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Books > Medicine > General issues > Health systems & services > Mental health services
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.
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
"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.
Feminist icon Phyllis Chesler’s pioneering work, Women and Madness, remains startlingly relevant today, nearly fifty years since its first publication in 1972. With over 2.5 million copies sold, this landmark book is unanimously regarded as the definitive work on the subject of women’s psychology. Now back in print, this completely revised and updated edition adds perspectives on eating disorders, postpartum depression, biological psychology, important feminist political findings, female genital mutilation, and more.
Mental health conditions are becoming more prevalent in today's society and it has been estimated that 1 in 4 people in the UK will experience a mental health issue at some point in their lives. The increase in mental health complaints has also affected the volume of calls to 999 in which paramedics are regularly called to address patients' mental health concerns. The complexities and nuances within mental health means that many paramedics feel underprepared when managing patients who are experiencing mental distress. Mental Health Care in Paramedic Practice is the first guide written specifically for paramedics to support them in understanding a range of different mental health conditions which they may come across during their practice. Not only does the book provide key information on recognising and managing a range of conditions, but it also includes case studies written by paramedics with first-hand experience of managing mental health calls. It also includes a section on legislative changes and policy descriptions as well as interprofessional working. This book is essential for anyone wanting to better understand how to care for patients with mental health concerns within the prehospital setting, including both experienced and aspiring paramedics.
"...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.
The twenty-first-century psychotherapist can no longer be constrained by specific schools of practice or limited reservoirs of knowledge. But this new "era of information" needs to be integrated and made manageable for every practitioner. This book helps therapists learn more about this new knowledge and how to apply it effectively. In this single-volume learning resource, Richard Hill and Matthew Dahlitz introduce practitioners to the many elements that create our psychology. From basic neuroscience to body-brain systems and genetic processes, therapists will discover how to become more "response-able" to their clients. Topics include neurobiology, genetics, key therapeutic practices to treat anxiety, depression, trauma and other disorders; memory; mirror neurons and empathy, and more. All are presented with case studies and treatment applications.
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.
‘Highly eloquent, fascinating and deeply compassionate’ Henry Marsh, author of Do No Harm We cannot know how to fix a problem until we understand its causes. But even for some of the most common mental health problems, specialists argue over whether the answers lie in the person’s biology, their psychology or their circumstances. As a cognitive neuropsychiatrist, Anthony David brings together many fields of enquiry, from social and cognitive psychology to neurology. The key for each patient might be anything from a traumatic memory to a chemical imbalance, an unhealthy way of thinking or a hidden tumour. Patrick believes he is dead. Jennifer's schizophrenia medication helped with her voices but did it cause Parkinson’s? Emma is in a coma – or is she just refusing to respond? Drawing from Professor David’s career as a clinician and academic, these fascinating case studies reveal the unique complexity of the human mind, stretching the limits of our understanding.
This title includes a number of Open Access chapters. This book examines many of the predominant issues in the field of social work in mental health and substance abuse today. Topics discussed include incarceration of drug abusers, methadone treatment for heroin users, and substance abuse among sex workers. It also examines how parental smoking affects children's attitudes, binge drinking, and the correlation between depression and sociodemographic factors. The book also explores help for homeless drug abusers and more.
In this timely analysis, Rich Moth assesses mental health services in a period of major change. Based on extended fieldwork in community mental health services, he explores the many impacts of policy reform, marketisation and austerity on NHS mental health provision, and positions developments in the contexts of neoliberalism and an increased emphasis on individual responsibility. Firmly rooted in the lived experiences of people using mental health services and the everyday practices of social workers, nurses and psychiatrists, he develops a stimulating perspective on how mental distress is understood and responded to within these settings.
Helping Soldiers Heal tells the story of the US Army's transformation from a disparate collection of poorly standardized, largely disconnected clinics into one of the nation's leading mental health care systems. It is a step-by-step guidebook for military and civilian health care systems alike. Jayakanth Srinivasan and Christopher Ivany provide a unique insider-outsider perspective as key participants in the process, sharing how they confronted the challenges firsthand and helped craft and guide the unfolding change. The Army's system was being overwhelmed with mental health problems among soldiers and their family members, impeding combat readiness. The key to the transformation was to apply the tenets of "learning" health care systems. Building a learning health care system is hard; building a learning mental health care system is even harder. As Helping Soldiers Heal recounts, the Army overcame the barriers to success, and its experience is full of lessons for any health care system seeking to transform.
This handbook incisively explores challenges and opportunities that exist in efforts aimed at addressing inequities in mental health provision across the globe. Drawing on various disciplines across the humanities, psychology, and social sciences it charts the emergence of Global Mental Health as a field of study. It critically reflects on efforts and interventions being made to globalize mental health policies, and discusses key themes relevant for understanding and supporting the mental health needs of people living in diverse socio-economical and cultural environments. Over three rich sections, the handbook critically engages with Global Mental Health discourses. To help guide future efforts to support mental health and wellbeing in different parts of the world, the third section of the handbook consists of case studies of innovative mental health policy and practice, which are presented from a variety of different perspectives. This seminal handbook will appeal to a transnational community of post-graduate students, academics and practitioners, from global health to transcultural psychiatry and medical anthropology. It will be also of interest to researchers and clinical practitioners, policy makers and non-governmental organisations involved in cross-cultural mental health work.
This book utilises conversation analysis (CA) and discursive psychology (DP) methodologies to examine the internal workings of multi-disciplinary teams which are concerned with the care, treatment and diagnosis of clients with complex mental health needs. Bringing together practitioners, service users and researchers who were part of the MDTsInAction research project, the authors offer a unique and systematic investigation into the ways members of multidisciplinary teams collaboratively manage their shared goals. A particular focus is on the language used in team meetings, and how examination of meeting talk can help us better understand the practice of inter-professional working. The authors also describe how a range of institutional barriers and concerns needed to be tackled in implementing the study in a healthcare setting. Over the course of this book they reveal a number of methodological developments which will be of interest to researchers and academics in CA/DP, and in healthcare communication generally. This book highlights how CA and DP can be used to identify and improve communicative practices in a healthcare setting; and also serves as an example of how to conduct an applied CA/DP project in a way that achieves impact.
The newest edition of Community Mental Health continues to be at the leading edge of the field, providing the most up-to-date research and treatment models that encompass practice in community settings. Experts from a wide range of fields explore the major trends, best practices, and policy issues shaping community mental health services today. New sections address the role of spirituality, veterans and the military, family treatment, and emerging new movements. An expanded view of recovery ensures that a thorough conversation about intersectionality and identity runs throughout the book.
The book describes key socio-political reforms that helped shape post-apartheid South Africa's mental health system. The author interrogates how reforms shaped public, community-based services for people living with severe mental illness, and how features of this care has been determined, in part at least, by the relations between actors and structures in the state, private for-profit health care, and civil society spheres. A description of the development of South Africa's post-apartheid health system, and the contentions that emerge therein, sets the stage for an analysis of the country's most tragic human rights failure during its democratic period, namely the Life Esidimeni tragedy. The roots of the tragedy are not only framed as a loss of life and dignity as a result of political corruption and administrative mismanagement, but as a power differential that ultimately highlights an unjust system that relegates its most vulnerable citizens to commodities, without voice and without agency. The book concludes that the commodification of severe mental illness has been a product of neoliberal discourses that have shaped the economistic ways in which the post-apartheid South African state have governed poverty and severe mental illness. This book will be of interest to scholars of health, social and economic policy in South Africa.
In Health Care Policy and Practice: A Biopsychosocial Perspective, Moniz and Gorin guide students through the development of the American health care system: what it is, what the policies are, and how students can influence them. Part I focuses on recent history and reforms; Part II examines the system's structure and policies; and Part III explores policy analysis and advocacy, and disparities in health based on demographics and inequities in access to care. The book concludes with a discussion of the impact of social factors on health and health status. This new, fifth edition has been fully updated to include the Trump administration's efforts to "repeal and replace" the Affordable Care Act (ACA) and to integrate content throughout the text on the impact of the ACA in recent years. In addition, new content on health disparities for the LGBTQ community has been added.
The Disappearing Male by Joan Lachkar, PhD, provides a psychoanalytic/psychodynamic description of eight different kinds of men who "disappear" from relationships without warning or explanation. The term is not restricted to merely a "physical" disappearance but also to ones who emotionally disappear such as the "Robotic Man" described in the chapter of the OCD. Lachkar's personal, clinical, and professional experience have shown a number of women who have been vastly confused and hurt by the disappearing male. These men appear to be madly in love at the onset and then suddenly vanish without an explanation. Many of these women come into therapy sessions depressed, feeling traumatized, and abused by men who promise them the world, act as though they are the love of their lives, and then suddenly vanish without a call. By acknowledging the diagnostic distinctions of eight different types of disappearing men, this book can help to assist these women in recognizing the red flags and danger signs to prevent them from faltering in their relationship efforts. The Disappearing Male describes the symptoms of eight different diagnostic types of men that women frequently encounter. The symptoms and dynamics that are outlined in this book will vastly enhance an individual's capacity to become aware of the disappearing male "syndrome." This book is significant to the awareness and self-esteem of women in relationships, the dating world, and to the therapists that treat them.
In a time of social distancing and isolation, a meditation on the beauty of solitude from renowned Buddhist writer Stephen Batchelor A Los Angeles Review of Books "Best of the Year" selection "Whatever a soul is, the author goes a long way toward soothing it. A very welcome instance of philosophy that can help readers live a good life."-Kirkus Reviews "Elegant and formally ingenious."-Geoff Wisner, Wall Street Journal When world renowned Buddhist writer Stephen Batchelor turned sixty, he took a sabbatical from his teaching and turned his attention to solitude, a practice integral to the meditative traditions he has long studied and taught. He aimed to venture more deeply into solitude, discovering its full extent and depth. This beautiful literary collage documents his multifaceted explorations. Spending time in remote places, appreciating and making art, practicing meditation and participating in retreats, drinking peyote and ayahuasca, and training himself to keep an open, questioning mind have all contributed to Batchelor's ability to be simultaneously alone and at ease. Mixed in with his personal narrative are inspiring stories from solitude's devoted practitioners, from the Buddha to Montaigne, from Vermeer to Agnes Martin. In a hyperconnected world that is at the same time plagued by social isolation, this book shows how to enjoy the inescapable solitude that is at the heart of human life.
This step-by-step guide to Brief Behavioural Activation (Brief BA) provides everything practitioners need to use this approach with adolescents. It is suitable for new practitioners as well as those who are more experienced. Brief BA is a straightforward, structured and effective intervention for treating adolescents showing symptoms of depression, focusing on helping young people to recover through doing more of what matters to them. This practical manual contains guidance on how to deliver Brief BA at every stage, photocopiable activities and worksheets for the client and their parents, and a section on the research and theory behind the approach. It includes information and advice on how to assess adolescent depression, get to know the young person and their priorities better and help them to do more of what matters.
From Research to Practice in Child and Adolescent Mental Health has been shaped to reflect the mental health needs of children and adolescents in low and middle income countries of the world. It also includes chapters on topics based on research and practice in high income countries which may have lessons and implications universally. The first section of the book takes a child and adolescent mental health services perspective encompassing epidemiology, mental health needs, and selected policy issues. The second section provides summaries of research findings into the mechanisms for problems frequently encountered in child and adolescent psychiatric practice: schizophrenia, mood disorders, and sleep problems. The third and last section is about interventions and practice. It describes the treatment gap between low and middle income countries in relation to child and adolescent mental health and shows how professionals or lay people may be trained to effectively deliver interventions. This monograph has been produced for the 21st congress of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP) to be held in Durban, South Africa, in 2014. This is the first congress of IACAPAP in Africa, and it takes place at an appropriate time in view of the continent's burgeoning child population, significant economic growth and wish to improve the populations' health.
How might we best manage those who have offended but have mental vulnerabilities? How are risks identified, managed and minimised? What are ideological differences of care and control, punishment and therapy negotiated in practice? These questions are just some which are debated in the eleven chapters of this book. Each with their focus on a given area, authors raise the challenges, controversies, dilemmas and concerns attached to this particular context of delivering justice. Taking insights on imprisonment, community punishments and forensic services, this book provides a broad analysis of environments. But it also casts a critical light on how punishment of the mentally vulnerable sits within public attitudes and ideas, policy discourses, and the ways in which those seen to present as risky and dangerous are imagined. Written in a clear and direct style, this book serves as a valuable resource for those studying, working or researching at the intersections of healthcare and criminal justice domains. This book is essential reading for students and practitioners within the fields of criminology and criminal justice, social work, forensic psychology, forensic psychiatry, mental health nursing and probation. |
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