'Clinical Effectiveness'; 'Clinical Governance'; 'Clinical Audit'; 'Clinical Guidelines': these are all vitally important to the UK government's quality agenda for the NHS; all are apparently about clinical practice and yet all lead to a fair amount of confusion for the average practitioner. Despite the often confusing wealth of literature on the s

This reader brings together a selection of seminal papers by Christopher Bollas.

Essays such as "The Fascist State of Mind," "The Structure of Evil," and "The Functions of History" have established his position as one of the most significant cultural critics of our time. Also included are examples of his psychoanalytical writings, such as "The Transformational Object" and "Psychic Genera," that deepen and renew interest in unconscious creative processes. Two recent essays, "Character and Interformality" and "The Wisdom of the Dream" extend his work on aesthetics and the role of form in everyday life.
This is a collection of papers that will appeal to anyone interested in human experience and subjectivity.

This book examines depression as a widely diagnosed and treated common mental disorder in India and offers a significant ethnographic study of the application of a traditional Indian medical system (Ayurveda) to the very modern problem of depression. Based on over a year of fieldwork, it investigates the Ayurvedic response to the burden of depression in the Indian state of Kerala as one of the key processes of the local appropriation or glocalization of depression. More broadly, Lang considers: What happens with the category of depression when it leaves the West and travels to South Asia? How is depression appropriated in a South Asian society characterized by medical pluralism? She explores on the level of ideas, institutions and materialities how depression interacts with and changes local worlds, clinical practice and knowledge and subjectivities. As depression travels from 'the West' to South India, its ontology, Lang argues, multiplies and thus leads to what she calls 'depression multiple'.

Masculinity has a powerful effect on the health of men and boys. Indeed, many of the behaviors they use to "be men" actually increase their risk of disease, injury, and death. In this book, Dr. Will Courtenay, an internationally recognized expert on men's health, provides a foundation for understanding this troubling reality. With a comprehensive review of data and literature, he identifies specific gender differences in the health-related attitudes, beliefs, and behaviors of men and boys and the health consequences of these differences. He then describes the powerful social, environmental, institutional, and cultural influences that encourage their unhealthy behaviors and constrain their adoption of healthier ones. In the book's third section, he more closely examines the health needs of specific populations of men, such as ethnic-minority men, rural men, men in college, and men in prisons. Courtenay also provides four empirical studies conducted with multidisciplinary colleagues that examine the associations between masculinity and men and boys' health beliefs and practices. Finally, he provides specific strategies and an evidence-based practice guideline for working with men in a variety of settings, as well as a look to the future of men's health. Medical professionals, social workers, public health professionals, school psychologists, college health professionals, mental health practitioners, academics, and researchers from a broad array of disciplines, and anyone interested in this topic will find it to be an extensively researched and accessible volume.

An integrated, collaborative model for more comprehensive patient care Creating Effective Mental and Primary Health Care Teams provides the practical information, skills, and clinical approaches needed to implement an integrated collaborative care program and support the members of the care team as they learn this new, evidence-based, legislatively mandated care delivery system. Unique in presenting information specifically designed to be used in an integrated, collaborative care workflow, this book provides specific guidance for each member of the team. Care managers, consulting psychiatrists, primary care providers, and administrators alike can finally get on the same page in regard to patient care by referring to the same resource and employing a common framework. Written by recognized experts with broad research, clinical, implementation, and training experience, this book provides a complete solution to the problem of fragmented care. Escalating costs and federal legislation expanding access to healthcare are forcing the industry to transition to a new model of health care delivery. This book provides guidance on navigating the changes as a team to provide the best possible patient care. * Integrate physical and behavioral care * Use evidence-based treatments for both * Exploit leading-edge technology for patient management * Support each member of the collaborative care team Strong evidence has demonstrated the efficacy of a collaborative care approach for delivering mental health care to patients in a primary care setting. The field is rapidly growing, but few resources are available and working models are limited. This book provides a roadmap for transitioning from traditional methods of health care to the new integrated model. Providers ready to move to the next level of care will find Creating Effective Mental and Primary Health Care Teams an invaluable resource.

Over the last century public health efforts, such as immunization, safer food practices, public health education and promotion, improved sanitation, and water purification have been very successful in eradicating and controlling a host of diseases. The result has been a dramatic improvement in health and life expectancy. However, the impact that mental illnesses have on individuals and society as a whole has largely been overlooked by the discipline.This pioneering volume examines the evidence-base for incorporating mental health into the public health agenda by linking the available research on population mental health with public mental health policy and practice. Issues covered in the book include the influence of health and mental health policies on the care and well-being of individuals with mental illness, the interconnectedness of physical and mental disorders, the obstacles to adopting a public health orientation to mental health/mental illness, and the potential application of public health models of intervention.Setting out a unique and innovative model for integrated public mental health care, Population Mental Health identifies the tools and strategies of public health practice surveillance and screening, early identification, preventive interventions, health promotion and community action and their application to twenty-first century public mental health policy and practice.

The Asia-Pacific region has not only the greatest concentration of population but is, arguably, the future economic centre of the world. Epidemiological transition in the region is occurring much faster than it did in the West and many countries face the emerging problem of chronic diseases at the same time as they continue to grapple with communicable diseases.

This book explores how disease patterns and health problems in Asia and the Pacific, and collective responses to them, have been shaped over time by cultural, economic, social, demographic, environmental and political factors. With fourteen chapters, each devoted to a country in the region, the authors take a comparative and historical approach to the evolution of public health and preventive medicine, and offer a broader understanding of the links in a globalizing world between health on the one hand and culture, economy, polity and society on the other.

Public Health in Asia and the Pacific presents the importance of the non-medical context in the history of human disease, as well as the significance of disease in the larger histories of the region. It will appeal to scholars and policy makers in the fields of public health, the history of medicine, and those with a wider interest in the Asia-Pacific region.

This volume of thirteen essays focuses on the health and treatment of the peoples of northern Europe and North America over the course of the nineteenth and twentieth centuries.

SBAs, EMQs & SAQs in PRACTICE PAPERS provides a broad range and style of questions, not only for medical students preparing for their final exams, but also for clinicians preparing for their postgraduate exams. This book includes over 40 single best answer questions (SBAs), 140 extended matching questions (EMQs) and 25 short answer questions (SAQs), giving the reader a wide variety of topics to test their exam knowledge and technique. The book also includes a variety of radiological images (abdominal and chest X-rays), ABGs and ECGs for interpretation. It is an invaluable educational resource for exam preparation and to help you succeed. Key features: Over 200 questions on the core medical subjects. Compiled by a team of junior doctors with recent final exam and postgraduate specialty exam experience. Overseen by experienced doctors to ensure relevance and accuracy. The broad medical curriculum is covered in a succinct and consistent style. Pharmacology and pathology are integrated throughout the text. Clear and concise answers are provided. Easy accessible information to facilitate revision on the move. Enables the reader to assess their knowledge and help identify gaps in their knowledge to target revision. The following main specialties are covered: Breast surgery; Cardiology; Dermatology; Endocrinology; ENT surgery; Fluids & electrolytes; Gastroenterology; Haematology; Infectious diseases; Lower gastrointestinal surgery; Neurology; Neurosurgery; Obstetrics & gynaecology; Oncology; Ophthalmology; Paediatrics; Psychiatry; Renal medicine; Respiratory medicine; Rheumatology; Statistics; Trauma & orthopaedics; Upper gastrointestinal surgery; Urology; Vascular surgery. Watch out for our other titles in the MedQ4exams series: Medicine. Surgery. The Specialties

Although the last two decades have seen the healthcare systems of most developed countries face pressure for major reform, the impact of this reform on the relationship between empowerment, consumerism and citizen's rights has received limited research attention. Globalisation, Markets and Healthcare Policy sets out to redress this imbalance. This book explores the extent to which globalisation and commercialisation relate to current and emerging health policies. It also looks at the implications for citizens, patients and social rights, as well as how policy making interacts with the interests of global and European trade and economic policies. Topics discussed include: How the impact of globalisation on health systems is apparent in the influence of international actors and European policies. How the impact of globalisation is mediated by national priorities and policies and is therefore reflected in diverse influences. How commercialisation of health is presented as benefiting citizens and patients but has the potential to undermine the aims and values inherent in health systems. How the role of citizens' interests, social rights, patient's rights and priorities of patient and public involvement need to be separated from commercialisation, choice and consumerism in health care. Essential reading for policy makers and students of public policy, politics, law and health services, Globalisation, Markets and Healthcare Policy will also appeal to those interested in patient involvement international healthcare, international relations, trans-national organisations and the EU.

The challenge of transforming organizational culture is at the heart of many key movements in contemporary healthcare, and understanding culture change has become a core leadership competency. However, much current practice is based on antiquated and psychologically unsophisticated theories, leaving leaders inadequately prepared for the complex task of implementing change. Leading Change in Healthcare presents relationship-centered administration, an effective new evidence-based alternative to traditional culture change methodologies. It integrates fresh insights and methods from complexity science, positive psychology and relationship-centered care, enabling a more spontaneous and reflective approach to change management. This fosters greater organizational awareness and real participation, as well as improved productivity and creativity, as well as staff recruitment and retention. Case studies drawn from primary care, hospitals, long-term care, professional education, international NGOs and other settings, rather than emphasizing the end results, are demonstrations of how to apply relationship-centered administration in everyday practice. Leading Change in Healthcare is a key resource for all practitioners, students and teachers of healthcare management, medical educators, and leaders in all areas of healthcare provision. 'We need a new way of seeing, a new way of leading - and the authors provide a clear guide and resources for the path ahead. Leading Change in Healthcare offers hope - and a method. A daily dose is just what the change doctor ordered.' from the Foreword by Carol Aschenbrener

Patient safety is an issue which in recent years has grown to prominence in a number of countries' political and health service agendas. The World Health Organisation has launched the World Alliance for Patient Safety. Millions of patients, according to the Alliance, endure prolonged ill-health, disability and death caused by unreliable practices, services, and poor health care environments. At any given time 1.4 million people worldwide are suffering from an infection acquired in a health facility.

Patient Safety, Law Policy and Practice explores the impact of legal systems on patient safety initiatives. It asks whether legal systems are being used in appropriate ways to support state and local managerial systems in developing patient safety procedures, and what alternative approaches can and should be utilized. The chapters in this collection explore the patient safety managerial structures that exist in countries where there is a developed patient safety infrastructure and culture. The legal structures of these countries are explored and related to major in-country patient safety issues such as consent to treatment protocols and guidelines, complaint handling, adverse incident reporting systems, and civil litigation systems, in order to draw comparisons and conclusions on patient safety.

This workbook is intended to be used in conjunction with the clinical manual for this title, OCD - Tools to Help Young People Fight Back. Obsessive-compulsive disorder (OCD) affects approximately one in a hundred young people, and often makes it difficult to lead happy and productive lives. Structured as a flexible 14-session programme, it sets out an evidence-based treatment for young people with OCD using Cognitive Behavioural Therapy and Exposure and Response Prevention techniques. Designed to be employed in a clinical setting, it uses simple diagrams and illustrations to explain ways to cope with OCD thoughts and behaviours, and provides activities for use both within sessions and at home. The fun and engaging way in which the exercises are designed will encourage the patient to fully involve themselves in the recovery process and overcome their OCD. An essential resource for clinicians treating young people affected by OCD, this workbook brings together the patient, the therapist and the patient's family to fight OCD as a team.

Over the post-Mao period, the Chinese state has radically cut back its role in funding health services and insuring its citizens against the costs of ill health. Using an analytical framework drawn from studies of state retrenchment in industrialized democracies and in post-communist Eastern Europe, Jane Duckett argues that the state's retreat from health in China was not a simple consequence of economic policies and market reform. Just as important were the influences of health policies, reform era political institutions, communist party ideology, and bureaucratic stakeholders.

Through her analysis, Duckett maintains that by studying retrenchment in China, the world's most populous nation and now a major global economic power, we can better understand international transformations in the role of the state, and the politics that shape that role.

The Chinese State's Retreat from Health both extends research on retrenchment politics to a major authoritarian state and contributes to piecing together understanding of the Chinese state's changing role across the economy and other social policies, including housing and education. It will be of interest to students and scholars of Chinese politics, social policy and the Chinese health care system, as well as to those with a comparative interest in health, welfare states and the politics of retrenchment.

Jane Duckett is Professor of Chinese and Comparative Politics at the University of Glasgow, UK.

The rhetoric of choice is much used in UK health policy and home birth is one of the three options that women are entitled to choose between when deciding where to have their baby. However, many women making this choice run into considerable opposition from the maternity service. Home Birth: the politics of difficult choices focuses on the experiences of women whose choices were opposed by health professionals during their pregnancy journey. It confronts why and how women are being denied home birth and raises some challenging issues for current midwifery practice. Using ten women's narratives, this important volume explores why women might want to give birth at home and considers ideas of risk and informed choice in pregnancy and birth. The book includes chapters on communication and language; fear and stress; advocacy and autonomy; fathers' experience of contested place of birth and free birthing. Pointers to best practice are presented whilst the text incorporates women's narratives throughout, making this a practical and relevant read for midwifery students as well as practising midwives and childbirth educators, all of whom have a duty to make home birth a real option for women.

Project management skills are valuable for any healthcare project, not just technology projects. Non-technology activities that would benefit from project management skills include implementing a new policy housewide, updating training for use of the electronic health record (EHR), creating a new orientation program, quality assurance activities, submitting an article or presentation, writing a research proposal, or opening a new patient care unit. In addition, project management skills are not just for project managers, but they can be used by anyone leading these types of activities, such as managers, staff, educators, and researchers. Many books on healthcare project management have been focused on technology projects while non-technology projects flounder without the required knowledge or skills of the person leading the project. The purpose of this book is to discuss these skills based on the Project Management Institute (PMI) standards in a way that non-project managers would be able to understand and apply. Concepts from project initiation through project closure will be presented twice, first for novices and then for project leaders with more advanced skills. Practical, accessible, and containing numerous examples for each phase of the PMI Framework, this book will be a valuable resource for all healthcare professionals and both novice and experienced project managers.

The new NHS is a very different organisation to the one set up 60 years ago. Two decades of reforms have introduced a market element, unprecedented transparency, patient choice, new incentives, devolved accountabilities and a host of new regulatory bodies. All these changes have made governance a crucial and contested issue in health care.

Governing the New NHS makes sense of the new systems and will enable anyone interested in healthcare governance to navigate their way confidently through the maze. It describes, assesses and critiques the new governance arrangements. It examines how they are working in practice and how practitioners are responding. The book:

• explains current governance arrangements and explores related issues and tensions
• discusses the roles and interrelationships of boards and effective board practice
• offers a range of practical tools and frameworks.

Each chapter is supplemented with expert witness statement written by leading practitioners in the health system. This practical book will be invaluable to all those interested in health governance, policy and management - whether academic, student or practitioner.

This book explores the diverse manner in which family dynamics shaped Jewish identities in ways that were unique and directly connected to their experiences within their families of origin. Highlighted is the diversity of experience of ethnic identity within members of a group of women who are similar in many respects and who belong to an ethnic group that is often invisible. Jewish people, like members of other ethnic groups are often treated as if their identities were homogeneous. However, gender, social class, sexual orientation, factors surrounding immigration status, proximity of family members to the holocaust or pogroms, the number of generations one's family has been in the US and other salient aspects of experience and identites transform and inform the meaning and experience by group members. The book explores these diversities of experience and goes on to highlight the way in which the intermingling of family dynamics and subsequent Jewish identity in these women is manifested in the practice of psychotherapy. In 2012, the book had been awarded the Jewish Women Caucus of the Association for Women in Psychology Award for Scholarship, for that year. This book was published as a special issue of Women and Therapy.

In 2001, the WHO recognized depressive disorders as the leading cause of disability worldwide. But most Americans who meet diagnostic criteria for major depression are untreated or undertreated. Luckily, recent advances have finally made it possible for the field of public health to address mental health in the population. Public Health Perspectives on Depressive Disorders fills a gap by identifying the tools and strategies of public health practice and by exploring their application to twenty-first-century public mental health policy and practice. By looking at depressive disorders through a public health lens, this book highlights the centrality of mental health to public health. Linking the available research on depressive illness at the population level with public mental health policy and practice, expert contributors set a research agenda that will help make mental health a central part of public health science and practice. This book is an invaluable resource for researchers and practitioners to develop, facilitate, and conduct pilot and feasibility studies of promising preventive and treatment interventions that might mitigate the progression toward major depression and other mental disorders among populations at risk. The first part of the book underscores the public health significance of depressive illness by focusing on the evidence provided by recent approaches to nosology, epidemiology, illness burden, and impact on overall health. The second part looks at the social and environmental influences on depressive disorders that are critical to future efforts to prevent illness and to promote mentally healthy communities. The third and longest part addresses the vulnerability of diverse groups to depressive illness and underscore best practices to mitigate risk while improving both the preventive and therapeutic armamentaria.

The new NHS is a very different organisation to the one set up 60 years ago. Two decades of reforms have introduced a market element, unprecedented transparency, patient choice, new incentives, devolved accountabilities and a host of new regulatory bodies. All these changes have made governance a crucial and contested issue in health care.

Governing the New NHS makes sense of the new systems and will enable anyone interested in healthcare governance to navigate their way confidently through the maze. It describes, assesses and critiques the new governance arrangements. It examines how they are working in practice and how practitioners are responding. The book:

• explains current governance arrangements and explores related issues and tensions
• discusses the roles and interrelationships of boards and effective board practice
• offers a range of practical tools and frameworks.

Each chapter is supplemented with expert witness statement written by leading practitioners in the health system. This practical book will be invaluable to all those interested in health governance, policy and management - whether academic, student or practitioner.

A global view of health offers a richer understanding of ways of measuring, improving and sustaining health both in individual national settings and in the context of a strongly interconnected world. This book draws on social scientific insights and explanations to examine trends in global health. Moving beyond an epidemiological analysis, the authors use a social determinants framework and life course approaches to offer a critical introduction to the study of global health. Through individual chapters focusing on topics such as health policy, global governance, health systems and health-related protests, the authors present the scope of global health studies and introduce readers to broader ranging issues such as globalization and political forces. Key themes such as power, inequality and inequity - and their impact on health on a global scale - recur throughout the book. International examples and case studies are used to illustrate the discussion, which is further supported by opportunities for reflection and further reading. This book will be an important resource for students studying global health and will have broad relevance to those undertaking health, health-related and allied health professional courses.

Research into public health policies and expert instruction has been oriented traditionally in the national context. There is a rich historiography that analyses the development of health policies and systems in various European and American countries during the first decades of the twentieth century. What is often ignored, however, is the study of the great many connections and circulations of knowledge, people, technologies, artefacts and practices during that period between countries. This book redresses that balance.

Reflecting the challenges and opportunities of achieving improvement in healthcare systems, the contributions of this innovative new text lend depth and nuance to an increasing area of academic debate. Encompassing context, processes and agency, Managing Improvements in Healthcare addresses the task of attaining, embedding and sustaining improvement in the industry. The book begins by offering insight into the different valued aspects of quality, providing specific examples of national and organizational interventions in pursuit of improvement. The second part focuses on strategies for embedding good practice and ensuring the spread of high quality through knowledge mobilization, and the final part draws attention to the different groups of change agents involved in delivering, co-creating and benefitting from quality improvement. This inventive text will be insightful to those researchers interested in healthcare and organization, looking to transform theory into policy and practice.

The COVID-19 global pandemic has triggered health insecurity, food insecurity, and economic insecurity among many others in South Asia. It has profound impact on every sector of human activities ranging from the economic to environment. There is a need for a critical study of the implications of the COVID-19 pandemic for human security in order to fathom the emerging theoretical and policy issues in the region. Hence, the book provides an understanding of the consequences of the COVID-19 global pandemic for human security in South Asia. This intellectually stimulating book provides a critical analysis and insights on this contemporary challenge to policy makers, health professionals, academics, students, researchers, NGO workers working with health, human security and anyone interested in health and human security in South Asia. The book covers major human security areas, i.e. health security, food security, economic security, and environment issue. The role of regional cooperation and global health governance is also covered in the domain of COVID-19. This book fills the existing knowledge gap on the human security in South Asia in general and linking with COVID-19 in particular. From the perspective of policy, the insights of the study would guide the policy makers in South Asia in reframing their security policies emphasising human security issues and challenges. Finally, this book contributes to the evolving debate and discourse on the impact of the COVID-19 on the South Asian region from a human security perspective.