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Books > Medicine > General issues > Health systems & services > Mental health services
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.
Increasingly, counsellors and psychotherapists are working with people who have been diagnosed with a mental disorder and are required to understand and navigate the mental health system. Counselling training rarely covers the fields of psychiatry and mental disorder in detail and there are few reliable resources on which they can draw. This comprehensive guide to psychiatry and the mental health system, written by a psychiatrist and counsellor, aims to fill that gap. The book is intended for counsellors and psychotherapists but will be helpful to others in the mental health field. It explains the organisation and delivery of mental health services in the UK, the theories and concepts underpinning the practice of psychiatry, the medical model of psychiatric diagnosis and treatment, the main forms of mental disorder, how to work therapeutically with people with a diagnosed mental disorder and how to work with risk of suicide and self-harm. The text is designed to support continuing professional development and training and includes activities, points for learning/discussion and comprehensive references.
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.
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.
"...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.
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.
"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.
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.
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.
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.
Bastien is eight years old, and his mother is ill. She often has what his father and grandparents call "episodes." She screams and fights, scratches and spits, and has to be carted away to specialized clinics for frequent treatments. Bastien doesn't like it when she goes, because when she comes home, she isn't the same. She has no feelings, no desires, and not much interest in him. According to the doctors, Bastien's mother suffers from "bipolar disorder with schizophrenic tendencies," but he prefers to imagine her as a comic-book heroine, like Jean Grey, who may become Dark Phoenix and explode in a superhuman fury at any moment. Based on the creator's own childhood experiences, The Parakeet is the story of a boy whose only refuge from life's harsh realities lies in his imagination. In his eyes, we see the confusion and heartache he feels as he watches his mother's illness worsen and the treatments fail. Through his eyes, we see how mental illness can both tear families apart and reaffirm the bonds of love. Poignant yet playful, The Parakeet follows Bastien's struggle to accept the mother he has while wishing for the mother he needs.
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.
Changing one's diet not only improves physical health, but benefits mood, behaviour and cognitive function at a fundamental level. This book highlights the link between nutrition and mental health and demonstrates the crucial role of diet in supporting individuals with ADHD. Written by an internationally-recognised leader in the growing field of nutritional psychiatry, Dr Rachel Gow takes a nutrition-based look at ADHD and its management. Combining the latest research with the inspirational stories of a range of professionals and individuals whose lives have been touched by the issues raised, this book also includes accessible tips throughout and a chapter of recipes to promote brain health. This is an essential guide to understanding the interplay of brain health and nutrition, and supporting families to build a diet that optimises brain function and health.
Photography is ubiquitous. The visual image is the predominant form of communication. Arguably it is a very democratic medium, since billions of people all over the planet take photographs on their phones, and digital storage means that expensive printing is not necessary and therefore the practice is not prohibitive. Photography is important to political and social movements and connects people in emotionally meaningful relationships. This book explores the myriad ways in which photographs can be used: to document events, places or things; to consolidate personal identity; to pose a challenge to an idea or regime; to animate the inanimate (in other words, to breathe life into objects); to capture the fleeting and transitory; to create stories; to reveal what may be taken for granted, including seeing social practices; to enhance our perception and allow us to notice previously unnoticed details; to consolidate relationships; to represent the overlooked or marginalised; to commemorate; to authenticate; to tantalise. All these modes of photography have different possibilities, different intentions and different effects.
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.
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.
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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