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.

Sarah Kane was one of the landmark playwrights of 1990s Britain, her influence being felt across UK and European theatre. This is the first book to focus exclusively on Kane's unique approach to mind and mental health. It offers an important re-evaluation of her oeuvre, revealing the relationship between theatre and mind which lies at the heart of her theatrical project. Drawing on performance theory, psychoanalysis and neuroscience, this book argues that Kane's innovations generate a 'dramaturgy of psychic life', which re-shapes the encounter between stage and audience. It uses previously unseen archival material and contemporary productions to uncover the mechanics of this innovative theatre practice. Through a radically open-ended approach to dramaturgy, Kane's works offer urgent insights into mental suffering that take us beyond traditional discourses of empathy and mental health and into a profound rethinking of theatre as a mode of thought. As such, her theatre can help us to understand debates about mental suffering today.

This diverse collection of essays examines important issues related to mental health among Pacific Islanders through the topics of identity, spirituality, the unconscious, mental trauma, and healing. Contributors: Emeline Afeaki-Mafile'o, Margaret Nelson Agee, Siautu Alefaio, A. Aukahi Austin, Tina Berking, Philip Culbertson, Caroline Salumalo Fatialofa, Yvette Guttenbeil-Po'uhila, Joseph Keawe'aimoku Kaholokula, David Lui, Karen Lupe, Maika Lutui, Cabrini 'Ofa Makasiale, Tavita T. Maliko, Peta Pila Palalagi, Suiamai Simi, Seilosa Skipps-Patterson, Karanina Siaosi Sumeo, To'oa Jemaima Tiatia, Sione Tu'itahi, Fia T. Turner-Tupou.

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.

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'.

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)

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.

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.

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.

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.

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.

'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.

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.

In 2015 the landmark suicide of the 100th woman to kill herself in prison custody passed largely unnoticed. This book by two experts set out to redress the balance by examining all aspects of the history, present practices, causes and prevention prospects connected to this tragic chain of events. A long overdue analysis of a subject that is at last beginning to receive enhanced scrutiny. Focuses on both women and adolescent girls in custody. Looks at psychological, demographic, environmental and clinical factors. The first book of its kind.

The experience of living and working with schizophrenia is often fraught with challenges and setbacks. This book is a comprehensive attempt to explain why, in spite of near-miraculous advances in medication and treatment, persons with mental illness fare worse than almost any other disadvantaged group in the labor market. As a researcher of economics and disability and the mother of a son with schizophrenia, the author speaks from both professional and personal experience. First, she looks at societal factors that affect employment outcomes for persons with schizophrenia (or other serious mental illness), including stigma and discrimination, investments in human capital, the quality of mental health services, and the support of family and friends. Then she examines workplace factors that affect employment outcomes, including employer mandates in the Americans with Disabilities Act, the decision to disclose a diagnosis of mental illness at work, the interaction between job demands and functional limitations, and job accommodations for persons with a serious mental illness. Giving weight to both perspectives, the final chapter outlines a set of policy recommendations designed to improve employment outcomes for this population.

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.

John Porter's landmark study of social and ethnic inequality, The Vertical Mosaic, became an instant classic when it was first published in 1965. A national best seller that sold more than 100,000 copies, the book was the first major study of Canada's class structure and one of the foundational texts in Canadian sociology. Sociologist Irving Louis Horowitz described it as "the sociological study of present-day Canada." Fifty years later, the book retains vast significance both for its powerful critique of social exclusivity in a country that prides itself on equality and diversity and for its influence on generations of sociological researchers. The 50th Anniversary Edition features new material which contextualizes the legacy of this important book: a foreword by Porter's colleague, Wallace Clement, and his biographer, Rick Helmes-Hayes, and a new introductory essay by historian Jack Jedwab and sociologist Vic Satzewich.

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.

People with learning disabilities are affected by significantly more health problems than the general population and are much more likely to have significant health risks. Yet evidence suggests they are not receiving the same level of health education and health promotion opportunities as other members of society.This important, interdisciplinary book is aimed at increasing professional awareness of the importance of health promotion activities for people with intellectual and developmental disabilities. Written by an international board of experts, it is a thorough and comprehensive guide for students, professionals and carers.The book considers a variety of challenges faced by those with intellectual disabilities, from physical illnesses such as diabetes, epilepsy and sexual health issues, through to issues such as addiction, mental health and ageing.Contributors: Jim Blair, Penny Blake, Malin Broberg, Michael Brown, Eddie Chaplin, Bob Davies, Gillian Eastgate, Paul Fleming, Dora Fisher, Linda Goddard, Tamar Heller, John Heng, Thanos Karatzias, Mike Kerr, Nick Lennox, Tadhg MacIntyre, Beth Marks, Jane McCarthy,Judith Moyle,Karen Nankervis,Ruth Northway, Joseph O'Grady, Renee Proulx, Janet Robertson, Cathy Ross, Jasmina Sisirak, Eamonn Slevin, David S Stewart, William F. Sullivan, Beverley Temple, Hana Valkova , Henny van Schrojenstein Lantman-de Valk."I highly recommend this book to anyone working directly with people with an intellectual disability as well as professionals, academics and students who strive to promote issues and improve the lives of people with intellectual disabilities and their families." Agnes Lunny OBE, Chief Executive of Positive Futures, Northern Ireland"The editors and authors have done practitioners a great favour in bringing together in one volume a comprehensive account of how children and adults with intellectual disabilities can be supported to lead healthier lives." Roy McConkey, Professor of Developmental Disabilities, University of Ulster, Northern Ireland"This timely and important book synthesises current knowledge about health promotion interventions for people with intellectual disabilities. Written by leading researchers and practitioners, it should be on the bookshelves of everyone concerned with addressing the stark inequalities in health experienced by people with intellectual disabilities around the world." Eric Emerson, Professor of Disability Population Health, University of Sydney, Australia and Emeritus Professor of Disability and Health Research, Lancaster University, UK "This book is current and different from other textbooks I have used before. The book is pitched at a very easy to understand level and any healthcare professional or student working with people with intellectual and developmental disabilities can use it. The content is very up to date and relevant. The use of comprehensive authors with differing backgrounds demonstrates the textbook has a wide range of expertise and knowledge packed into it that makes the book very relevant learning disabilities practice. I will definitely be recommending this textbook to undergraduate nursing students in Learning Disabilities." Dorothy Kupara - Lecturer in Learning Disabilities Nursing, University of West London.