for the patient to tolerate. Although these changes have made things better for those who have mental illness, they are not quite enough.

In Better But Not Well, Richard G. Frank and Sherry A. Glied examine the well-being of people with mental illness in the United States over the past fifty years, addressing issues such as economics, treatment, standards of living, rights, and stigma. Marshaling a range of new empirical evidence, they first argue that people with mental illness -- severe and persistent disorders as well as less serious mental health conditions -- are faring better today than in the past. Improvements have come about for unheralded and unexpected reasons. Rather than being a result of more effective mental health treatments, progress has come from the growth of private health insurance and of mainstream social programs -- such as Medicaid, Supplemental Security Income, housing vouchers, and food stamps -- and the development of new treatments that are easier for patients to tolerate and for physicians to manage.

The authors remind us that, despite the progress that has been made, this disadvantaged group remains worse off than most others in society. The "mainstreaming" of persons with mental illness has left a policy void, where governmental institutions responsible for meeting the needs of mental health patients lack resources and programmatic authority. To fill this void, Frank and Glied suggest that institutional resources be applied systematically and routinely to examine and address how federal and state programs affect the well-being of people with mental illness.

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.

Object Relations and Self Psychology are two leading schools of psychological thought discussed in social work classrooms and applied by practitioners to a variety of social work populations. Yet both groups have lacked a basic manual for teaching and reference -- until now. For them, Dr. Eda G. Goldstein's book fills a void on two fronts: Part I provides a readable, systematic, and comprehensive review of object relations and self psychology, while Part II gives readers a friendly, step-by-step description and illustration of basic treatment techniques. For educators, this textbook offers a learned and accessible discussion of the major concepts and terminology, treatment principles, and the relationship of object relations and self psychology to classic Freudian theory. Practitioners find within these pages treatment guidelines for such varied problems as illness and disability, the loss of a significant other, and such special problems as substance abuse, child maltreatment, and couple and family disruptions. In a single volume, Dr. Goldstein has met the complex challenges of education and clinical practice.

Mental health has always been a low priority worldwide. Yet more than 650 million people are estimated to meet diagnostic criteria for common mental disorders such as depression and anxiety, with almost three-quarters of that burden in low- and middle-income countries. Nowhere in the world does mental health enjoy parity with physical health. Notwithstanding astonishing medical advancements in treatments for physical illnesses, mental disorder continues to have a startlingly high mortality rate. However, despite its widespread neglect, there is now an emerging international imperative to improve global mental health and wellbeing. The UN's current international development agenda finalised at the end of 2015 contains 17 Sustainable Development Goals (SDGs), including SDG3, which seeks to ensure healthy lives and promote wellbeing for all at all ages. Although much broader in focus than the previous eight Millennium Development Goals (MDGs), the need for worldwide improvement in mental health has finally been recognised. This Handbook addresses the new UN agenda in the context of mental health and sustainable development, examining its implications for national and international policy-makers, decision-makers, researchers and funding agencies. Conceptual, evidence-based and practical discussions crossing a range of disciplines are presented from the world's leading mental health experts. Together, they explore why a commitment to investing in mental health for the fulfilment of SDG3 ought to be an absolute global priority.

"Migrants in Translation "is an ethnographic reflection on foreign migration, mental health, and cultural translation in Italy. Its larger context is Europe and the rapid shifts in cultural and political identities that are negotiated between cultural affinity and a multicultural, multiracial Europe. The issue of migration and cultural difference figures as central in the process of forming diverse yet unified European identities. In this context, legal and illegal foreigners--mostly from Eastern Europe and Northern and Sub-Saharan Africa--are often portrayed as a threat to national and supranational identities, security, cultural foundations, and religious values.
This book addresses the legal, therapeutic, and moral techniques of recognition and cultural translation that emerge in response to these social uncertainties. In particular, " Migrants in Translation" focuses on Italian ethno-psychiatry as an emerging technique that provides culturally appropriate therapeutic services exclusively to migrants, political refugees, and victims of torture and trafficking. Cristiana Giordano argues that ethno-psychiatry's focus on cultural identifications as therapeutic--inasmuch as it complies with current political desires for diversity and multiculturalism--also provides a radical critique of psychiatric, legal, and moral categories of inclusion, and allows for a rethinking of the politics of recognition.

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.

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.

Community Mental Health Is Unique In That It Focuses Specifically On Mental Health At The Community Level. The Authors Carefully Outline The Essential Skills That Health Professionals Need In Order To Identify Mental Health Concerns And Develop Effective Programs For Communities Encountering Symptoms Of Mental Disorders Or Illness. The Text Includes Up-To-Date Information About Mental Health Issues Across The Lifespan, The Mental Health Care System, Prominent Mental Health Concerns Faced By Many Communities, As Well As Information About Interventions And Model Programs. The Breadth Of Topics Related To Community Mental Health Addressed Include: Indicators Of Illness And Problems, Methods Of Prevention And Promotion, Evaluation, And Research. Instructor Resources, Including Powerpoint Presentations, A Testbank, And An Instructor Manual Are Available As Free Downloads.

The law relating to fitness to plead is an increasingly important area of the criminal law. While criminalization may be justified whenever an offender commits a sufficiently serious moral wrong requiring that he or she be called to account, the doctrine of fitness to plead calls this principle into question in the case of a person who lacks the capacity or ability to participate meaningfully in a criminal trial. In light of the emerging focus on capacity-based approaches to decision-making and the international human rights requirement that the law should treat defendants fairly, this volume offers a benchmark for the theory and practice of fitness to plead, providing readers with a unique opportunity to consider differing perspectives and debate on the future development and direction of a doctrine which has up till now been under-discussed and under-researched. The fitness to plead rules stand as an exception to notions of public accountability for criminal wrongdoing yet, despite the doctrine's long-standing function in criminal procedure, it has proven complex to apply in practice and has given rise to many varied legislative models and considerable litigation in different jurisdictions. Particularly troublesome is the question of what is to be done with someone who has been found unfit to stand trial. Here the law is required to balance the need to protect those defendants who are unable to participate effectively in their own trial, whether permanently or for a defined period, and the need to protect the public from people who may have caused serious social harm as a result of their antisocial behaviour. The challenge for law reformers, legislators, and judges, is to create rules that ensure that everyone who can properly be tried is tried, while seeking to preserve confidence in the fairness of the legal system by ensuring that people who cannot properly engage in the criminal trial process are not forced to endure it.

How does it feel when someone you love develops dementia? How do you cope with the shock, the stress and the grief? Can you be sure that you and your family will receive the support you need? In Telling Tales About Dementia, thirty carers from different backgrounds and in different circumstances share their experiences of caring for a parent, partner or friend with dementia. They speak from the heart about love and loss: 'I still find it hard to believe that Alzheimer's has happened to us,' writes one contributor, 'as if we were sent the wrong script.' The stories told here vividly reflect the tragedy of dementia, the gravity of loss, and instances of unsatisfactory diagnosis, treatment and care. But they contain hope and optimism too: clear indications that the quality of people's lives can be enhanced by sensitive support services, by improved understanding of the impact of dementia, by recognising the importance of valuing us all as human beings, and by embracing and sustaining the connections between us. This unique collection of personal accounts will be an engaging read for anyone affected by dementia in a personal or professional context, including relatives of people with dementia, social workers, medical practitioners and care staff.

Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success. The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support: * Often efforts to implement an integrated care program fail because the model is more than just "plug and play." To address this misconception, the authors explore the successful implementation from every angle-from leadership, primary care, therapist, psychiatric provider, and policy perspectives.* As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.

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.

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.

The colonial government of southern Nigeria began to use asylums to confine the allegedly insane in 1906. These asylums were administered by the British but confined Africans. Yet, as even many in the government recognized, insanity is a condition that shows cultural variation. Who decided the inmates were insane and how? This sophisticated historical study pursues these questions as it examines fascinating source material--writings by African patients in these institutions and the reports of officials, doctors, and others--to discuss the meaning of madness in Nigeria, the development of colonial psychiatry, and the connections between them. Jonathan Sadowsky's well-argued, concise study provides important new insights into the designation of madness across cultural and political frontiers.
"Imperial Bedlam" follows the development of insane asylums from their origins in the nineteenth century to innovative treatment programs developed by Nigerian physicians during the transition to independence. Special attention is given to the writings of those considered "lunatics," a perspective relatively neglected in previous studies of psychiatric institutions in Africa and most other parts of the world.
"Imperial Bedlam" shows how contradictions inherent in colonialism were articulated in both asylum policy and psychiatric theory. It argues that the processes of confinement, the labeling of insanity, and the symptoms of those so labeled reflected not only cultural difference but also political divides embedded in the colonial situation. "Imperial Bedlam" thus emphasizes not only the cultural background to madness but also its political and experiential dimensions.

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.

Cognitive Disability Aesthetics explores the invisibility of cognitive disability in theoretical, historical, social, and cultural contexts. Benjamin Fraser's cutting edge research and analysis signals a second-wave in disability studies that prioritizes cognition. Fraser expands upon previous research into physical disability representations and focuses on those disabilities that tend to be least visible in society (autism, Down syndrome, Alzheimer's disease, schizophrenia). Moving beyond established literary approaches analyzing prose representations of disability, the book explores how iconic and indexical modes of signification operate in visual texts. Taking on cognitive disability representations in a range of visual media (painting, cinema, and graphic novels), Fraser showcases the value of returning to impairment discourse. Cognitive Disability Aesthetics successfully reconfigures disability studies in the humanities and exposes the chasm that exists between Anglophone disability studies and disability studies in the Hispanic world.

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.

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.

Bridging the social and life sciences to unlock the mystery of how cities shape mental health and illness Most of the world's people now live in cities and millions have moved from the countryside to the rapidly growing megacities of the global south. How does the urban experience shape the mental lives of those living in and moving to cities today? Sociologists study cities as centers of personal progress and social innovation, but also exclusion, racism, and inequality. Psychiatrists try to explain the high rates of mental disorders among urban dwellers, especially migrants. But the split between the social and life sciences has hindered understanding of how urban experience is written into the bodies and brains of urbanites. In The Urban Brain, Nikolas Rose and Des Fitzgerald seek to revive the collaboration between sociology and psychiatry about these critical questions. Reexamining the relationship between the city and the brain, Rose and Fitzgerald explore the ways cities shape the mental health and illness of those who inhabit them. Drawing on the social and life sciences, The Urban Brain takes an ecosocial approach to the vital city, in which humans live and thrive but too often get sick and suffer. The result demonstrates what we can gain by a vitalist approach to the mental lives of those migrating to and living in cities, focusing on the ways that humans make, remake, and inhabit their urban lifeworlds.