The system isn’t broken, Mr. Nibbles. It was designed this way. Theodore is a bear with wild mood swings. When he is up, he carves epic poetry into tree trunks. When he is down, he paints sad faces on rocks and turtle shells. In search of prescription medications that will bring stability to his life, Theodore finds a job with health insurance benefits. He gets the meds, but when he can’t pay the psychiatrist’s bill, he becomes lost in the Labyrinth of Health Insurance Claims. This witty and colorful tale follows the comical exploits of Theodore, a loveable and relatable bear, as he copes with bipolar disorder, navigates the inequities of capitalist society, founds a commune, and becomes an activist, all the while accompanied by a memorable cast of characters—fat-cat insurance CEOs, a wrongfully convicted snake, raccoons with tommy guns, and an unemployed old dog who cannot learn new tricks. Entertaining, whimsical, and bitingly satirical, Bipolar Bear is a fable for grownups that manages the delicate balance of addressing society’s ills while simultaneously presenting a hopeful vision for the world.

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.

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.

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.

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.

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.

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 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.

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.

Military psychology has become one of the world's fastest-growing disciplines with ever-emerging new applications of research and development. The Routledge International Handbook of Military Psychology and Mental Health is a compendium of chapters by internationally renowned scholars in the field, bringing forth the state of the art in the theory, practice and future prospects of military psychology. This uniquely interdisciplinary volume deliberates upon the current issues and applications of military psychology not only within the military organization and the discipline of psychology, but also in the larger context of its role of building a better world. Split into three parts dedicated to specific themes, the first part of the book, "Military Psychology: The Roots and the Journey," provides an overview of the evolution of the discipline over the years, delving into concepts as varied as culture and cognition in the military, a perspective on the role of military psychology in future warfare and ethical issues. The second part, "Soldiering: Deployment and Beyond," considers the complexities involved in soldiering in view of the changing nature of warfare, generating a focal discourse on various aspects of military leadership, soldier resilience and post-traumatic growth in the face of extreme situations, bravery and character strengths and transitioning to civilian life. In the final section, "Making a Choice: Mental Health Issues and Prospects in the Military," the contributors focus on the challenges and practices involved in maintaining the mental health of the soldier, covering issues ranging from stress, mental health and well-being, through to suicide risk and its prevention, intervention and management strategies, moral injury and post-traumatic stress disorder. Incorporating enlightening contributions of eminent scholars from around the world, the volume is a comprehensive repository of current perspectives and future directions in the domain of military psychology. It will prove a valuable resource for mental health practitioners, military leaders, policy-makers and academics and students across a range of disciplines.

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.

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.

It is universally accepted that sensitive and responsive caregiving leads to positive cognitive and socio-emotional outcomes for children. While several intervention approaches exist, this text brings together the rationale and current evidence base for one such approach-the Mediational Intervention for Sensitizing Caregivers (MISC). MISC integrates aspects of socio-emotional health and cognitive development as well as being less culturally intrusive than existing approaches. It is a strengths-based program complementing existing practices and cultures. Editors bring together in one volume the theory and research from the last decade supporting the MISC approach. Chapters focus on a range of topics, such as training the trainer, maternal depression and MISC, applying MISC to families reunited after migration-related separation and more. The book also focuses on several country-specific cases, such as applying MISC to HIV/AIDS-affected children in South Africa or in early childhood care settings in Israel. This book is essential reading for those working in early educational or clinical settings tasked with developing policy to ensure optimal child developmental outcomes. The book is applicable to professionals from a wide variety of disciplines including clinical, counselling, educational, psychology, psychiatry, paediatrics, nursing, social work and public health.

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.

Psychiatry is enormously complex. One of its main difficulties is to articulate the relationship between the wide assortment of factors that may cause or contribute to psychiatric disorders. Such factors range from traumatic experiences to dysfunctional neurotransmitters, existential worries, economic deprivation, social exclusion and genetic bad luck. The relevant factors and how they interact can differ not only between diagnoses but also between individuals with the same diagnosis. How should we understand and navigate such complexity? Enactive Psychiatry presents an integrative account of the many phenomena at play in the development and persistence of psychiatric disorders by drawing on insights from enactivism, a theory of embodied cognition. From the enactive perspective on the mind and its relation to both the body and the world, we can achieve a new understanding of the nature of psychiatric disorders and the causality involved in their development and treatment, thereby resolving psychiatry's integration problem.

People with mental illness are often painfully familiar with overt prejudice or more subtle forms of mistreatment. The stigma and discrimination associated with their disorders can have effects in several areas of life: in social interactions, in work and healthcare settings, in the legal system and the media. Many withdraw due to shame and do not seek help. In turn, stigma can prove to be a more serious problem than the disorder itself. Yet too little is done to reduce stigma and its impact. The Stigma of Mental Illness: Strategies Against Discrimination and Social Exclusion offers up the knowledge necessary to understand and fight against stigma and discrimination. It will be invaluable to all health professionals, social workers, healthcare managers and policy makers with an involvement or interest in mental illness. Broad coverage of the forms and consequences of stigma Specific treatment of stigma in relation to diagnoses such as dementia and autism Perspectives and strategies of a service user and a relative Up-to-date concepts regarding exclusion and discrimination Practical strategies for service users, relatives, healthcare professionals and policy makers

"Why We Sleep is an important and fascinating book...Walker taught me a lot about this basic activity that every person on Earth needs. I suspect his book will do the same for you." --Bill Gates A New York Times bestseller and international sensation, this "stimulating and important book" (Financial Times) is a fascinating dive into the purpose and power of slumber. Sleep is one of the most important but least understood aspects of our life, wellness, and longevity. Until very recently, science had no answer to the question of why we sleep, or what good it served, or why we suffer such devastating health consequences when we don't sleep. Compared to the other basic drives in life--eating, drinking, and reproducing--the purpose of sleep remained elusive. An explosion of scientific discoveries in the last twenty years has shed new light on this fundamental aspect of our lives. Now, preeminent neuroscientist and sleep expert Matthew Walker gives us a new understanding of the vital importance of sleep and dreaming. Within the brain, sleep enriches our ability to learn, memorize, and make logical decisions. It recalibrates our emotions, restocks our immune system, fine-tunes our metabolism, and regulates our appetite. Dreaming mollifies painful memories and creates a virtual reality space in which the brain melds past and present knowledge to inspire creativity. Walker answers important questions about sleep: how do caffeine and alcohol affect sleep? What really happens during REM sleep? Why do our sleep patterns change across a lifetime? How do common sleep aids affect us and can they do long-term damage? Charting cutting-edge scientific breakthroughs, and synthesizing decades of research and clinical practice, Walker explains how we can harness sleep to improve learning, mood, and energy levels; regulate hormones; prevent cancer, Alzheimer's, and diabetes; slow the effects of aging; increase longevity; enhance the education and lifespan of our children, and boost the efficiency, success, and productivity of our businesses. Clear-eyed, fascinating, and accessible, Why We Sleep is a crucial and illuminating book.

In this volume, authors explore the interconnected issues of public health and public policy as they relate to queer issues in the Deep South. The book begins with a sustained examination of public health, health disparities, and mental health for LGBTQ people in the South. Next, the issues of public policy and public advocacy, including law enforcement, community advocacy and activism, and public life in the Deep South are taken up. Through the chapters in this text, the peculiarities of public health and public policy for LGBTQ people in the Deep South are explored. However, this volume also points to trends, themes, and dynamics at work in the Deep South that are also implicated in the queer experience in other parts of the U.S. The authors of this text push readers to think deeply about these issues. They clearly highlight the systemic nature of oppression of queer people in the South through institutions of medicine, mental health discourses, the criminal justice system, and public life including Pride and Mardi Gras. Taken together, the authors in this volume call for reform, liberation, and conscientization and queerly envision the future of health and policy in the Deep South.

Since adoption of the Convention on the Rights of Persons with Disabilities and the interpretive General Comment 1, the topic of legal capacity in mental health settings has generated considerable debate in disciplines ranging from law and psychiatry to public health and public policy. With over 180 countries having ratified the Convention, the shifts required in law and clinical practice need to be informed by interdisciplinary and contextually relevant research as well as the views of stakeholders. With an equal emphasis on the Global North and Global South, this volume offers a comprehensive, interdisciplinary analysis of legal capacity in the realm of mental health. Integrating rigorous academic research with perspectives from people with psychosocial disabilities and their caregivers, the authors provide a holistic overview of pertinent issues and suggest avenues for reform.

The literature on depression in old age has tended to be dominated by the medical model with its focus on symptoms and treatment. This report breaks new ground by adopting a psycho-social approach one that explores depression in the context of the everyday lives of older people. Commissioned by Help the Aged, this report: reviews the nature and scope of the evidence base around depression and older people; evaluates current policy and practice responses; and identifies gaps in the evidence base and areas for further work. Finding that older people with depressive disorders are largely invisible within health and care services and that many fail to seek or receive effective treatment, the report also: recognizes the importance of daily hassles in undermining older peoples mental well-being; highlights the importance of mental health promotion; argues for the need for an holistic approach to older peoples services which balances physical with mental needs; and prioritizes the socia

"...a cleansing narrative that should inspire mothers--and other caregivers--to rise up, unite, and breathe hot new life into the drooping cause of mental healthcare reform."-- Ron Powers, Pulitzer Prize-winning journalist and New York Times best-selling author. "To know that you are not alone in this loneliest and most emotionally difficult of all family situations is a great gift, a comfort and source of strength. And Mimi Feldman is the one you want as your mentor, your guide."-- Janet Fitch, New York Times best-selling author of White Oleander "...a compelling, moving story...It was an honor to read it."-- Jenny Allen, author of Would Everyone Please Stop In an idyllic Los Angeles neighborhood, where generations of families enjoy deep roots in old homes, the O'Rourke family fits right in. Miriam and Craig are both artists and their four children carry on the legacy. When their teenage son, Nick, is diagnosed with schizophrenia, a tumultuous decade ensues in which the family careens permanently off the conventional course. Like the ten Biblical plagues, they are hit by one catastrophe after another, violence, evictions, arrests, a suicide attempt, a near-drowning...even cancer and a brain tumor...play against the backdrop of a wild teenage bacchanal of artmaking and drugs. With no time for hand-wringing, Miriam advances, convinced she can fix everything, while a devastated Craig retreats to their property in rural Washington State as home becomes a battlefield. It is while cleaning out a closet, that Miriam discovers a cache of drawings and journals written by Nick throughout his spiral into schizophrenia. She begins a solitary forensic journey into the lonely labyrinth of his mind. This is the story of how mental illness unspools an entire family. As Miriam fights to reclaim her son from the ruthless, invisible enemy, we are given an unflinching view into a world few could imagine. It exposes the shocking shortfalls of our mental health system, the destructive impact of stigma, shame and isolation, and, finally, the falsity of the notion of a perfect family. Throughout the book, it is the family's ability to find humor in the absurdities of this life that saves them. It is a parable that illustrates the true definition of a good life, allowing for the blemishes and mistakes that are part of the universal human condition. He Came In With It is the legacy of, and for, her son Nick.

Care planning and delivery are essential parts of everyday practice for all mental health practitioners. This new edition of Care Planning in Mental Health: Promoting Recovery moves away from a professionally-oriented model of care planning towards the active promotion of the personal narrative as being central to planning effective mental health care. It outlines essential concepts linked to the recovery process which is carried out in partnership with people with mental health problems and those closest to them. New to this edition: * A stronger, more explicit focus on recovery * A unique interpretation and explication of the recovery process * A greater promotion of the centrality of personhood * Examples drawing on a range of international perspectives and experiences * Enhanced user-friendly pedagogy, including practical case illustrations and first-hand accounts throughout Care Planning in Mental Health: Promoting Recovery is an ideal resource for anyone involved in the field of mental health care. It is also a valuable learning resource for students studying mental health care and the qualified and experienced practitioner wishing to gain a fresh approach to planning recovery-focused care.

"A clear, straightforward guide to the issues around mental health [and] a useful starting resource for non-mental health practitioners to develop their understanding of the processes involved in mental health." Joanne Fisher, Senior Practice Educator, Cambridge University Hospitals An Introduction to Mental Health is essential reading for anyone learning the fundamentals of mental health. Written for an interdisciplinary audience with no prior knowledge of mental health practice, the book uses a patient-centred focus and covers the historical context of mental health through to contemporary issues, including mental health law, policy, professional practice, equality and diversity in the sector, and international perspectives. Key learning features include concept summaries, reflective points, case studies and reflective exercises to help situate content in the context of practice.