Making a Place for Ourselves examines an important but not widely chronicled event at the intersection of African-American history and American medical history--the black hospital movement. A practical response to the racial realities of American life, the movement was a "self-help" endeavor--immediate improvement of separate medical institutions insured the advancement and health of African Americans until the slow process of integration could occur. Recognizing that their careers depended on access to hospitals, black physicians associated with the two leading black medical societies, the National Medical Association (NMA) and the National Hospital Association (NHA), initiated the movement in the 1920s in order to upgrade the medical and education programs at black hospitals. Vanessa Northington Gamble examines the activities of these physicians and those of black community organizations, local and federal governments, and major health care organizations. She focuses on three case studies (Cleveland, Chicago, and Tuskegee) to demonstrate how the black hospital movement reflected the goals, needs, and divisions within the African-American community--and the state of American race relations. Examining ideological tensions within the black community over the existence of black hospitals, Gamble shows that black hospitals were essential for the professional lives of black physicians before the emergence of the civil rights movement. More broadly, Making a Place for Ourselves clearly and powerfully documents how issues of race and racism have affected the development of the American hospital system.

Borderline personality disorder (BPD) is a potentially severely debilitating psychiatric diagnosis that may affect up to 2% of the general population. Hallmarks of BPD include impulsivity, emotional instability, and poor self-image, and those with BPD have increased risk for self-harm and suicide. Systems Training for Emotional Predictability and Problem Solving (STEPPS) brings together research findings and information on implementation and best practices for a group treatment program for outpatients with BPD. A five-month long program easily learned and delivered by therapists from a wide range of theoretical orientations, STEPPS combines cognitive behavioral therapy, emotion management and behavioral skills training, and psychoeducation with a systems component that involves professional care providers, family, friends, and significant others of persons with BPD. The book provides a detailed description of the program, reviews the body of evidence supporting its use and implementation, and describes its dissemination worldwide and in different settings. Empirical data show that STEPPS is effective and produces clinically important improvement in mood and behavior, while reducing health care utilization. Unique among programs for BPD, STEPPS has been exhaustively studied in correctional systems (both prisons and community corrections), where it is shown to be as effective as in community settings. This volume will be a valuable guide to those in psychiatry, psychology, social work, nursing, and the counseling professions who treat people with BPD.

Psychosocial Pathology and Social Work Practice provides readers with an overview of mental health disorders and their criteria according to the DSM-5, as well as practical information to guide them through assessment and the differential diagnosis process. The opening chapter provides readers with an introduction to psychosocial pathology and social work. Additional chapters examine neurodevelopmental disorders, schizophrenia and other psychotic disorders, anxiety disorders, trauma- and stressor-related disorders, gender dysphoria, and substance-related and addictive disorders, among others. Each chapter of the text provides racial, ethnic, cultural, and gendered consideration of each diagnosis; a complex multidimensional case study; a full diagnosis; a detailed explanation of how the diagnoses were determined; and a decision tree for each diagnosis. Psychosocial Pathology and Social Work Practice is an ideal resource to help graduate-level social work students develop practical skills in applying the DSM-5 diagnostic criteria to actual cases. It is also a valuable resource for practitioners for assessment and treatment planning.

Why would an authoritarian regime expand social welfare provision in the absence of democratization? Yet China, the world's largest and most powerful authoritarian state, has expanded its social health insurance system at an unprecedented rate, increasing enrollment from 20 percent of its population in 2000 to 95 percent in 2012. Significantly, people who were uninsured, such as peasants and the urban poor, are now covered, but their insurance is less comprehensive than that of China's elite. With the wellbeing of 1.4 billion people and the stability of the regime at stake, social health insurance is now a major political issue for Chinese leadership and ordinary citizens. In Social Protection under Authoritarianism, Xian Huang analyzes the transformation of China's social health insurance in the first decade of the 2000s, addressing its expansion and how it is distributed. Drawing from government documents, filed interviews, survey data, and government statistics, she reveals that Chinese leaders have a strategy of "stratified expansion," perpetuating a particularly privileged program for the elites while developing an essentially modest health provision for the masses. She contends that this strategy effectively balances between elites and masses to maximize the regime's prospects of stability. In China's multilevel governance, both centralized and decentralized structures are involved in the distribution of social health insurance. When local leaders implement the stratified expansion of social health insurance, they respond to varied local conditions. As a result, China's health insurance policies differ dramatically across subnational regions as well as socioeconomic groups. Providing an in-depth look into China's health insurance system, this book sheds light not only on Chinese politics, but also on how social benefits function in authoritarian regimes and decentralized multilevel governance settings.

This volume of Research in the Sociology of Health Care analyses micro-level gender issues and other social factors impacting macro-level health care systems. Examining the health and health care issues of patients and providers of care both in the United States and in other countries, chapters focus on linkages to policy and population concerns as ways to meet global health care needs.

This issue of Primary Care: Clinics in Office Practice, guest edited by Dr. Janet Albers, is devoted to Psychiatric Care in Primary Care Practice. Articles in this issue include: Integrating Behavioral Health in the Medical Home Model - The Role of the Interdisciplinary Team; Behavioral Health in Prevention and Chronic Illness Management - Motivational Interviewing; Childhood Sexual Abuse and Mental Health Screening in Primary Care; Autism Spectrum/Pervasive Developmental Disorders; Pearls in Working with Patients Diagnosed with Personality Disorders; Psychopharmacology in Primary Care Settings; Depression: Screening, Diagnosis, Treatment Across Populations; Anxiety Disorders in Primary Care; Bipolar Disorder; Eating Disorders; Substance Abuse Screening and Treatment; Pain Medication Seeking Behavior; Psychiatric Emergencies; and Physician Wellness Across the Professional Continuum.

The purpose of Creating Knowledge Based Healthcare Organizations is to bring together some high quality concepts closely related to how knowledge management can be utilized in healthcare. It includes the methodologies, systems, and approaches needed to create and manage knowledge in various types of healthcare organizations. Futhermore, it has a global flavour, as we discuss knowledge management approaches in healthcare organizations throughout the world. For the first time, it is possible to have so many of the concepts, tools, and techniques relevant to knowledge management in healthcare in this one volume so that the reader can understand all the components required to utilize knowledge.

Clinical decision support systems, medical applications, and electronic health records each help to ensure the provision of efficient, accurate healthcare services, thereby providing patients with a better experience and overall reducing health care costs. Advancing Technologies and Intelligence in Healthcare and Clinical Environments Breakthroughs is a prime resource for both academic researchers and practitioners looking to advance their knowledge of the interdisciplinary areas of healthcare information technology and management research. This book addresses innovative concepts and critical issues in the emerging field of health information systems and informatics, with an emphasis on sustainable computer information systems, ensuring healthcare efficiency, and denoising MRI and ECG outputs.

Improvements in health services require continual attention and dedication to ensure proper care and treatment for citizens. To support this endeavor, professionals rely more and more on the application of information systems and technologies to promote the overall quality of modern healthcare. Maximizing Healthcare Delivery and Management through Technology Integration is an authoritative reference source for the latest scholarly research on the integration of ICT within the health services sector. Featuring comprehensive coverage on a range of topics from technical and non-technical perspectives, this book is an essential reference source for IT specialists, professionals, managers, and students seeking current research on the growing relationship between technology and healthcare.

This multidisciplinary analysis links epidemiologic, cultural, social, and medical analyses of cancer prevention, detection, and care. The contributors demonstrate that different ethnic groups and cultures have distinct concepts of cancer prevention and control. These ideas are dynamic, shaped by personal and group histories, social networks, technologies, politics, economics, religions, linguistics, and other environmental conditions.

Cross-cultural writings about cancer make this book useful to professionals and students in the disciplines of medicine, nursing, public health, sociology, anthropology, and social welfare. The 15 articles reveal that cancer knowledge, attitudes, and behaviors are diverse cross-cultural constructs resulting from distinct experiences. Ideas and behaviors about prevention and control may be shared or individual and idiosyncratic. The book is composed of three sections: I. Cancer Beliefs and Behaviors; II. Interventions in Review; III. New Strategies for Cancer Research. The authors, including anthropologists, epidemiologists, health educators, nurses, and physicians, explicate notions of prevention and control, and assess interventions and methodologies that illustrate generally ignored successes in decreased mortality and morbidity among members of specific populations.

Many countries are seeking to reach an effective universal health coverage system to increase the quality of life of their citizens. By implementing universal health coverage, countries can support all citizens, including those who do not have the financial power to pay for healthcare services, in receiving the necessary medical treatment to enable them to live healthier lives. Multidimensional Perspectives and Global Analysis of Universal Health Coverage is an essential reference source that defines the significance of universal health coverage and studies multiple concepts related to universal health coverage that can support qualified recommendations for governments seeking to improve their healthcare situation. Featuring research on topics such as financial risk, organizational performance, and patient safety, this book is ideally designed for policymakers, hospital executives, government officials, lawmakers, politicians, academicians, students, and researchers.

Black women are beautiful, intelligent and capable -but mostly they embrace strong. Esteemed clinical psychologist, Dr. Inger Burnett-Zeigler, praises the strength of women, while exploring how trauma and adversity have led to deep emotional pain and shaped how they walk through the world. Black women's strength is intimately tied to their unacknowledged suffering. An estimated eight in ten have endured some form of trauma-sexual abuse, domestic abuse, poverty, childhood abandonment, victim/witness to violence, and regular confrontation with racism and sexism. Nobody Knows the Trouble I've Seen shows that trauma often impacts mental and physical well-being. It can contribute to stress, anxiety, PTSD, and depression. Unaddressed it can lead to hypertension, diabetes, heart disease, overeating, and alcohol and drug abuse, and other chronic health issues. Dr. Burnett-Zeigler explains that the strong Black woman image does not take into account the urgency of Black women's needs, which must be identified in order to lead abundant lives. It interferes with her relationships and ability to function day to day. Through mindfulness and compassionate self-care, the psychologist offers methods for establishing authentic strength from the inside out. This informative guide to healing, is life-changing, showing Black women how to prioritize the self and find everyday joys in self-worth, as well as discover the fullness and beauty within both her strength and vulnerability.

One of the most exciting medical developments during the past thirty years has been the rebirth of family medicine as a dynamic specialty. In the face of ever-widening definitions of health, the family physician has been challenged to integrate the physical, emotional, and social concepts of modern medicine into traditional medical services. Invariably, in establishing a mutual understanding between doctor and patient, the doctor's emotions come into play.

This book addresses the needs of family and other physicians to better understand their emotions, enhance their self-awareness, improve their communications skills, and apply these skills more effectively within the constraints of clinical practice and teaching. A multi-disciplinary approach common to the practice of family medicine is used. The authors come from a variety of disciplines--psychiatry, clinical psychology, family medicine, and family therapy.

The purpose of this volume is to describe the impact of the increased demand for flexibility on employees and its impact on their individual work life trajectories and health. The volume offers concrete examples of interventions aimed to find innovative ways of sustainable work careers for today's workers. We focus on the school to work transition, job insecurity, job loss and re-employment and retirement. The interventions described offer strategies for implementing support in employment contracts, increasing preparedness of individual employees with public education programs or developing work arrangements and support systems in work organizations.

A comprehensive overview of major 12-step programs, this practical manual also describes the nuances of the various programs that address the same addictive behavior to assist the clinician in assessing and referring clients to any 12-step program. One of the unique features of this book is a description of how 12-step program philosophy aligns with eight major psychotherapy orientations. Another feature is the integration of the client's individual needs and ego structure with the appropriateness and timing of a referral to a 12-step program within the overall therapeutic process.

In this day of managed care, it is essential for clinicians to make informed referrals. This book bridges the gap between the desire to refer and a comprehensive understanding of the intricacies of the various programs. Through the use of detailed description, case vignettes, and clinical examples, this book proves an invaluable resource assisting clinicians to guide their clients through the process of integrating psychotherapy with adjunctive 12-step program involvement. Also included is a description of terms used in 12-step programs that allows the clinicians to join the client in a common language.