Evaluating Treatment Environments describes how to assess the quality of psychiatric and substance abuse programs and how to use that information to monitor and improve these programs. Its aim is to identify environments that promote opportunities for personal growth, simultaneously enhancing both physical and psychological well-being. Although treatment programs are diverse, Moos asserts that a common conceptual framework can be used to evaluate them, and more emphasis should be placed on the process of matching personal and program factors and on the connections between such matches and patients' outcomes. The book is divided into three main parts. Part I focuses on hospital programs, using a sample of 160 programs throughout the United States. Part II evaluates community programs. Moos describes how to monitor and improve these programs, and assesses program implementation. Part III considers treatment environments, examining factors that shape the treatment environment, patients' satisfaction with and participation in program activities, patients' adaptation and community living skills, and patient-program congruence and the influence of treatment environments on patients with different levels of impairment. It also highlights the importance of the health care workplace and its impact on staff and the treatment environment. Treatment programs vary substantially in their policies and services, especially in what they expect of clients, rules about clients' daily life choices, and to what extent clients must be governed by the program, and whether or not the programs provide health and treatment services. Comparison studies are becoming more important as clients move more quickly from acute in-patient to community residential care. Moos stresses the need to pay special attention to how programs and services affect clients when conducting evaluations. Evaluating Treatment Environments will be a necessary addition to the libraries of mental health service professionals, as well as sociologists, psychiatrists, psychologists, and social workers.

Cynthia Moniz and Stephen Gorin's Behavioral and Mental Health Care Policy and Practice: A Biopyschosocial Perspective is a new mental health policy textbook that offers students a model for understanding policy in a framework that addresses policy practice. Edited to read like a textbook, each chapter is written by experts on an aspect of mental health policy. The book contains two parts: Part I chronicles and analyzes the evolution of mental health policy; Part II analyzes current policy and teaches students to engage in policy practice issues in different settings and with diverse populations.

A comprehensive introduction to one of the most common psychiatric disorders, a condition that results in intrusive, irrational thoughts and/or repetitive, illogical physical or mental actions. Titles in this Health and Psychology Sourcebooks series address psychological, physical, or environmental conditions that threaten human health and wellbeing. This book presents a comprehensive overview of OCD-one of the five most common psychiatric disorders. Obsessions range from those associated with contamination, safety, and order or symmetry to scrupulosity, or the need the do the "right" thing. Compulsions range from counting, touching, and tapping to excessive cleaning/washing, arranging, or even hoarding. Written by a therapist among the most experienced in the world in dealing with this disorder, this book covers the incidence, symptoms, diagnosis, history, development, and causes, as well as the effects and costs of OCD. It also addresses theory, research, and treatments and offers insight into and case studies illustrating how the disorder displays in society, at work, and in relationships. A glossary of terms, suggested further readings, and resource websites and organizations listing are included. Addresses symptoms, incidence, diagnosis, and treatments Explains development and causes Includes case studies for illustration of concepts Back matter includes a glossary, reading list, and list of organizations and websites

Mental health promotion is an emerging field of interest to many health professionals. This book traces its history, defines it and distinguishes it from mental illness prevention. Mental health is viewed as a positive concept and seperate from mental illness and psychopathology. Based on original research, the conceptual analysis developed in the book offers policy makers and practitioners a coherent and comprehensive framework within which to design and implement practice. Mental Health Promotion:
* offers a new conceptual paradigm for mental health promotion
* applies it to policy, assessment, consultation, education and training
* provides a comprehensive, international literature review
Suitable for a wide variety of courses at student and professional level in psychiatry, nursing, social work and community work, Mental Health Promotion is a significant addition to the study of health promotion.

This text explores the relationship between the planned or built environment and the occurrence of mental ill-health. It begins by providing a broad overview of what is known about the causes of psychopathic behaviour. It then goes on to discuss the issues that arise when attempting to identify: the impact of the environment as a source of stress; the effects that the environment can have on the quality of relationships between people; and the relationship between symbolic aspects of the environment, the planning process and mental health. The book uses analysis and case studies drawn from the UK and US and contains example illustrations of the built environment.

This book was primarily intended for the use of students of medicine, as an introduction to the study of insanity, to give them a general notion of the subject without going into much detail, and incidentally to be of use to them in examinations. It was not intended as an advanced book for those who make a special study of insanity.

Kevin is a sometimes-violent teenager with severe emotional disturbance in a family environment of poverty and stress. In this ethnography of a children's mental health care team, communication scholar Christine S. Davis delves deeply into how members of the team create hope for themselves, for Kevin, and for his family using a strengths orientation and future focus. A rich, evocative narrative that highlights multiple voices and interpretations, Davis provides a multilayered study of how social service workers can motivate and heal troubled families in challenging environments. The volume includes clinical and practice considerations for those working in the social welfare system

Forbidden Narratives: Critical Autobiography as Social Science explores overlapping layers of voices and stories that convey the social relations of psychiatric survivor participation within a community mental health service system. It is written from the perspective of a woman who, in the course of working with the survivor movement, had a physical and emotional breakdown. Ironically, the author found herself personally confronted with issues she typically dealt with only from a distance: as a mental health professional, a researcher, and an activist.
The author of this volume writes herself into her work as a major character. Narratives such as this have traditionally been forbidden as outside proper professional standards. Now they are claiming and receiving attention. Forbidden Narratives has the power to speak to a broad audience not only of mental health professionals but also policy makers, sociologists and feminists. It is about the breaking up of professional discourse. It demonstrates and signals profound changes in the social sciences.

Following their book "Racism and Mental Health," the authors here re-examine the intersections of racism and mental health, adding sexism as another divisive issue that profoundly affects mental health. The book aims to offer fresh perspectives on contemporary controversial issues, including: interracial adoptions, teenage motherhood, gender bias in mental health diagnosis and therapy, prisons used as substitutes for hospitals, homeless families, and increasing violence in the home and on the streets.

"I know my own mind.
I am able to assess others in a fair and accurate way."
These self-perceptions are challenged by leading psychologists Mahzarin R. Banaji and Anthony G. Greenwald as they explore the hidden biases we all carry from a lifetime of exposure to cultural attitudes about age, gender, race, ethnicity, religion, social class, sexuality, disability status, and nationality.
"Blindspot" is the authors' metaphor for the portion of the mind that houses hidden biases. Writing with simplicity and verve, Banaji and Greenwald question the extent to which our perceptions of social groups--without our awareness or conscious control--shape our likes and dislikes and our judgments about people's character, abilities, and potential.
In "Blindspot, " the authors reveal hidden biases based on their experience with the Implicit Association Test, a method that has revolutionized the way scientists learn about the human mind and that gives us a glimpse into what lies within the metaphoric blindspot.
The title's "good people" are those of us who strive to align our behavior with our intentions. The aim of "Blindspot" is to explain the science in plain enough language to help well-intentioned people achieve that alignment. By gaining awareness, we can adapt beliefs and behavior and "outsmart the machine" in our heads so we can be fairer to those around us. Venturing into this book is an invitation to understand our own minds.
Brilliant, authoritative, and utterly accessible, "Blindspot" is a book that will challenge and change readers for years to come.
Praise for "Blindspot"
"Conversational . . . easy to read, and best of all, it has the potential, at least, to change the way you think about yourself."--Leonard Mlodinow, "The New York Review of Books"
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"Accessible and authoritative . . . While we may not have much power to eradicate our own prejudices, we can counteract them. The first step is to turn a hidden bias into a visible one. . . . What if we're not the magnanimous people we think we are?"--"The Washington Post"
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"Banaji and Greenwald deserve a major award for writing such a lively and engaging book that conveys an important message: Mental processes that we are not aware of can affect what we think and what we do. "Blindspot" is one of the most illuminating books ever written on this topic."--Elizabeth F. Loftus, Ph.D., distinguished professor, University of California, Irvine; past president, Association for Psychological Science; author of "Eyewitness Testimony"
"A wonderfully cogent, socially relevant, and engaging book that helps us think smarter and more humanely. This is psychological science at its best, by two of its shining stars."--David G. Myers, professor, Hope College, and author of "Intuition: Its Powers and Perils"
" The authors'] work has revolutionized social psychology, proving that--unconsciously--people are affected by dangerous stereotypes."--"Psychology Today
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"An accessible and persuasive account of the causes of stereotyping and discrimination . . . Banaji and Greenwald will keep even nonpsychology students engaged with plenty of self-examinations and compelling elucidations of case studies and experiments."--"Publishers Weekly"
"A stimulating treatment that should help readers deal with irrational biases that they would otherwise consciously reject."--"Kirkus Reviews"

"From the Hardcover edition."

This revised and updated second edition is a rhetorical analysis of written communication in the mental health community. As such, it contributes to the growing body of research being done in rhetoric and composition studies on the nature of writing and reading in highly specialized professional discourse communities. Many compelling questions answered in this volume include:
* What "ideological biases" are reflected in the language the nurse/rhetorician uses to talk to and talk about the patient?
* How does language figure into the process of constructing meaning in this context?
* What social interactions -- with the patient, with other nurses, with physicians -- influence the nurse's attempt to construct meaning in this context?
* How do the readers of assessment construct their own meanings of the assessment?
Based on an ongoing collaboration between composition studies specialists and mental health practitioners, this book presents research of value not only to writing scholars and teachers, but also to professional clinicians, their teachers, and those who read mental health records in order to make critically important decisions. It can also be valuable as a model for other scholars to follow when conducting similar long-range studies of other writing-intensive professions.

Here is a work of profound clinical scope from some of the foremost leaders in psychology. Propagations: Thirty Years of Influence From the Mental Research Institute, written by alumni and disciples of the Institute (MRI), is not just a compliment to the MRI influence, but also a way for readers to discover and savor the important contributions of those influenced by the MRI. The book contains the cutting edge thinking of some of the most respected clinicians from across the globe. The authors describe their application of ideas pioneered at the MRI, demonstrating its broad influence on present day leaders of family and brief therapy. Chapters range from the theoretical to the case study, tied together by the theme of how this amazing institute has widely impacted therapeutic thought. The book clarifies the depth and power of the MRI influence, which extends to theory, all aspects of psychotherapy practice, other professions, and other lands. Propagations offers outstanding conceptualizations, teaching, writing, and clinical and non-clinical therapy ideas that are immediately useful to clinicians, academic researchers, students, and other individuals interested in how people change.The book's introduction provides background information on MRI and includes a condensed transcript of a "trialog" which took place between Jules Riskin, Paul Watzlawick, and John Weakland conveying MRI's origins, traditions, and ethos. Propagations then breaks into four sections. Influencing Fields of Interest and Viewpoints examines MRI influence beyond the specific field of psychotherapy. Influences on Clinical Work looks at MRI's influence on professional groups and contains clinicians'reflections on how contact with MRI theory and practice has influenced their work. Changes in Venue shows utilization of MRI approaches across cultural and professional borders, while The Outer Reaches looks beyond the specifics of psychotherapy. This inviting book reflects a wide variety of approaches, styles, and subjects, and ranges from preliminary musings to formal reports. This diversity offers a useful example of how new ideas and related practices develop and diversify from a broad common core. Readers can discover how interactional principles are being implemented in different nations, practice settings, and theoretical applications. Family and brief therapists, counselors and counselor educators, and professionals in related fields will find Propagations a source of useful information, thoughtful recollection, and stimulation for future activities.

Is the involuntary commitment of the mentally ill morally proper? How can we determine proper psychiatric care in a managed health care system? And can a mental health professional violate patient's confidentiality when they believe a patient is a threat to someone? In six non-ideological essays, leading bioethicists, including one with practical experience in medical administration, search for clear moral and legal guidelines for dealing with the complex issues presented when treating mentally ill patients. Objective and readily understandable, Mental Illness and Public Health Care illuminates for the educated reader some of the key ethical issues facing mental health care professionals and provides convincing practical conclusions with real moral import.

My Kid is Driving Me Crazy helps mothers thrive while living with a child with mental illness. Mental illness in a loved one sucks! Some days, all moms want to do is stay in bed, because facing reality seems insurmountable. Living with her son, who suffers from depression, anxiety, and oppositional defiance disorder (ODD), taught life coach Tamara Arnold how to become the successful woman she is today. Tamara spent years going to therapy, for herself and with her son, learning how to balance living with mental health with having a strong sense of self. My Kid is Driving Me Crazy helps other who are living with people with mental illness learn to separate themselves from the chaos, redefine who they are, and figure out what they want for their future.

Increasingly, planners and practitioners are considering setting up a greater level of preventive mental health care at a local level. "Preventing Mental Illness in Practice" aims to inform their decisions by describing characteristics of "good practice", and identifying a number of promising approaches which are described in some detail. The review represents the second stage of a prevention research project set up by MIND (National Association for Mental Health). The criteria used for identifying good practice are that the project: is targetted towards people known to be at high resk of mental illness; makes maximum use of existing natural, voluntary of community support networks; and supports people in a way that enhances their capacity to control their own life circumstances. The projects selected cover the life stages - from pregnancy and early childhood to old age. They are discussed in the context of relevant research findings which give the rationale for the approach. Ten different projects or services are described: what is provided, how the target group is engaged, the resources required, management problems, and evidence of effectiveness.

This is the first work to condense the large literature on explanatory style -- one's tendency to offer similar sorts of explanations for different events. This cognitive variable has been related to psychopathology, physical health, achievement and success. Compiled by experts in the fields of depression, anxiety, psychoneuroimmunology and motivation, this volume details our current level of understanding, outlines gaps in our knowledge, and discusses the future directions of the field.
Data from a vast number of studies are presented, including results from studies not previously reported. Coverage includes sections on cross-cultural comparisons, life-span and development issues, and gender differences; and an extensive description of the measurement of explanatory style offering questionnaire and content-analysis methods for children, college populations and adults. This work is thus a valuable tool for anyone involved in research on the etiology and treatment of depression, cognitive therapy, motivation and emotion, and the link between physical and psychological well-being.

This book examines new developments in provisions for people with learning disabilities. It establishes the current network of services as a base and reduces aspects of the NHS, Community Care Act (1990) and Disabled Persons Act (1986) to terminology accessible to professionals and others engaged in this area. Building on "Services for the Mentally Handicapped in Britain" (Malin, Race and Jones, 1980), it includes additional chapters such as advocacy/empowerment and recreation and leisure. Other parts of the book consider in more detail concepts engendered in the new legislation: care-management and assessment, quality and inspection, and inter-agency planning. The book aims to provide a broad review of material based on research and local developments in deinstitutionalization and community care, residential, day care, voluntary and educational services. It should be of interest to students and professional staff in psychology, teaching, medicine, nursing, social work and the voluntary sector concerned with people with learning disabilities.

Originally published in 1986, the volume is organized into three parts: Basic Issues, Models and Settings, and Evaluation and Development. The Editors begin with a description of the major conceptual dimensions and the fundamental questions that affect the practice of school psychology. Part 2 focuses on psychological service delivery issues as they are affected by particular models of service delivery and the settings in which a service is provided. Part 3 consists of various evaluation and development issues that influence school psychology. Taken together, the chapters provide a comprehensive view of major service delivery issues within school psychology. In addition, virtually all of the chapters offer suggestions about needed directions for the field and many identify avenues by which these new directions can be accomplished.

Inappropriate health care is an escalating and expensive problem. It affects high income, middle income, and low income countries and wastes billions of dollars annually as well as harming individuals and communities. Inappropriate care refers to both the overuse and underuse of tests and treatments and, ironically, can occur concurrently within the same health system. Even though patient-centred care is still the prevailing ethos, specifying where patients should be situated geographically has not required health professionals to consider the preferences, values, and priorities of patients when making treatment decisions. Patient-perspective care demands that the decisions health professionals make are in the service of patient's goals. Health care, ultimately, is helping individuals to live the lives they would wish for themselves. In order to meet this imperative, health professionals must work towards understanding what their patients would like to achieve through their engagement with health services. This book details the extent and scope of inappropriate care and how we have arrived in this position. The necessity for patient-perspective care is outlined and provides a theoretical framework that explains why patient-perspective care is so critical. The implications of this theory are then explored and specific strategies for moving towards a patient-perspective approach are discussed. This book is entirely original and describes a novel, fresh approach to delivering health services. Many long-standing and expensive problems such as missed appointments will disappear and patients will be more satisfied with the treatments they receive. Health services generally will be more efficient and effective leading to more sustainable and affordable health care.

First published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

This book explores the philosophy, theory and practice of the person-centred approach in the context of both contemporary psychiatry and mental health services provided by the UK's National Health Service. It discusses wider applications of the person-centred approach.

Research on language and communication development and intervention in persons with mental retardation has been conducted at a fast and furious pace during the last two decades. Past attempts to summarize this research have been rather restricted, focusing on a single, narrowly defined substantive domain such as lexical development, or of a single etiology such as Down Syndrome.
This volume, in contrast, presents a critical, integrative review of research and theory on language development and processing across all domains and a variety of etiologies. In addition, many previous attempts to review portions of this research have failed to consider the research within the context of current theory and data from developmental psycholinguistics and linguistics. A major contribution of this book is the emphasis on relevant work outside of mental retardation for understanding and treating the language and communication problems of persons with mental retardation. Finally, this book is comprehensive and up-to-date across all the areas of language covered including appropriate introductory material in linguistics and psychology -- discussions of the innateness, cognition-first and motherese views of normal language acquisition. In addition, the authors' extensive bibliography is valuable in and of itself to any serious student or professional in the area.

Dementia: The Basics provides the reader with a clear and compassionate introduction to dementia and an accessible guide to dealing with different parts of the dementia journey, from pre-diagnosis and diagnosis to post-diagnostic support, increasing care needs and end of life care.

Co-authored by an academic, a person living with dementia and a family carer, the book endeavours to raise awareness of dementia, challenge stereotypical and negative ideas about what it means to have dementia and champion a society where people living with dementia can be active as they wish for as long as possible. The authors present an overview of current research at each step of the dementia journey as well as including knowledge from lived experience, enhancing understanding and challenging thinking about what it might be like to live with a diagnosis or to care for a loved one. As a whole, the book emphasises the importance of prioritising the person living with dementia, as well as considering the impact of what any initiative or action might mean for them, their families and their care supporters.

Offering both an accessible introduction to dementia and practical tools, this book will be ideal for health and social care professionals, students of social care, health care and nursing, people with dementia, carers and anyone wanting to understand more about the condition.

Table of Contents

Section 1 Introduction

Chapter 1: Introduction

Chapter 2: Pre-diagnosis

Chapter 3: Diagnosis of dementia

Section 2 Introduction

Chapter 4: Post-diagnostic support for the person living with dementia

Chapter 5: The post-diagnostic support needs of family members and friends who provide care and support

Chapter 6: Supporting the person living with dementia and their care supporter together

Section 3 Introduction

Chapter 7: Care need transitions in the journey with dementia

Chapter 8: End of Life Care

Chapter 9: Conclusion

Publicity about neuroscientific research into the dementias spreads quickly compared to the advances made in the field of care-giving. In the absence of cures or treatments for dementia, improving the individual's experience of care and stimulating their capacity for happiness is a more realistic goal than improved cognition. In this comprehensive collection of contributions from America, Australia, Britain and other European countries, the reader can find up-to-date and practical information on research and the latest approaches to care-giving from a multidisciplinary and multiprofessional perspective.

This engaging book pulls together the individual strains of self-care, spirituality and common sense. It is a one-stop 'bible' to give social workers and other professionals an uncomplicated, easy to read resource that empowers them to manage and maintain their well-being through personal responsibility and self-care. The world today is fast paced and societal expectations for impeccable service are high. We cannot always alter the demands of our professional or personal lives, but by actively pursuing well-being we can enhance skills to support open discussion in supervision (or in personal reflection) so that individuals (and organisations) can successfully rise to meet challenges head on and reduce the risks associated with burnout. Building on the authors' years of personal experience, this book Brings together everything professionals need for their own self-care through a range of practical activities Gives you tried and tested self-care ideas backed by the latest research Allows you as professionals to take a holistic approach to a range of subjects that people usually explore in isolation.