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Books > Medicine > General issues > Health systems & services > Mental health services

Autodisciplina y Fortaleza Mental Para el Exito y la Felicidad 2 en 1 - Desarrolla tu disciplina, construye habitos diarios... Autodisciplina y Fortaleza Mental Para el Exito y la Felicidad 2 en 1 - Desarrolla tu disciplina, construye habitos diarios saludables y supera la procrastinacion y encontrar la verdadera libertad (Spanish, Hardcover)
Stewart Hunter
R658 Discovery Miles 6 580 Ships in 12 - 19 working days
Community-Based Psychological First Aid - A Practical Guide to Helping Individuals and Communities during Difficult Times... Community-Based Psychological First Aid - A Practical Guide to Helping Individuals and Communities during Difficult Times (Paperback)
Gerard A Jacobs
R1,266 Discovery Miles 12 660 Ships in 12 - 19 working days

Community-Based Psychological First Aid: A Practical Guide to Helping Individuals and Communities during Difficult Times presents a practical method for helping those in need in difficult times. No advanced training in psychology is needed to use it. Injuries from disasters, terrorist events, and civil unrest are not just physical. These events also cause psychological trauma that can do lasting damage. Psychological First Aid (PFA) draws on human resilience and aims to reduce stress systems and help those affected recover. It is not professional psychotherapy, and those providing this kind of aid do not need a degree to help. Gerard Jacobs has developed this community-based method of delivering PFA over 20 years and has taught it in over 30 countries. Along with the easy-to-follow method, Jacobs includes examples of how this works in action in different situations, and presents scenarios to practice. Unique in its approach of community engagement to train community members to help each other, this guide is an excellent resource for local emergency managers to engage in whole community emergency management.

Mental Health and The Built Environment - More Than Bricks And Mortar? (Hardcover, illustrated edition): David Halpern Mental Health and The Built Environment - More Than Bricks And Mortar? (Hardcover, illustrated edition)
David Halpern
R5,834 Discovery Miles 58 340 Ships in 12 - 19 working days

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.

The International Handbook of Black Community Mental Health (Hardcover): Richard J. Major, Karen Carberry, Theodore S. Ransaw The International Handbook of Black Community Mental Health (Hardcover)
Richard J. Major, Karen Carberry, Theodore S. Ransaw
R5,511 Discovery Miles 55 110 Ships in 12 - 19 working days

This is the first international handbook on Black community mental health, focussing on key issues including stereotypes in Mental health, misdiagnoses, and inequalities/discrimination around access, services and provisions. Making use of a cultural competence framework throughout, the book covers many of the classic mental health/developmental areas such as schizophrenia, mental health disorders, ASD and ADHD, but it also looks at more controversial areas in mental health, like inequalities, racism and discrimination both in practice and in graduate school training and the supervisory experiences of black students in universities. Unique among traditional academic texts addressing mental health, the book presents rich personal accounts from Black therapists and students. Many Black students who are training to become therapists or academics in mental health report negative experiences with white university staff in terms of a lack of support, encouragement, resulting in poor graduation outcomes.While institutional racism is a major issue both in society and universities, the editors of this Handbook take personal-level racism, microaggression and everyday racism as better models for understanding and analysing both these students; racialised interaction/communication experiences with white staff at university, as well as the racialised communications and inequalities in misdiagnoses, access to services and provisions in healthcare settings with white managers.

Spiritual and Mental Health Crisis in Globalizing Senegal - A History of Transcultural Psychiatry (Hardcover): Alice Bullard Spiritual and Mental Health Crisis in Globalizing Senegal - A History of Transcultural Psychiatry (Hardcover)
Alice Bullard
R4,484 Discovery Miles 44 840 Ships in 12 - 19 working days

Spiritual and Mental Health Crisis in Globalizing Senegal explores the history of mental health in Senegal, and how psychological difficulties were expressed in the terms of spiritualism, magic, witchcraft, spirit possession, and ancestor worship. Focused on the effervescent and fruitful early post-colonial years at the Fann Hospital, situated at the famed University of Dakar, Cheikh Anta Diop, this book reveals provocative treatment innovations via case studies of individuals struggling for health and healing, and thus operates as a suspension bridge between scholarship on witchcraft and magic on the one side and the history psychiatry and psychoanalysis on the other. Through these case studies, this book creates a new route of exchange for healing knowledge for a broad array of West African spiritual troubles, mental illness, magic, soul cannibalism, witchcraft, spirit possession, and psychosis.

Emotional Intelligence & Critical Thinking Skills For Leadership (2 in 1) - 20 Must Know Strategies To Boost Your EQ, Improve... Emotional Intelligence & Critical Thinking Skills For Leadership (2 in 1) - 20 Must Know Strategies To Boost Your EQ, Improve Your Social Skills & Self-Awareness And Become A Better Leader (Paperback)
Stewart Hunter
R500 R469 Discovery Miles 4 690 Save R31 (6%) Ships in 10 - 15 working days
Mental Health: Clinical Perspectives (Hardcover): John Dalvi Mental Health: Clinical Perspectives (Hardcover)
John Dalvi
R3,584 R3,235 Discovery Miles 32 350 Save R349 (10%) Ships in 10 - 15 working days
The Family Therapy Treatment Planner, with DSM-5 Updates, 2e (Paperback, 2 Revised Edition): F.M. Dattilio The Family Therapy Treatment Planner, with DSM-5 Updates, 2e (Paperback, 2 Revised Edition)
F.M. Dattilio
R1,691 Discovery Miles 16 910 Ships in 12 - 19 working days

This timesaving resource features: * Treatment plan components for 40 behaviorally based presenting problems * Over 1,000 prewritten treatment goals, objectives, and interventions plus space to record your own treatment plan options * A step-by-step guide to writing treatment plans that meet the requirements of most accrediting bodies, insurance companies, and third-party payors * Includes new Evidence-Based Practice Interventions as required by many public funding sources and private insurers PracticePlanners(R) THE BESTSELLING TREATMENT PLANNING SYSTEM FOR MENTAL HEALTH PROFESSIONALS The Family Therapy Treatment Planner, Second Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal agencies. * New edition features empirically supported, evidence-based treatment interventions * Organized around 40 main presenting problems including child/parent conflicts, depression, abuse, death and loss issues, blended family problems, and loss of family cohesion * Over 1,000 prewritten treatment goals, objectives, and interventions plus space to record your own treatment plan options * Easy-to-use reference format helps locate treatment plan components by behavioral problem * Designed to correspond with The Family Therapy Progress Notes Planner, Second Edition and the Brief Family Therapy Homework Planner, Second Edition * Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies including CARF, The Joint Commission (TJC), COA, and the NCQA Additional resources in the PracticePlanners(R) series: Progress Notes Planners contain complete, prewritten progress notes for each presenting problem in the companion Treatment Planners. Homework Planners feature behaviorally based, ready-to-use assignments to speed treatment and keep clients engaged between sessions. For more information on our PracticePlanners(R), including our full line of Treatment Planners, visit us on the Web at: www.wiley.com/practiceplanners

The Gambling Establishment - Challenging the Power of the Modern Gambling Industry and its Allies (Paperback): Jim Orford The Gambling Establishment - Challenging the Power of the Modern Gambling Industry and its Allies (Paperback)
Jim Orford
R1,244 Discovery Miles 12 440 Ships in 12 - 19 working days

There are now signs that, after decades of phenomenal growth, the era of unrestrained gambling liberalisation may be coming to an end. However, the power of the Gambling Establishment is formidable, and it will certainly fight back. Drawing on research and policy examples from around the world, the book provides a unified understanding of the dangerousness of modern commercialised gambling, how its expansion has been deliberately or inadvertently supported, and how the backlash is now occurring. The term Gambling Establishment is defined to include the industry which sells gambling, governments which support it, and a wider network of organisations and individuals who have subscribed to the 'responsible gambling' Establishment discourse. Topics covered include the psychology of how gambling is now being advertised and promoted and the way it is designed to deceive gamblers about their chances of winning; the increased exposure of young people to gambling and the alignment of gambling with sport; understanding the experience of gambling addiction; the various public health harms of gambling at individual, family, community and societal levels; and how evidence has been used to resist change. The book's final chapter offers the author's manifesto for policy change, designed with Britain particularly in mind but likely to have relevance elsewhere. With detailed examples given of the ways a number of countries are responding to these threats to their citizens' health, this book will be of global interest for academics, researchers, policymakers and service providers in the field of gambling or other addictions specifically, and public health and social policy generally.

Destroying Sanctuary - The Crisis in Human Service Delivery Systems (Hardcover): Sandra L. Bloom, Brian Farragher Destroying Sanctuary - The Crisis in Human Service Delivery Systems (Hardcover)
Sandra L. Bloom, Brian Farragher
R2,220 Discovery Miles 22 200 Ships in 12 - 19 working days

For the last thirty years, the nation's mental health and social service systems have been under relentless assault, with dramatically rising costs and the fragmentation of service delivery rendering them incapable of ensuring the safety, security, and recovery of their clients. The resulting organizational trauma both mirrors and magnifies the trauma-related problems their clients seek relief from. Just as the lives of people exposed to chronic trauma and abuse become organized around the traumatic experience, so too have our social service systems become organized around the recurrent stress of trying to do more under greater pressure: they become crisis-oriented, authoritarian, disempowered, and demoralized, often living in the present moment, haunted by the past, and unable to plan for the future.
Complex interactions among traumatized clients, stressed staff, pressured organizations, and a social and economic climate that is often hostile to recovery efforts recreate the very experiences that have proven so toxic to clients in the first place. Healing is possible for these clients if they enter helping, protective environments, yet toxic stress has destroyed the sanctuary that our systems are designed to provide.
This thoughtful, impassioned critique of business as usual begins to outline a vision for transforming our mental health and social service systems. Linking trauma theory to organizational function, Destroying Sanctuary provides a framework for creating truly trauma-informed services. The organizational change method that has become known as the Sanctuary Model lays the groundwork for establishing safe havens for individual and organizational recovery. The goals are practical: improve clinical outcomes, increase staff satisfaction and health, increase leadership competence, and develop a technology for creating and sustaining healthier systems. Only in this way can our mental health and social service systems become empowered to make a more effective contribution to the overall health of the nation.
Destroying Sanctuary is a stirring call for reform and recovery, required reading for anyone concerned with removing the formidable barriers to mental health and social services, from clinicians and administrators to consumer advocates.

Practical Approaches to Applied Research and Program Evaluation for Helping Professionals (Paperback): A. Stephen Lenz, Casey... Practical Approaches to Applied Research and Program Evaluation for Helping Professionals (Paperback)
A. Stephen Lenz, Casey A. Barrio Minton
R2,493 Discovery Miles 24 930 Ships in 12 - 19 working days

Practical Approaches to Applied Research and Program Evaluation for Helping Professionals is a comprehensive textbook that presents master's-level counseling students with the skills and knowledge they need to successfully evaluate the effectiveness of mental health services and programs. Each chapter, aligned with 2016 Council for Accreditation of Counseling and Related Educational Programs (CACREP) standards, guides counseling students through study design and evaluation fundamentals that will help them understand existing research and develop studies to best assess their own applied research questions. Readers will learn the basics of research concepts as applied to evaluative tasks, the art of matching evaluative methods to questions, specific considerations for practice-based evaluative tasks, and practical statistical options matched to practice-based tasks. Readers can also turn to the book's companion website to access worksheets for practitioner and student planning exercises, spreadsheets with formulas for basic data analysis, a sample database, PowerPoint outlines , and discussion questions and activities aligned to each chapter.

Inteligencia Emocional - Como aumentar su EQ, mejorar sus habilidades sociales, la autoconciencia, las relaciones, el carisma,... Inteligencia Emocional - Como aumentar su EQ, mejorar sus habilidades sociales, la autoconciencia, las relaciones, el carisma, la autodisciplina, ser empatico y aprender PNL (Spanish, Hardcover)
Steven Turner
R522 R487 Discovery Miles 4 870 Save R35 (7%) Ships in 10 - 15 working days
Alzheimer's Day Care - A Basic Guide (Paperback, New): David A Linderman, Nancy H. Corby, Rachel Downing, Beverly Sanborn Alzheimer's Day Care - A Basic Guide (Paperback, New)
David A Linderman, Nancy H. Corby, Rachel Downing, Beverly Sanborn
R1,377 Discovery Miles 13 770 Ships in 12 - 19 working days

This is a guide which offers advice to individuals, organizations and agencies on how to develop day care programmes for patients with Alzheimer's disease or a related dementia. At the same time, the book offers guidance to those who intend to adapt an established day care programme for the needs of Alzheimer sufferers. A range of programme aspects are covered from administration, financing, fund raising, public relations, client issues, program activities, problems facing participants' families, programme evaluation and supplementary resources.

Ten Days in a Mad House (Paperback): Nellie Bly Ten Days in a Mad House (Paperback)
Nellie Bly; Contributions by Mint Editions
R148 Discovery Miles 1 480 Ships in 12 - 19 working days

Ten Days in a Mad-House (1887) is a book by American investigative journalist Nellie Bly. For her first assignment for Joseph Pulitzer's famed New York World newspaper, Bly went undercover as a patient at a notorious insane asylum on Blackwell's Island. Spending ten days there, she recorded the abuses and neglect she witnessed, turning her research into a sensational two-part story for the New York World later published as Ten Days in a Mad-House. Checking into a New York boardinghouse under a false identity, Bly began acting in a disturbed, unsettling manner, prompting the police to be summoned. In a courtroom the next morning, she claimed to be suffering from amnesia, leading to her diagnosis as insane from several doctors. Sent to the Women's Lunatic Asylum, Bly spent ten days witnessing and experiencing rampant abuse and neglect. There, she noticed that many of the patients, who were constantly beaten and belittled by violent nurses and staff members, seemed perfectly sane or showed signs of having their conditions severely worsened during their time at the asylum. Served spoiled food, forced to live in squalor, and given ice-cold baths by unsympathetic attendants, the patients she met during her stay seemed as though abandoned by a city that had sent them there for the supposed purpose of healing. Showcasing her skill as a reporter and true pioneer of investigative journalism, Bly published her story to a captivated and inspired audience, setting in motion a process of reform that would change the city's approach to its asylums for the better. With a beautifully designed cover and professionally typeset manuscript, this edition of Nellie Bly's Ten Days in a Mad-House is a classic work of American investigative journalism reimagined for modern readers.

Casebook in Abnormal Psychology (Paperback, 5th edition): David Barlow, Timothy Brown Casebook in Abnormal Psychology (Paperback, 5th edition)
David Barlow, Timothy Brown
R1,212 R1,128 Discovery Miles 11 280 Save R84 (7%) Ships in 10 - 15 working days

See disorders as they appear in real life with CASEBOOK IN ABNORMAL PSYCHOLOGY! Using authentic cases illustrating every major DSM-5 category, this psychology text portrays the nature of disorders manifested in real people. Each case is followed by a therapy outcome section telling you the rest of the client's treatment story. Three complex cases are included without a diagnosis, so you can develop your own.

Advances in Group Work Research (Hardcover): Aaron Brower, Sheldon D. Rose Advances in Group Work Research (Hardcover)
Aaron Brower, Sheldon D. Rose
R3,050 R2,573 Discovery Miles 25 730 Save R477 (16%) Ships in 12 - 19 working days

In this comprehensive overview of the state of the art in the field, group workers and social scientists explore group research issues. Learn how they grapple with the major problems associated with doing research on treatment groups. While discussing the outcomes of their group treatment programs, the authors address such issues as non-random assignment, impact of group process on outcome, retrospective research design, the unit of analysis, multivariate analysis, single-case designs, and small samples. Each insightful chapter illustrates the decisions and compromises that researchers must make to explore group phenomenon and treatment. Advances in Group Work Research is an ideal supplementary text or casebook for practice-research courses. It will also be useful for those interested in empirical group work, group research, and practice research generally.This book presents a sample of papers from the last three years'Annual Symposium on Empirical Foundations of Group Work.

Como Analizar a las Personas y Dominio del Lenguaje Corporal 2 en 1 - Una Guia Practica Para Leer a las Personas, la... Como Analizar a las Personas y Dominio del Lenguaje Corporal 2 en 1 - Una Guia Practica Para Leer a las Personas, la Inteligencia Emocional (IE) y Protegerte la manipulacion de la psicologia oscura (Spanish, Hardcover)
Wesley Armstrong
R772 R688 Discovery Miles 6 880 Save R84 (11%) Ships in 10 - 15 working days
Humanising Mental Health Care in Australia - A Guide to Trauma-informed Approaches (Paperback): Richard Benjamin, Joan... Humanising Mental Health Care in Australia - A Guide to Trauma-informed Approaches (Paperback)
Richard Benjamin, Joan Haliburn, Serena King
R1,367 Discovery Miles 13 670 Ships in 9 - 17 working days

Humanising Mental Health Care in Australia is a unique and innovative contribution to the healthcare literature that outlines the trauma-informed approaches necessary to provide a more compassionate model of care for those who suffer with mental illness. The impact of abuse and trauma is frequently overlooked in this population, to the detriment of both individual and society. This work highlights the importance of recognising such a history and responding humanely. The book explores the trauma-informed perspective across four sections. The first outlines theory, constructs and effects of abuse and trauma. The second section addresses the effects of abuse and trauma on specific populations. The third section outlines a diverse range of individual treatment approaches. The final section takes a broader perspective, examining the importance of culture and training as well as the organisation and delivery of services. Written in an accessible style by a diverse group of national and international experts, Humanising Mental Health Care in Australia is an invaluable resource for mental health clinicians, the community managed and primary health sectors, policy makers and researchers, and will be a helpful reference for people who have experienced trauma and those who care for them.

Mental Health - Global Policies and Human Rights (Paperback): P Morall Mental Health - Global Policies and Human Rights (Paperback)
P Morall
R1,777 Discovery Miles 17 770 Ships in 12 - 19 working days

Mental health has become a global issue. Throughout both the developed and developing worlds, the treatment and care of the mentally disordered, and the need to improve the mental health of all citizens, has become a major political and professional concern.

This text sets out to monitor and analyse what supra-national and national policies have been and are being implemented, and to indicate what general themes and contradictions exist in the delivery of these policies. The implications from this review are then applied to professional practice - in particular that of the psychiatric disciplines (psychiatry and mental health nursing).

A series of case studies from across the world is presented. Each is written by a pre-eminent scholar in the field of mental health policy within a selected country. The case studies have been chosen on the basis of their geographical location to ensure that there is a spread of exemplars from across the world and/or because of a unique approach to managing the mentally disordered.

Pediatric Palliative Care - A Model for Exemplary Practice (Paperback): Betty Davies, Rose Steele Pediatric Palliative Care - A Model for Exemplary Practice (Paperback)
Betty Davies, Rose Steele; Series edited by Darcy L. Harris; Jennifer Baird; Series edited by Robert A. Neimeyer
R1,106 Discovery Miles 11 060 Ships in 12 - 19 working days

This new evidence-based model, derived from a study of parents and exemplary clinicians, offers a clear presentation of the complex process of interaction between healthcare providers and parents of seriously ill children. A unique aspect of the book is that it is based on the study of excellence rather than focusing on what did not go well. This model gives clinicians practical strategies for optimizing interactions with parents of seriously ill children. Moving beyond the prevalent idea of communication as a step-by-step procedure, this book demonstrates the complex and holistic nature of interaction in healthcare.

Mental Health Social Work Reimagined (Paperback): Ian Cummins Mental Health Social Work Reimagined (Paperback)
Ian Cummins
R722 Discovery Miles 7 220 Ships in 12 - 19 working days

Taking a critical and radical approach, this book calls for a return to mental health social work that has personal relationships and an emotional connection between workers and those experiencing distress at its core. The optimism that underpinned the development of community care policies has dissipated to be replaced by a form of bleak managerialism. Neoliberalism has added stress to services already under great pressure and created a danger that we could revert to institutional forms of care. This much-needed book argues that the original progressive values of community care policies need to be rediscovered, updated and reinvigorated to provide a basis for a mental health social work that returns to fundamental notions of dignity and citizenship.

Building a New Community Psychology of Mental Health - Spaces, Places, People and Activities (Paperback, 1st ed. 2017): Carl... Building a New Community Psychology of Mental Health - Spaces, Places, People and Activities (Paperback, 1st ed. 2017)
Carl Walker, Angie Hart, Paul Hanna
R2,136 Discovery Miles 21 360 Ships in 10 - 15 working days

This book provides a much-needed account of informal community-based approaches to working with mental distress. It starts from the premise that contemporary mainstream psychiatry and psychology struggle to capture how distress results from complex embodied arrays of social experiences that are embedded within specific historical, cultural, political and economic settings. The authors challenge mainstream understandings of mental health that position a naive public in need of mental health literacy. Instead it is clear that a considerable amount of invaluable mental distress work is undertaken in spaces in our communities that are not understood as mental health treatments. This book represents one of the first attempts to position these kinds of spaces at the center of how we understand and address problems of mental distress and suffering. The chapters draw on case studies from the UK and abroad to point toward an exciting new paradigm based on informal community and socially oriented approaches to mental health. Written in an unusually accessible and engaging style, this book will appeal to social science students, academics, practitioners and policy makers interested in community and social approaches to mental health.

Dynamic Pathways to Recovery from Alcohol Use Disorder - Meaning and Methods (Hardcover): Jalie A. Tucker, Katie Witkiewitz Dynamic Pathways to Recovery from Alcohol Use Disorder - Meaning and Methods (Hardcover)
Jalie A. Tucker, Katie Witkiewitz
R3,890 Discovery Miles 38 900 Ships in 12 - 19 working days

Alcohol use disorder is by far the most prevalent substance use disorder in the general population and is a major contributor to disease worldwide. Recovery from the disorder is a dynamic process of change, and individuals take many different routes to resolve their alcohol problems and seek to achieve a life worth living. Total abstention is not the only solution and robust recovery involves more than changing drinking practices. This volume brings together multidisciplinary research on recovery processes, contexts, and outcomes as well as new ideas about the multiple pathways involved. Experts chart the individual, social, contextual, community, economic, regulatory, policy, and structural influences that are vital to understanding alcohol use disorder and recovery. The book recommends new approaches to conceptualizing and assessing recovery alongside new avenues for research, community engagement, and policy that constitute a major shift in the practice and policy landscape.

Improving the Mental Health Consultation - Introducing a short circuit tool to aid patient understanding and dispel stigma... Improving the Mental Health Consultation - Introducing a short circuit tool to aid patient understanding and dispel stigma (Paperback)
Shammy Noor
R894 Discovery Miles 8 940 Ships in 12 - 19 working days

Patients with mental health issues present frequently in primary care and their consultations are often more challenging and time-consuming than those involving physical illness. For many patients there remains a significant stigma associated with mental ill-health and overcoming this adds further complexity to the consultation. Improving the Mental Health Consultation provides a simple 'short circuit' tool to help GPs and other healthcare professionals to explain mental health problems simply and effectively to their patients. The tool is straightforward, easy to convey within the confines of a 10-minute consultation and extremely effective in helping to break down the stigma that patients often feel. The tool has been developed and refined during over ten years of consultations in primary care. The detailed explanations of how to use the tool during the consultation, along with the extensive case studies, will help you to improve your mental health consultations and so help your patients deal better with their diagnosis. From anxiety to OCD and chronic fatigue to fibromyalgia, the book also provides detailed coverage of diagnosis and classification using ICD-11 and DSM-IV, and management using the latest NICE guidelines.

Managing Madness in the Community - The Challenge of Contemporary Mental Health Care (Hardcover, New): Kerry Michael Dobransky Managing Madness in the Community - The Challenge of Contemporary Mental Health Care (Hardcover, New)
Kerry Michael Dobransky
R3,161 Discovery Miles 31 610 Ships in 12 - 19 working days

While mental illness and mental health care are increasingly recognized and accepted in today's society, awareness of the most severely mentally ill-as well as those who care for them-is still dominated by stereotypes. Managing Madness in the Community dispels the myth. Readers will see how treatment options often depend on the social status, race, and gender of both clients and carers; how ideas in the field of mental health care-conflicting priorities and approaches-actually affect what happens on the ground; and how, amid the competing demands of clients and families, government agencies, bureaucrats and advocates, the fragmented American mental health system really works-or doesn't. In the wake of movies like One Flew Over the Cuckoo's Nest and Shutter Island, most people picture the severely or chronically mentally ill being treated in cold, remote, and forbidding facilities. But the reality is very different. Today the majority of deeply troubled mental patients get treatment in nonprofit community organizations. And it is to two such organizations in the Midwest that this study looks for answers. Drawing upon a wealth of unique evidence-fifteen months of ethnographic observations, 91 interviews with clients and workers, and a range of documents-Managing Madness in the Community lays bare the sometimes disturbing nature and effects of our overly complex and disconnected mental health system. Kerry Michael Dobransky examines the practical strategies organizations and their clients use to manage the often-conflicting demands of a host of constituencies, laws, and regulations. Bringing to light the challenges confronting patients and staff of the community-based institutions that bear the brunt of caring for the mentally ill, his book provides a useful broad framework that will help researchers and policymakers understand the key forces influencing the mental health services system today.

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