Community Care in Perspective fills a major gap in medical and social history by offering a detailed account of community provision for so-called 'vulnerable adults' in the UK from 1948-2005. This collection focuses primarily on people with learning difficulties to offer insights into community care more broadly, examining key issues such as charity versus rights, the role of the market in care provision and the changing construction of social categories. Charting the evolution of community care since the formation of the NHS, this study will be invaluable in contextualizing the work of policymakers and service providers.

This book explores dominance in Australia's medical culture through the positioning of international medical graduates (IMGs). It argues that IMGs are 'othered' and ultimately positioned as an underclass, a positioning validated and reinforced by the intersecting inequalities of class, race and nation. It also suggests that the positioning of IMGs is organised through the dimensions of structural power, hegemonic power and interpersonal power, which allow an exploration of power relations between the structures of the health system, the Australian medical profession and the agency of IMGs. The Australian narrative presented to the world espouses a community of social justice and human rights. Instead, an historical lens traces the formation and persistence of difference represented in ethnocentrism, racism and xenophobia from 1788 to the present. The research presented is multidisciplinary in scope. An anti-oppressive theoretical framework enables the voices of lived experience to penetrate throughout and a social justice platform engages the participants and the reader into the interwoven conversations. The data set comprises a focus group, 10 individual interviews with IMGs and a selection of inquiry submissions revealing rich and sometimes shocking evidence to paint a stark picture. Other medical voices join the conversation via media responses to revelations of experiences not only by IMGs but also by Australian-trained doctors. It exposes a toxic culture endemic with bullying and sexual harassment.This book is of interest to practitioners, researchers and administrators in the fields of medical education, human resource management, legal studies, health sciences, social sciences, health services, government departments, universities and hospitals, as well as those tasked with duty of care and the provision of a safe workplace. The voices gifted to this study raise awareness of current issues within medicine in Australia at a very personal level and begin to formulate a policy and practical response to address these disturbing revelations.

"A key issue in the debate about reforming the U.S. health care system is how to finance and organize the delivery of long-term care. This volume offers perspectives on several important facets of this problem, including the regulation of private long-term care insurance, catastrophic out-of-pocket costs, and the use of long-term care and acute care services by the chronically disabled elderly. In addition to the editors, the contributors are Lisa Alecxih, David Kennell, and John Corea, Lewin-VHI; Brian Burwell and William Crown, SysteMetrics; Terry Coughlin, Korbin Liu, and Sharon Long, Urban Institute; Judith Kasper, Johns Hopkins University; Kenneth Manton and P.J. Eric Stallard, Duke University; Jennifer Schore, Mathematica Policy Research; Catherine Sullivan, Brookings; and Bruce Vladeck, Health Care Financing Administration. Dialogues on Public Policy "

The first systematic survey of Healthcare Infrastructure, this book describes the inevitable future of health systems. It gives a concrete plan for improved quality at diminished cost, via merger of personal medicine and public health. It discusses general aspects of infrastructure engineering and specific aspects of healthcare systems. It discusses current and future technologies for health measurement and management. This book outlines how the health of populations will be measured at the level of individuals, combining engineering and medicine to support viable health systems for the first time. This book is unique, in combining a systematic survey of health determinants with a research monograph on health technologies. Readers will gain a broad context and a deep knowledge of future information technology applied to health systems.

This book contributes to the growing scholarly interest in the history of disability by investigating the emergence of 'idiot' asylums in Victorian England. Using the National Asylum for Idiots, Earlswood, as a case-study, David Wright investigates the social history of institutionalization and reveals the diversity of the 'insane' population and the complexities of institutional committal in Victorian England. He contends that institutional confinement of mentally disabled and mentally ill individuals in the nineteenth century cannot be understood independently of a detailed analysis of familial and community patterns of care.

Despite great improvement in service delivery, patient violence remains a major problem at mental health facilities. Focusing equally on causes, management, and prevention, this groundbreaking book represents the state of knowledge on this crucial topic. Violence in Mental Health Settings brings together salient theories, valuable data, and real-world interventions in one accessible volume. The contributors include psychiatrists, nurses, researchers, and academics (many affiliated with the European Violence in Psychiatry Research Group), offering an integrative context for understanding patient aggression and identifying areas where research is lacking. Chapters review the latest theories of violence, proven prevention strategies, and examples of positive organizational change. Practical highlights include: Assessing and measuring risk: self-versus other-reporting scales; how the ward environment can contribute to violence? pharmaceutical interventions; training issues and course development in violence management; professional coping after patient attacks; and developing a non-violent culture at the institutional level. Throughout, the material is illustrated liberally with graphs and clinical case examples, and coverage bridges the patient-rights and zero-tolerance ends of the spectrum. Therapists, nurses, social workers, and counselors in hospitals and other inpatient and community facilities will find Violence in Mental Health Settings a source of vital insights and ideas for future policy. Regardless of one's setting or specialty, the authors share a critical aim with their readers: a safer and more humane experience.

In this volume of "Research in the Sociology of Health Care" a variety of topics concerning patients, consumers, providers and caregivers are covered.

This book discusses the advancements in artificial intelligent techniques used in the well-being of human healthcare. It details the techniques used in collection, storage and analysis of data and their usage in different healthcare solutions. It also discusses the techniques of predictive analysis in early diagnosis of critical diseases. The edited book is divided into four parts - part A discusses introduction to artificial intelligence and machine learning in healthcare; part B highlights different analytical techniques used in healthcare; part C provides various security and privacy mechanisms used in healthcare; and finally, part D exemplifies different tools used in visualization and data analytics.

A new and effective combination of case studies and macro data sets examines the structure of the highly regulated hospital industry. Provides a close scrutiny of hospital establishment management during a period of increasing public concern about the quality and cost of health service delivery. Based on research undertaken at the Joint Center for Urban Studies of MIT and Harvard University.

The theme of this book is health outcomes in India, in particular to outcomes relating to its caste and religious groups and, within these groups, to their women and children. The book's tenor is analytical and based upon a rigorous examination of recent data from both government and non-government sources. The major areas covered are sanitation, use by mothers of the government's child development services, child malnutrition, deaths in families, gender discrimination, and the measurement of welfare.

Nearly everyone agrees that the nation's health care system needs to be reformed. By mid-1994 over a half-dozen major reform plans were under consideration in Congress. But beyond the political challenge of passing a reform package lies an even bigger challenge--how to make health reform work! Critics of the Clinton plan have charged that it's too complex and doomed to administrative failure. Are they right? The nation's health care finance and delivery systems are already immensely complex and problem-ridden. Is it possible to achieve meaningful reforms without adopting new administrative strategies and structures that are equally complex? What role do the states now play in administering the nation's health care system? Is it possible to design administrative success into national health reform plans from the start? Produced in close consultation with state health care officials from all around the country, this important volume offers practical and timely recommendations for how to make health reform work. It addresses the central implementation, management, and federalism dimensions of reform. Chapters by some of the country's leading health policy and public management experts explore the administrative challenges of reform as they relate to health alliances, cost containment, quality of care, medical education and training, and other key issues. They discuss various working principles for developing an administratively sound health reform policy. The contributors are Lawrence D. Brown and Michael Sparer, Columbia University; Gerald Garvey, Princeton University; Donald F. Kettl, University of Wisconsin-Madison; James R. Tallon, United Hospital Fund; James W. Fossett and Frank J.Thompson, State University of New York, Albany.

In this intriguing volume, Merrie G. Klapp explains how regulatory decisions in such crucial areas as public health, technological safety, and environmental quality are molded and recast. She finds that scientific uncertainty is a key factor, with agencies, interest groups, Congress, and the courts attempting to shift responsibility of proof or varying the standard of proof according to the pressures brought to bear on the issue. In general, Professor Klapp finds that when citizens or industrialists organize to protest a regulatory decision and when the legislature or the courts take scientific uncertainty into account, then the initial regulatory decision is changed.

By contrast with the United States, where scientific uncertainty is used as a public resource and rationale for change, in France and Britain scientific uncertainty is treated as a private resource. French and British scientists do not treat regulatory decisions as opportunities to reveal scientific uncertainty to the public--instead, discussions of uncertainties are held behind closed doors and, when reports are made to the public about regulatory decisions, scientific information is presented as if it were certain. Bargaining with Uncertainty will be a provocative analysis to those scholars and researchers concerned with the making of public policy as well as those concerned with risk assessment in public health, the environment, and technology.

This book offers a novel examination of the relations, actions, and practices of healthcare workers, analysed in terms of collective mobilisation. Based on successive surveys conducted over a twenty-year period in public and private hospitals, it brings a rich new conceptualisation of both social movements and care work. We’ve all witnessed the collective mobilisation at play in hospitals during the Covid-19 pandemic. In such a structured, hierarchical environment, the parallel with social movements highlights the ethical and collective dimensions of care work, as well as the bonds of solidarity and identification with the collective. Yet, healthcare workers are often caught in a dilemma between fighting against underfunding and deteriorating working conditions on the one hand, and cooperating to keep the system standing and provide the best care possible for patients on the other. The author's approach in terms of consensual and conflictual mobilisations brings a fresh theoretical and empirical contribution to the literature on social movements, medical sociology, public health, and the sociology of labour, whilst in-depth case studies bring to light the experiences of healthcare workers and enrich the narrative throughout.

This is the tenth volume in a series on research in community and mental health.

This text focuses on various factors associated with orphan diseases and the influence and role of health information technologies. Orphan diseases have not been adopted by the pharmaceutical industry because they provide little financial incentive to treat or prevent it. It is estimated that 6,000-7,000 orphan diseases exist today; as medical knowledge continues to expand, this number is likely to become much greater. The book highlights the opportunities and challenges in this increasingly important area. The book explores new avenues which are opened by information technologies and Health 2.0, and highlights also economic opportunities of orphan disease medicine. The editors of this new book have international experience and competencies in the key areas of patient empowerment, healthcare and clinical knowledge management, healthcare inequalities and disparities, rare diseases and patient advocacy.

This book examines the often tough questions raised by infectious diseases through essays that explore a host of legal and ethical issues. The authors also offer potential solutions in order to ensure that past errors are not repeated in response to future outbreaks. The essays touch on a number of key themes, including institutional competence, the accountability and responsibility of non-state actors, the importance of pharmaceuticals, and the move towards a rights-based approach in global health. Readers gain insights into such important questions as follows: How can we help victims in other countries? What (if any) responsibility should be placed upon international organizations whose actions exacerbate infectious diseases? How can we ensure that pharmaceutical research helps all communities, even those who cannot afford to pay for the products? While broadly covering global health law, the book adopts an inter-disciplinary approach that draws on public international law, philosophy, international relations, human rights law, and healthcare economics. As such, it is a valuable resource for academic libraries, appealing to scholars and postgraduates engaged in relevant research, as well as to those engaged with global health and policy at the international level.

This is the eighth volume in a series on research in community and mental health.

Epidemiologic Field Methods in Psychiatry: The NIMH Epidemiologic Catchment Area Program focuses on the methodology employed in the National Institute of Mental Health (NIMH) Epidemiologic Catchment Area (ECA) Program. The selection first elaborates on the historical context, major objectives, and study design and sampling the household population. Topics include the development of the ECA program, DIS instrument, program design, general issues in sampling community resident populations, household and respondent eligibility, household and respondent selection, weighting, and variance estimation. The manuscript then examines institutional survey and the characteristics, training, and field work of interviewers. Discussions focus on the changing nature of institutions, value of the institutional component, institutions included in institutional stratum, interviewer recruitment and selection, demographic characteristic of interviewers, and field work. The publication ponders on nonresponse and nonresponse bias in the ECA surveys, data preparation, and proxy interview, as well as quality of proxy data, item nonresponse, editing and coding, data entry and data cleaning, understanding nonresponse, and assessment of evidence for nonresponse bias. The selection is a valuable source of information for psychiatrists and readers interested in the Epidemiologic Catchment Area (ECA) Program.

This book provides a psychoanalytic perspective on female psychology and includes articles with divergent theoretical viewpoints. It is useful for both research and clinical study and may also provide a bridge to scholars, teachers, and clinicians outside of psychoanalysis itself.

Health experts independently state that the most critical urban problems are preventable. This brings an added challenge to public health practitioners working in inner cities with predominately minority communities. In addition to deadly diseases - including transmittable diseases - violence, whether it is physical, sexual or child abuse, is the other predominant morbidity factor that urban areas confront.
Because of these concerns, there is a need for health professionals working with the communities to critically examine health behavior theories and prevention methodologies. Additionally, new prevention practices and programs need to be developed for community-based interventions to better serve the populations in need including programs in:

-HIV Prevention;
-Evaluation and Policy Research;
-Cancer Prevention and Screening;
-Urban Public Health Policy;
-Youth Violence Prevention.

DESCRIPTION: People with mental illness in the criminal justice system are a vexing problem in many countries. Efforts to cope with this problem have taken a number of forms and this volume explores the key issues in this area. Whether and to what extent any of these efforts achieve their goals remains a significant question for researchers from a range of disciplines and for actors and stakeholders from various sectors of the mental health and criminal justice systems TABLE OF CONTENTS: Contributors; Introduction; Criminal Justice Involvement and Severe Mental Illness; Where is the 'illness' in the criminalization of mental illness?; Treatment Modalities for Offenders with Mental Illness; Community mental health services and criminal justice involvement among persons with mental illness; Case management and the forensic client; The impact of 'new generation' anti-psychotic medications on criminal justice outcomes; Embedding Community Mental Health Service System Interventions in the Criminal Justice Process: From Arrest to Release; Jail diversion for people with mental illness: what do we really know); The nature of the alliance: an anthropological look at the practice of forensic psychiatry; Courting the court: courts as agents for treatment and justice; Prison, hospital or community: community re-entry and mentally ill offenders.

The global nature of today's society has created more international students than ever, and these students face an increasing variety of demands while living and learning across cultures. Counselors are one of the key resources available to such students, yet they themselves have often not had significant training in this area. Addressing this need, Counseling International Students: Clients From Around the World, provides essential information for professionals working with students during cross-cultural transition. This book introduces readers to contributions made by international students in higher education, and supplies in-depth information about the nature of cross-cultural transitions including initial entry to the host culture as well as the return home. A framework of multicultural counseling competencies is applied with suggestions for counselors to increase their self-awareness, knowledge, skills, and abilities for organizational development. Case examples, throughout, highlight the range of roles and strategies that can be used in counseling international students, and the book is filled with practical information for enhancing counseling services for this population. The audience for this book is counselors and other mental health professionals who deal with cross-cultural issues as well as students in this area.

This book addresses the topic of leadership in healthcare. There is a great deal of rhetoric around leadership, this book explores the rhetoric with papers that contribute insights into taking healthcare forward in the 21st Century, and the nature of leadership in healthcare and organizational forms that are leading the field. The book promotes Organizational behavior in healthcare as a serious academic field that can provide insights of use to managers, professionals, and policy makers in the healthcare area.