Presenting first-hand accounts from the 'front line', Reflections of a Cynical Clinical Psychologist provides the reader with a participant experience of the daily ups and downs of a US mental health professional. Vividly describing actual clinical events ranging from tragic to comedic, this book calls attention to the human realities of the system's dysfunction. Illustrated throughout by anecdotes based on the author's 50 years of experience and observations in the field, the book focuses on 'the system' as the problem, identifying the limitations in current mental health policy with the emphasis misplaced onto profit rather than optimal patient care. These anecdotes are organized by themes such as the harsh treatment of patients by staff; loss in the workplace; anomalous staff behavior; problems with the legal system; and clinically unexpected and bizarre episodes. The value of humor as a stress reducer, social leveler and a means to make incisive points is highlighted throughout. This is important reading for mental health professionals, policy makers and those interested in humanizing social policy.

Listening Visits in Perinatal Mental Health focuses on how women and families suffering from perinatal mental illness can be supported by a wide range of practitioners. Based on the skills of attentive listening, it is designed for use by health professionals and support workers concerned with maternal mental health and the mental health of the family. This accessible guide: Covers the process and progression of perinatal mental health Discusses the types of anxiety and depression which may occur during the perinatal period Examines the impact of maternal mental illness of the infant, father and family Explores the available assessment tools, such as the EPDS Presents the theories behind the efficacy of listening and counselling skills, as well as the evidence which recommends this type of therapy Gives suggestions of alternative therapeutic approaches and further resources to explore around perinatal mental health Emphasises the importance of looking after yourself and making use of supervision and peer support. With chapters focused on listening to mothers, fathers and infants and paying attention to cultural diversity, Listening Visits in Perinatal Mental Health builds on the knowledge that many professionals working with new mothers already have about perinatal mental health. It focuses on developing the skills needed to put this knowledge into practice and includes case examples and follow-up activities throughout.

Adversity is a part of life and many of us have experienced trauma that has left us feeling distressed, scared or alone. This book draws on Bridie and Sue's background in Clinical Psychology to help you identify what trauma is, the effect it can have on your physical and mental health, and how you can cope. Containing many ideas and strategies to support you with the impact of trauma, including giving yourself a butterfly hug to calm yourself down or sending an email to someone who lives far away to feel more connected, this is a guide that you can dip in and out of, and return to at different stages in your life after trauma. Co-written with two young people who were brave enough to share their own stories, you will find that you are not alone, that nothing stays the same, and that there's always hope.

This book provides up-to-date, practical information for family doctors on how to assess and manage important mental health problems presenting in primary care settings. Patients frequently present with mental health problems in primary care settings around the world, yet family doctors consistently identify gaps in their knowledge, skills and confidence in how best to care for them. Contributors to the book are experts in primary mental health care and have consulted with family doctors around the world, to identify their main learning needs. Each of the nine core chapters will begin with a set of key points on 'how to do it' and will end with educational material in the form of clinical scenarios and multiple choice questions. This book describes core competencies for primary mental health care, clarifies how to conduct a first consultation about depression, reviews non-drug interventions for common mental health problems, discusses the management of unexplained physical symptoms, and advises on the physical health care of patients with severe mental illness. It explores the mental health needs of migrants and young people, and explains how to manage problems of frailty, multimorbidity and dementia. This book will be of interest to family doctors and students specialising in family medicine worldwide.

As a social worker, jail chaplain, and justice advocate, Bethany Dearborn Hiser pushed herself to the brink of burnout-and then kept going. Stress, despair, and compassion fatigue overwhelmed her ability to function. She was called to serve the abused, addicted, and homeless people in her community. Yet she was emotionally and spiritually exhausted. Something needed to change. Searching for answers, Hiser learned that trauma affects everyone who is exposed to it-not only those experiencing it firsthand. Psychologists call it "secondary trauma." She realized that she needed the very soul care that she was providing to others. From Burned Out to Beloved is Hiser's story of burnout, self-discovery, and spiritual renewal. But more than that, it's a trauma-informed soul care guide for all Christians working in high-stress, helping professions. Whether you're a social worker, therapist, pastor, teacher, or healthcare professional, From Burned Out to Beloved will equip you to confess your limitations, embrace your identity as a beloved child of God, and flourish in your vocation.

'Beautiful to read and packed with cutting-edge science' Observer 'Poetic, mind-stretching and, through it all, deeply human' Daniel Levitin Mental illness is one of the greatest causes of human suffering, its nature and origin a long-held mystery. But thanks to new science and technology, our understanding has reached a tipping point. In Connections, Professor Karl Deisseroth intertwines his own breakthrough discoveries with moving case studies from his experience as an emergency psychiatry physician, in order to tell a wider story about the origins of human emotion. Addressing some of the most timeless questions about the human condition while illuminating the roots of misunderstood disorders such as depression, psychosis, schizophrenia and sociopathy, Connections transforms the way we understand the brain, and forges a bold new path forward in our understanding of mental health. 'Revelatory . . . it recalls the case histories of Oliver Sacks, at times the sweep of Yuval Harari's Sapiens. He writes with an evident love of words - but also, with a lucid line of scientific enquiry' Guardian 'A master storyteller. His graceful prose weaves a tapestry of complex ideas into memorable stories, each illuminated by cutting-edge science. A delight' Kathryn Mannix, author of With the End in Mind

CARE AT HOME -HOME CARE Health care in the Netherlands looks to be a well structured system. Supplementing the vital level of self-care and informal care are four levels of professional care: the public health service (known in the Netherlands as basic health care) is mainly concerned with preventive work aimed at the population at large; individuals with problems can contact their general practitioner or other primary care provider, who can -depending on the problem -refer them to specialists in the cure-oriented and hospital-centred secondary sector; where necessary, patients can then be referred on to the institutions of the tertiary sector with their role in mainly long-term care. On paper this pyramidal structure appears to work well; in practice, and in particular where complex forms of care are involved, the boundaries become blurred. Medical advances and social and economic developments may delay death to ever greater ages, but disease is not defeated; and since the risk of developing chronic conditions rises with age, more and more people become incapacitated and those who do remain so for longer. This leads to a growing demand for care and compels us to reconsider patterns of provision. The need for such reconsideration is reinforced by users' changing needs and aspirations, as patients increasingly wish to be nursed and cared for in their own surroundings if at all possible. Technological advances mean that wish can often be accommodated.

This guide provides healthcare students and professionals with a foundational background on adverse childhood experiences (ACEs) - traumatic early life experiences, which can have a profound impact on health in later life. ACEs can include being a victim of abuse, neglect or exposure to risk in the home or community. How healthcare students and professionals learn to recognize, react and respond to persons affected by trauma will lay the foundation for their relationships with patients. This book intentionally uses micro-to-macro lenses accompanied by a structural competency framework to elucidate health implications across the lifespan. It explores the nature of adversity and its effects on the physical, emotional, cognitive and social health of individuals, communities and society. The book, written by two experienced psychiatric nurses, will equip healthcare students and professionals with an understanding for critical change in practice and offer action steps designed to assist them with prevention and intervention approaches and steps to help build resilience. This book will be core reading for healthcare students within mental health, pediatric and primary care nursing courses. It will also be of interest to students and professionals in the social work, psychology and public health fields who are exploring resilience and trauma-informed practices

This guide provides healthcare students and professionals with a foundational background on adverse childhood experiences (ACEs) - traumatic early life experiences, which can have a profound impact on health in later life. ACEs can include being a victim of abuse, neglect or exposure to risk in the home or community. How healthcare students and professionals learn to recognize, react and respond to persons affected by trauma will lay the foundation for their relationships with patients. This book intentionally uses micro-to-macro lenses accompanied by a structural competency framework to elucidate health implications across the lifespan. It explores the nature of adversity and its effects on the physical, emotional, cognitive and social health of individuals, communities and society. The book, written by two experienced psychiatric nurses, will equip healthcare students and professionals with an understanding for critical change in practice and offer action steps designed to assist them with prevention and intervention approaches and steps to help build resilience. This book will be core reading for healthcare students within mental health, pediatric and primary care nursing courses. It will also be of interest to students and professionals in the social work, psychology and public health fields who are exploring resilience and trauma-informed practices

The care and management of mentally disordered offenders poses a major challenge to criminal justice agencies and psychiatric services. These patients, ‘the people nobody owns’, are particularly vulnerable to political and professional change and as psychiatric services become increasingly community-based, the task of meeting the needs of the offender, as well as expectations of public protection, becomes a more difficult prospect. This book brings together the papers and a summary of the discussion presented at a Cropwood Round Table conference organised by the Institute of Criminology and the Department of Psychiatry of the University of Cambridge. Seeking to define future needs and directions in legal and service provisions, it includes perspectives from the fields of criminology, sociology and social psychiatry, as well as contributions from practitioners and administrators. Remarkable for the tenacity and depth with which the expert contributors address the problems, this volume will be essential reading for all professionals working in the psychiatric and criminal justice systems with this frequently marginalized client group. Through a searching examination of the situation within one jurisdiction it points the way to service developments, improved care management and new research opportunities that have universal applications.

9. 1 311 9. 2 The results in the four areas 313 9. 3 Likely causes of the growing demand for services 314 9. 4 The dominant perception of mental health problems 315 95 A shifting balance 317 9. 6 Mental health problems as a policy issue 319 311) 9. 7 Culture-dependence as an approach 9. 8 Culture-dependence and the four tbemes 322 9. 9 The value of a socia-cultural approach 323 9. 10 Two core notions: normality and identity 325 9. 11 Conclusions and policy options 328 Bibliography 333 Appendix Basic ssumptions in the exploratory and target-seuing sccnanos 368 v Preface This study of mental health issues breaks new ground. The task set by the Steering Committee on Future Health Scenarios was twofold, encompassing issues relating both to mental health and to mental health care. Discussions of mental health normally narrow down immediately to a focus on its care; this study, in contrast, seeks to deal with mental health as a theme in its own right alongside that of mental health care. This task led to the establishment of a broadly based committee whose members possessed a wide range of knowledge and experience in the field. The study was carried out by an equally expert team from the Netherlands Institute of Mental Health. In the course of the study over a hundred people with wide ranging expertise took part in consultative panels."

This book explores the controversial relationship between mental health and offending and looks at the ways in which offenders with mental health problems are cared for, coerced and controlled by the criminal justice and mental health systems. It provides a much-needed criminological approach to the field of forensic mental health. Beginning with an exploration into why the relationship between mental health and offending is so complex, readers will be introduced to a range of perspectives through which mental health and its relationship to offending behaviour can be understood. The book considers the politics surrounding mental health and offending, focusing particularly on the changing policy response to mentally disordered offenders since the mid-1990s. With dedicated chapters concerning the police, courts, secure services and the community, this book explores a range of issues including: * The tensions between the care, coercion and control of mentally disordered offenders * The increasingly blurred boundaries between mental health and criminal justice * Rights, responsibilities, accountability and blame * Risk, public protection and precaution * Challenges involved with treatment, recovery and rehabilitation * Staffing challenges surrounding multi-agency working * Funding, privatisation and challenges surrounding service commissioning * Methodological challenges in the field. Providing an accessible and concise overview of the field and its key perspectives, this book is essential reading for undergraduate and postgraduate courses in mental health offered by criminology, criminal justice, sociology, social work, nursing and public policy departments. It will also be of interest to a wide range of mental health and criminal justice practitioners.

This volume is a superb resource for teaching or becoming aware of the unique theoretical and methodological issues that must be resolved before successfully researching the mentally ill. The volume abounds with relevant references to the research literature and practical advice that should facilitate the conduct of research projects oriented toward the mentally ill. --Howard B. Kaplan, Texas A&M University Can the mentally ill be interviewed? What kind of reliability can be expected in their responses? What about the ethics of informed consent? Although standard social science methodologies have been used successfully to study mental health, researching the mentally ill introduces unique theoretical and methodological issues. A first of its kind, Researching Persons with Mental Illness focuses on the study of mentally ill adults at the individual level of analysis and explores significant issues: how theories of human behavior that have been developed for a general population may have limited applicability in a population whose defining characteristic is a label of mental pathology; how symptoms are defined and measured; ways to plan and implement research to avoid methodological design problems; uses of alternative data sources, such as clinical charts; and the issues of research in multi-disciplinary settings. Designed for social scientists, this pathbreaking volume will alert researchers in ways to deal with the special problems in researching the mentally ill.

EPDF and EPUB available Open Access under CC-BY-NC-ND licence. Whilst the COVID-19 pandemic affected all parts of the country, it did not do so equally. Northern England was hit the hardest, exposing more than ever the extent of regional inequalities in health and wealth. Using original data analysis from a wide range of sources, this book demonstrates how COVID-19 has impacted the country unequally in terms of mortality, mental health and the economy. The book provides a striking empirical overview of the impact of the pandemic on regional inequalities and explores why the North fared worse. It sets out what needs to be learnt from the pandemic to prevent regional inequality growing and to reduce inequalities in health and wealth in the future.

North America's Indigenous population is a vulnerable group, with specific psychological and healing needs that are not widely met in the mental health care system. Indigenous peoples face certain historical, cultural-linguistic and socioeconomic barriers to mental health care access that government, health care organizations and social agencies must work to overcome. This volume examines ways Indigenous healing practices can complement Western psychological service to meet the needs of Indigenous peoples through traditional cultural concepts. Bringing together leading experts in the fields of Aboriginal mental health and psychology, it provides data and models of Indigenous cultural practices in psychology that are successful with Indigenous peoples. It considers Indigenous epistemologies in applied psychology and research methodology, and informs government policy on mental health service for these populations.

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.

Sheppard presents a comparative analysis of the work of mental health social workers and community psychiatric nurses. Both professions lay claim, to a considerable degree, to the same territory, and, in view of developments in community care, the examination of the relative merits of the claims of these professions to this territory is of considerable importance. The analysis in the book involved not only the comparison of two professions, but also both a detailed examination of the theoretical foundations of both professions and an empirically researched examination of practice. However, the findings potentially have far-reaching implications for policy and practice in the mental health field, and they address issues which are likely to remain significant for the foreseeable future. Additionally, however, this book presents a contribution to a debate on the relationship between theory and practice (and particularly the place of the social sciences) in social work.

Postnatal PTSD, often referred to as birth trauma, is an underdiagnosed and misunderstood condition. Often mistaken for postnatal depression and with 4% of women developing the condition after giving birth, it is essential that health professionals learn to recognise and prevent postnatal PTSD. The book supports professionals to better understand, recognise, treat and help prevent birth trauma. It covers the impact of postnatal PTSD on bonding and relationships, birth trauma in Black, Asian and minority ethnic communities, how to support women having another baby and more. An accessible guide to supporting parents with postnatal PTSD, this book is essential reading for healthcare professionals and those involved with the birthing process.

Comprehensive, systematic, and balanced, Systems of Psychotherapy uses a wealth of clinical cases to help readers understand a wide variety of psychotherapies - including psychodynamic, existential, experiential, interpersonal, exposure, behavioral, cognitive, third wave, systemic, multicultural, and integrative. The ninth edition of this landmark text thoroughly analyzes 15 leading systems of psychotherapy and briefly surveys another 32, providing students and practitioners with a broad overview of the discipline. The book explores each system's theory of personality, theory of psychopathology, and resulting therapeutic process and therapy relationship. Through these explorations the authors clearly demonstrate how psychotherapy systems agree on the processes producing change while diverging on the elements in need of change. Additionally, the authors present cogent criticisms of each approach from cognitive-behavioral, psychoanalytic, humanistic, cultural, and integrative perspectives. This ninth edition features updated meta-analytic reviews of the effectiveness of each system, new sections on Lacanian analysis, mentalization therapy, and psychotherapy with gender nonconforming people, as well as new sections and updates throughout the text.

This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.

The fully updated and revised sixth edition of the definitive guide to clinically tested and proven methods for effectively managing all of the symptoms characteristic of MS and MS treatment.

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This edited volume is written by and for mental health professionals who work directly with alienated children and their parents. The chapters are written by leaders in the field, all of whom know how vexing parental alienation can be for mental health professionals. No matter how the professional intersects with families affected by alienation, be it through individual treatment, reunification therapy, a school setting, or support groups, he or she needs to consider how to make proper assessments, how to guard against bias, and when and how to involve the court system, among other challenges. The cutting edge clinical interventions presented in this book will help professionals answer these questions and help them to help their clients. The authors present a range of clinical options such as parent education, psycho-educational programs for children, and reunification programs for children and parents that make this volume a useful reference and practical guide.