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

This book examines the formation of colonial social identities inside the institutions for the insane in Australia and New Zealand. Taking a large sample of patient records, it pays particular attention to gender, ethnicity and class as categories of analysis, reminding us of the varied journeys of immigrants to the colonies and of how and where they stopped, for different reasons, inside the social institutions of the period. It is about their stories of mobility, how these were told and produced inside institutions for the insane, and how, in the telling, colonial identities were asserted and formed. Having engaged with the structural imperatives of empire and with the varied imperial meanings of gender, sexuality and medicine, historians have considered the movements of travellers, migrants, military bodies and medical personnel, and 'transnational lives'. This book examines an empire-wide discourse of 'madness' as part of this inquiry. -- .

This comprehensive text-noted for its facility in integrating principles into practice--prepares social work students to play a key role within an interdisciplinary health care team: that of counseling clients who are taking medications used to treat common mental health conditions. The third edition has been fully revised to include new medications and reflect changes resulting from the publication of the DSM 5. Sample treatment plans, case examples, and a full glossary of medications have been updated, and the addition of a comprehensive Instructor's Manual further enhances the text's value. Also included is information on prescription drug abuse, expanded discussions of psychopharmacological considerations related to gender and culture, a new section on medical marijuana, pregnant women, and new content related to suicide warnings and internet availability and electronic records. The third edition also features a discussion of potential interactions with medications used to treat chronic conditions and emphasizes professional collaboration. The text is replete with guidance on common medicine-related issues social workers encounter in practice, including identifying potentially dangerous drug interactions and adverse side effects, improving medication compliance, recognizing the warning signs of drug dependence, and understanding how psychopharmacology can work in conjunction with psychosocial interventions. The role of the social worker taking into account treatment planning is stressed. The text also addresses the particular needs of children, older adults, and pregnant women and the treatment of specific mental health conditions.

The social climate in settings such as forensic psychiatric hospitalsand prisons is crucial to their success. The Essen Climate EvaluationSchema (EssenCES) described here is a short, well-validated questionnairethat measures three essential facets of an institution's socialatmosphere. An overview of the EssenCES is followed by detailedadvice on how to administer and score it and how to interpret findings,as well as reference norms from various countries and types of institutions.The EssenCES "manual and more" is thus a highly useful toolfor researchers, clinicians, and service managers working in forensicsettings.

Combatting mental health stigma and discrimination has moved from a radical idea in the 1990s to mainstream policy today. However, there are huge questions about how to do it effectively, and the journey to get equal life chances is still a long one. As part of the Foundations of Mental Health Practice series, this book explores these important questions and considers the solutions. It pulls together ground-breaking examples and the latest research evidence to argue for a compelling new theory and agenda for social change to promote equality and citizenship. Accessibly written, it demonstrates how mental health practitioners of all disciplines can stand alongside individuals with lived experience and their organisations to challenge discrimination and participate in all aspects of the community. It also addresses the role of families, friends and those with a policy, campaigning or legal interest. Completely up to date, it draws on new research and interviews, as well as the author's 30 years of experience working in the field. With chapter summaries, further reading and reflective exercises, this book offers support for research and practice, making it an essential and important read for any student or practitioner in the field who advocates equality, and for people with lived experience, families, friends and campaigners.

In the UK it is estimated that a third of patients in mental health services have a substance abuse problem, and that half of patients in drug and alcohol services have a mental health problem. Part of Palgrave's Foundations of Mental Health series, this book explores the intertwined issues of substance use and mental health as a social phenomenon and offers a critical, informative guide to understanding dual diagnosis. Written by authors with extensive experience within mental health and drug treatment services, Working with Dual Diagnosis explores areas that are key to understanding the relationship between the two, including: - Models for understanding substance use, mental health and the correlation of complex social and psychological factors - Treatment processes for working with individuals, groups and families and within a community setting - The historical social, political, economic and legislative context of mental health and substance use - Practice implications for dual diagnosis, including how practitioners can work with and promote better treatment, after care and support for those experiencing dual diagnosis issues. Enriched with reflective exercises, case studies and key points, this book will inform all work related to dual diagnosis populations within health, social and criminal justice service, and is an essential text for social work, nursing, occupational therapy and probation students.

Mental health is the one area of health care where people are often treated against their will, with the justification that it is in their own interest. This raises significant ethical questions and value dilemmas; questions of autonomy, human rights, power and treatment. An understanding of how values matter is of vital importance across all disciplines working within the mental health field. This book provides a comprehensive and exploratory text for practitioners, students and all those interested in developing a knowledge of both ethics and the wider framework of values-based practice. It is unique in being fully co-written by authors representing both service user and service provider perspectives. This exciting new text will enable the mental health practitioner to work more co-productively with service users within a humane and just approach to care. With an emphasis on rights-based compassionate care throughout, this book: - Tackles the issues of how mental health is understood through key theoretical debates about mental distress, values and labelling; - Encourages readers to think critically about their understanding of key issues such as recovery, autonomy, power, knowledge, diagnoses and empathy; - Draws on a wide range of case examples and exercises to help readers deepen their knowledge of values-based practice and ethics in mental health.

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

This timely book trains graduate-level social workers, mental health counselors, and health psychologists to step into the role of the Behavioral Health Specialist in primary care settings, a role that will see increased demand under the Patient Accountability and Affordable Care Act (ACA). Patients with chronic conditions need psychosocial support and counseling to help them make the lifestyle and behavioral changes needed to prevent disease complications. Behavioral Health Specialists on integrated primary care teams need behavioral health promotion skills and counseling skills to help bridge the fragmentation between physical and mental health care, in order to assist and support patients in optimizing their health. Using rich case examples drawn from typical patient presentations of common chronic conditions encountered in primary care, this book gives students the skills needed to step into the role of Behavioral Health Specialist on a primary care team. It is ideal for health care social workers, mental health counselors, and psychologists training to practice in a primary care setting.

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

Designed for psychiatric clinicians of every profession (including psychologists, psychiatrists, social workers, and nurses) as well as for psychiatric educators and their trainees, Money and Outpatient Psychiatry moves readers toward new, effective, and money-wise practices. The book begins by offering a hands-on approach to assessing money management issues in a professional practice. Mikalac shows readers how to do an overall assessment of their financial situation (including how to estimate how much money must be earned to cover expenses) and how to plan for the inevitable financial ups and downs of private practice. The remainder of the first section deals with core issues such as legal and ethical issues (patient contract; informed consent; ethical principles for billing), accounting (understanding cash flow and keeping proper records), and taxes (including how to select the best form of business proprietorship). In the second section of the book Mikalac covers larger matters that affect the financial health of a psychiatric practice. Insurance, managed care, the effects of drug companies, the role of; incentives, kickbacks, and other potential conflicts of interest all of these have an impact of the finances and stability of a practice. These issues are also often of paramount importance to patients, but less often thought about by the practitioner. The final part of the book discusses managing money with patients. Mental health professionals need to know how to discuss money and billing with patients, how to negotiate patient fee reductions (and handle increases), how to manage non-payment (how to avoid this happening as well as what to do when it does), and issues of money transference. Mikalac offers guidelines for how to be money-smart when it comes to working with patients. Money and Outpatient Psychiatry is a resource for psychiatric clinicians of every profession. Whether you are new to private practice or have been working for years without a strong financial plan, this book contains all the information you need to make money matters easier and money management more efficient."

This book aims to show the value but also the difficulties encountered in the application of 'insider knowledge' in service user research. Mental health service users in research considers ways of 'doing research' which bring multiple understandings together effectively, and explains the sociological use of autobiography and its relevance. It examines how our identity shapes the knowledge we produce, and asks why voices which challenge contemporary beliefs about health and the role of treatment are often silenced. An imbalance of power and opportunity for service users, and the stigmatising nature of services, are considered as human rights issues.Most of the contributors to the book are service users/survivors as well as academics. Their fields of expertise include LGB issues, racial tensions, and recovering from the shame and stigma of alcoholism. They stress the importance of research approaches which involve mutualities of respect and understanding within the worlds of researcher, clinician and service user/survivor.

Within the domains of criminal justice and mental health care, critical debate concerning 'care' versus 'control' and 'therapy' versus 'security' is now commonplace. Indeed, the 'hybridisation' of these areas is now a familiar theme. This unique and topical text provides an array of expert analyses from key contributors in the field that explore the interface between criminal justice and mental health. Using concise yet robust definitions of key terms and concepts, it consolidates scholarly analysis of theory, policy and practice. Readers are provided with practical debates, in addition to the theoretical and ideological concerns surrounding the risk assessment, treatment, control and risk management in a cross-disciplinary context. Included in this book is recommended further reading and an index of legislation, making it an ideal resource for students at undergraduate and postgraduate level, together with researchers and practitioners in the field.

The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences. Table of Contents Front Matter Executive Summary 1. Introduction: Rationale for a Public Health Response to the Psychological Consequences of Terrorism 2. Understanding the Psychological Consequences of Traumatic Events, Disasters, and Terrorism 3. Current Infrastructure in the United States for Responding to the Psychological Consequences of Terrorism 4. Developing Strategies for Minimizing the Psychological Consequences of Terrorism Through Prevention, Intervention, and Health Promotion 5. Conclusions and Recommendations for Effective Prevention and Response References Appendix A: Data Sources and Methods Appendix B: Committee and Staff Biographies

The fully updated and revised sixth edition of the definitive guide to clinically tested and proven methods for effectively managing all of the symptoms characteristic of MS and MS treatment.

Based on the most up-to-date disease management strategies, medical and research breakthroughs, and latest drug therapies, Dr. Randall T. Schapiro provides the information you need to manage both the disease and symptoms, and make everyday life easier.

"Managing the Symptoms of Multiple Sclerosis" features comprehensive treatment options for: Fatigue Spasticity Weakness Tremor Spasms Pressure Sores Incontinence Stutters Blurry Vision Pain Dizziness Numbness Sexual Difficulties Cognitive Difficulties

Trust is fundamental to everyday interactions and the functioning of society. How trust develops, or fails to develop, within contexts of severe mental illness is a pertinent topic for social scientists and healthcare professionals, not simply because it is an under-researched area but because heightened uncertainty and amplified vulnerability amidst psychosis represent a crucible of the conditions where trust becomes relevant. Grounded in research within this crucible, this book explores a number of questions which are central to contemporary theoretical debates around the nature of trust. The authors link these abstract concerns to empirical analysis, involving interviews with service-users, practitioners and managers. This book will appeal to anyone interested in the concept of trust, including social science researchers and students, as well as practitioners, managers and policy makers working with vulnerable people.

Paradigms Lost challenges key paradigms currently held about the prevention or reduction of stigma attached to mental illness using evidence and the experience the authors gathered during the many years of their work in this field. Each chapter examines one currently held paradigm and presents reasons why it should be replaced with a new perspective. The book argues for enlightened opportunism (using every opportunity to fight stigma), rather than more time consuming planning, and emphasizes that the best way to approach anti-stigma work is to select targets jointly with those who are most concerned. The most radical change of paradigms concerns the evaluation of outcome for anti-stigma activities. Previously, changes in stigmatizing attitudes were used as the best indicator of success. Paradigms Lost and its authors argue that it is now necessary to measure changes in behaviors (both from the perspective of those stigmatized and those who stigmatize) to obtain a more valid measure of a program's success. Other myths to be challenged: providing knowledge about mental illness will reduce stigma; community care will de-stigmatize mental illness and psychiatry; people with a mental illness are less discriminated against in developing countries.
Paradigms Lost concludes by describing key elements in successful anti stigma work including the recommended duration of anti-stigma programmes, the involvement of those with mental illness in designing programmes, and the definition of programmes in accordance with local circumstances. A summary of weaknesses of currently held paradigms and corresponding lists of best practice principles to guide future anti-stigma action and research bring this insightful volume to an apt conclusion.

This best-selling book explores the crucial role of social workers in securing a better future for vulnerable and disadvantaged adult service users. Tacking the problems most common to this branch of social work it focuses on four major themes: personalization; mental health; substance use; and old age. Edited by the highly respected Martin Davies, and with contributions from some of the leading names in the field, Social Work with Adults provides a clear map and guidance to help navigate between the different elements of social work knowledge and practice. Whether a student on an undergraduate degree taking a module on working with adults or a qualified professional wanting to ensure they are proving the very best service they can, this is essential reading. The breadth and depth of coverage makes this text a perfect handbook for students of adult social work.

This in-depth exploration uses individual portraits to show what parents face as they love and care for their mentally ill children and cope with how the mental health system has failed them. The Surgeon General has identified children's mental illness as a national problem that creates a burden of suffering so serious as to be considered a health crisis. Yet, what it means to be the parent of a mentally ill child has not been adequately considered-until now. Parenting Mentally Ill Children: Faith, Caring, Support, and Survival captures the essence of caring for these youngsters, providing resources and understanding for parents and an instructive lesson for society. Author Craig Winston LeCroy uses in-depth interviews to chronicle the experiences of parents of mentally ill children as they attempt to survive each day, obtain needed help, and reach out for support, and he lets them share their misunderstood emotions of shame, anger, fear, guilt, and powerlessness in the face of stigma from professionals, family, and friends. The book concludes with a critical appraisal of the social policies that must be implemented to help-and the reasons we should feel obligated to initiate them. More than 40 in-depth interviews giving parents the opportunity to tell their stories about caring for a child with a mental disorder An extensive bibliography of relevant material

This book draws on both the historical context and contemporary research evidence in the UK, to present the roles of Mental Health Social Work, the Approved Mental Health Practitioner, and Best Interest Assessor within an ethical framework. Codes of practice and statutory legal requirements, such as the UK's Mental Health Act, Mental Capacity Act, and the Human Rights Act, are all considered and linked to a competency based approach that will assist both those in training and those in practice to understand the dilemmas, complexities, and conflicts that are evident in the practice environment.

The Problem-Specific Guides series summarise knowledge about how police can reduce the harm caused by specific crime and disorder problems. They are guides to prevention and to improving the overall response to incidents, not to investigating offences or handling specific incidents. Problems associated with people with mental illness pose a significant challenge for modern policing. This book begins by describing the problem and reviewing factors that increase the challenges that police face in relation to the mentally ill. It then identifies a series of questions that might help one analyse local policing problems associated with people with mental illness. Finally, it reviews responses to the problems and what we know about them from evaluative research and police practice. It is important to recognise that mental illness is not, in itself, a police problem. Obviously, it is a medical and social services problem. However, a number of the problems caused by or associated with people with mental illness often do become police problems. This book consists of public documents which have been located, gathered, combined, reformatted, and enhanced with a subject index, selectively edited and bound to provide easy access.

An exploration of the ways in which ancient theories of empire can inform our understanding of present-day international relations, Enduring Empire engages in a serious discussion of empire as it relates to American foreign policy and global politics.

The imperial power dynamics of ancient Athens and Rome provided fertile ground for the deliberations of many classical thinkers who wrote on the nature of empire: contemplating political sovereignty, autonomy, and citizenship as well as war, peace, and civilization in a world where political boundaries were strained and contested. The contributors to this collection prompt similar questions with their essays and promote a serious contemporary consideration of empire in light of the predominance of the United States and of the doctrine of liberal democracy.

Featuring essays from some of the leading thinkers in the fields of political science, philosophy, history, and classics, Enduring Empire illustrates how lessons gleaned from the Athenian and Roman empires can help us to understand the imperial trajectory of global politics today.

More people die by suicide each year than by homicide, wars, and terrorist attacks combined. Witnesses and survivors are left perplexed and troubled. Doctors, clinical psychologists, and social workers try to deal with it through their professional routines; sociologists and psychiatrists attempt to provide theoretical explanations of it. In a study of nearly 7000 suicides from 1900 to 1950 in New Zealand and Queensland, Australia, John Weaver documents the challenges that ordinary people experienced during turbulent times and, using witnesses' testimony, death bed statements, and suicide notes, reconstructs individuals' thoughts as they decide whether to endure their suffering. Bridging social and medical history, Weaver presents an intellectual and political history of suicide studies, a revealing construction and deconstruction of suicide rates, a discussion of gender, life stages, and socio-economic circumstances in relation to suicide patterns, reflections on reasoning processes and intent, and society's reactions to suicide, including medical intervention. A Sadly Troubled History marshals thousands of suicide inquests, replete with observations on the anxieties of unemployment, the heartbreak of romantic disappointment, the pain of domestic turmoil, and the torments of mental illness, to demonstrate that history - although, like biochemistry, sociology, psychology, and psychiatry, reliant on remarkable yet imperfect information - can contribute to a better understanding of the suicidal act and its motives.

The integration of services has been NHS policy for a number of years, but how successfully has it been achieved? This book explores the issues from a social care perspective and examines changes in practice so far, particularly progress towards the overall aim of improving the experience of the service user and achieving seamless services .

The clash between medically-driven and socially-driven approaches has long been discussed and the book considers whether these two approaches have now been reconciled, or whether the reality of modern service provision continues to create a range of power struggles and demoralization among the professional groups."

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