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.

Based on the most up-to-date disease management strategies, medical and research breakthroughs, and latest drug therapies, Dr. Randall T. Schapiro provides the information you need to manage both the disease and symptoms, and make everyday life easier.

"Managing the Symptoms of Multiple Sclerosis" features comprehensive treatment options for: Fatigue Spasticity Weakness Tremor Spasms Pressure Sores Incontinence Stutters Blurry Vision Pain Dizziness Numbness Sexual Difficulties Cognitive Difficulties

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.

Mental Health and Well-Being provides a sound foundation for understanding alternatives to the medical model of mental health. Students and professionals alike will find an easy to understand overview of critiques of the dominant medical model of mental health and well-being, both longstanding and more recent, and will come away from the book with a more theoretically sound, holistic conception of mental health and well-being. Written by an experienced mental health expert and replete with practical anecdotes, exercises, and examples to help readers apply the book's material, this book offers an essential foundation for developing more humane mental health practices.

Brings together the latest thinking in Cognitive Analytic Therapy

Mental Health Screening and Monitoring for Children in Care provides a concise, step-by-step guide for children's agencies on how to carry out mental health screening and monitoring for children and adolescents growing up in alternative care. Michael Tarren-Sweeney outlines unique universal mental health screening and monitoring procedures that can be implemented without the need for clinical training or professional oversight. These procedures reliably identify which children should be referred to clinical services for a comprehensive assessment, and which children do not require further assessment. Informed by recent empirical research carried out with children in foster care in Australia and the Netherlands, these procedures screen the vast majority of children who have clinical-level difficulties for a second-stage assessment, including those with attachment- and trauma-related difficulties, meaning that very few such children remain undetected. This book is an invaluable resource for charitable children's agencies, children's service providers, statutory children's services, children's social workers, and post-adoption support services.

Black men need hope to survive and, ultimately, flourish. As mental health is a critical but often neglected issue, especially among Black men, Care for the Mental and Spiritual Health of Black Men examines that sensitive topic in conjunction with reflections on race, gender, sexuality, and class to offer a hopeful and constructive framework for care and counseling, particularly for Black men. These are not separate from spiritual health and growth, as well, but both are integral to holistic, dynamic wellbeing. In this, the author provides a careful and critical analysis of spiritual hope and healing as ingredient to individual and communal flourishing. As such, this volume will be a vital resource for health practitioners, spiritual caregivers, and providers in community care who serve to bolster the mental wellbeing of Black men.

Mass trauma events, such as natural disasters, war and torture, affect millions of people every year. Currently, there is no mental health care model with the potential to address the psychological needs of survivors in a cost-effective way. This book presents such a model, along with guidance on its implementation, making it invaluable for both policy-makers and mental health professionals. Building on more than twenty years of extensive research with mass trauma survivors, the authors present a model of traumatic stress to aid understanding of mass trauma and how its psychological impact can be overcome with control-focused behavioral treatment. This text offers a critical review of various controversial issues in the field of psychological trauma in light of recent research findings. Including two structured manuals on earthquake trauma, covering treatment delivery and self-help, the book will be of use to survivors themselves as well as care providers.

By demonstrating how forgiveness, approached in the correct manner, benefits the forgiver far more than the forgiven this self-help book benefits people who have been deeply hurt by another and caught in a vortex of anger, depression, and resentment.

This introductory text provides nurses with the foundations of a sociological understanding of health issues which they should find of great help in thinking about their work and the role of their profession. It explains the key sociological theories and debates with humour and imagination in a way which will encourage an inquisitive and reflective approach on the part of any student who engages with the text.

Evolutionary psychiatry attempts to explain and examine the development and prevalence of psychiatric disorders through the lens of evolutionary and adaptationist theories. In this edited volume, leading international evolutionary scholars present a variety of Darwinian perspectives that will encourage readers to consider 'why' as well as 'how' mental disorders arise. Using insights from comparative animal evolution, ethology, anthropology, culture, philosophy and other humanities, evolutionary thinking helps us to re-evaluate psychiatric epidemiology, genetics, biochemistry and psychology. It seeks explanations for persistent heritable traits shaped by selection and other evolutionary processes, and reviews traits and disorders using phylogenetic history and insights from the neurosciences as well as the effects of the modern environment. By bridging the gap between social and biological approaches to psychiatry, and encouraging bringing the evolutionary perspective into mainstream psychiatry, this book will help to inspire new avenues of research into the causation and treatment of mental disorders.

This text makes a primary and informed contribution to a subject that is under-researched in the UK - the suicide of those who work in the UK police service - by offering an analysis of UK case studies of officers and staff who have either completed suicide or experienced suicide ideation, and referring to the likely prime suicide precipitators in these situations. This analysis is followed by an examination of literature that discusses general and police-specific suicide. The text then examines intervention measures and support mechanisms that are currently offered to those working in the police service, as well as other measures that might be introduced in the future. Designed for criminal justice professionals and affected laypeople, including the families of those in the police service, Police Suicide is a crucial text for any who have an interest in the holistic and psychological welfare of police officers and staff.

Studies confirm that the physical environment influences health outcomes, emotional state, preference, satisfaction and orientation, but very little research has focused on mental and behavioural health settings. This book summarizes design principles and design research for individuals who are intending to design new mental and behavioural health facilities and those wishing to evaluate the quality of their existing facilities. The authors discuss mental and behavioural health systems, design guidelines, design research and existing standards, and provide examples of best practice. As behavioural and mental health populations vary in their needs, the primary focus is limited to environments that support acute care, outpatient and emergency care, residential care, veterans, pediatric patients, and the treatment of chemical dependency.

Bringing together experts in the field, this important book considers the underlying risk factors that create situations of psychosocial vulnerability and marginalisation for mothers, from their baby's conception up to a year after birth. Adopting a strengths-based approach, the book looks not only at the incidence and impact of disadvantageous circumstances on women but also explores protective factors at an individual, family, community and service level. It identifies promising evidence-based interventions and sources of resilience. With a distinctive focus on social and cultural diversity, Psychosocial Resilience and Risk in the Perinatal Period considers a wide range of personal circumstances and social groups, including women's experiences of traumatic birth, domestic and family violence, drug and alcohol use and mothering by indigenous, same-sex and disabled women. Throughout, case studies and service user experiences are used to illuminate the issues and illustrate exemplary care practice. International in scope, this book is particularly strong on the implications for care practices and health service delivery within Western models of maternity care. Its applied focus and evidence base makes it eminently suitable for study purposes and professional reference. Of relevance to midwives, health visitors and other health and social care practitioners, Psychosocial Resilience and Risk in the Perinatal Period's final chapters focus on developing resilience amongst professionals and multiprofessional and interagency working.

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.

Mental health is a matter of vital importance in today's society, with the news media reporting on the topic on an almost daily basis. Despite this, the language associated with mental health has to date been relatively under-explored. Using methods from corpus linguistics and critical discourse analysis, this pioneering book is the first large-scale linguistic investigation of UK news reports on mental illness. Based on a purpose-built corpus of 45 million words of UK press reports on mental illness, it offers a range of analyses exploring language development across time, in addition to focusing on the differences between press representations of specific mental illnesses. The book provides linguistic insights into public perceptions of mental illness, as well as stigma creation and perpetuation in the media. It also includes original and significant methodological innovations, making it a vital resource for researchers for in corpus linguistics, health communication, and the health humanities.

Our thought lives have incredible power over our mental, emotional, and even physical well-being. In fact, our thoughts can either limit us to what we believe we can do or release us to experience abilities well beyond our expectations. When we choose a mindset that extends our abilities rather than placing limits on ourselves, we will experience greater intellectual satisfaction, emotional control, and physical health. The only question is . . . how?

Backed by up-to-date scientific research and biblical insight, Dr. Caroline Leaf empowers readers to take control of their thoughts in order to take control of their lives. In this practical book, readers will learn to use

- The 5-step Switch on Your Brain Learning Program, to build memory and learn effectively

- The Gift Profile, to discover the unique way they process information

- The Mindfulness Guide, to optimize their thought life and find their inner resilience

Dr. Leaf shows readers how to combine these powerful tools in order to improve memory, learning, cognitive and intellectual performance, work performance, physical performance, relationships, emotional health, and most importantly a meaningful life well lived.

Each of us has significant psychological resources at our fingertips that we can use in order to improve our overall well-being. Dr. Leaf shows us how to harness those resources to unlock our hidden potential.

This workbook addresses the vital questions helpers, responders, and organizations have about self-care and its relationship to resilience and sustained effectiveness in the midst of daily exposure to trauma victims and or situations. Packed with activities, worksheets, and interactive learning tools, the text provides neuro-based and trauma-sensitive recommendations for improving the ways clinicians care for themselves. Each 'session' helps clinicians identify their personal self-care needs and arrive at an effective self-care plan that promotes resilience in the face of daily exposure to trauma-inducing situations and reduces the effects of compassion fatigue and burnout. Reducing Compassion Fatigue, Secondary Traumatic Stress, and Burnout is an essential workbook for any helper or organization looking to enhance compassionate care.

Our thought lives have incredible power over our mental, emotional, and even physical well-being. In fact, our thoughts can either limit us to what we believe we can do or release us to experience abilities well beyond our expectations. When we choose a mindset that extends our abilities rather than placing limits on ourselves, we will experience greater intellectual satisfaction, emotional control, and physical health. The only question is . . . how? Backed by up-to-date scientific research and biblical insight, Dr. Caroline Leaf empowers readers to take control of their thoughts in order to take control of their lives. In this practical book, readers will learn to use - The 5-step Switch on Your Brain Learning Program, to build memory and learn effectively - The Gift Profile, to discover the unique way they process information - The Mindfulness Guide, to optimize their thought life and find their inner resilience Dr. Leaf shows readers how to combine these powerful tools in order to improve memory, learning, cognitive and intellectual performance, work performance, physical performance, relationships, emotional health, and most importantly a meaningful life well lived. Each of us has significant psychological resources at our fingertips that we can use in order to improve our overall well-being. Dr. Leaf shows us how to harness those resources to unlock our hidden potential.

Social inequalities are established features of the distribution of physical disease in the UK and many other developed countries. In most physical diseases, a clear trend of poorer health is evident with each step down the hierarchy of social position. By contrast, the nature of the links between social position and mental illness in the general population has appeared less clear. This lack of clarity is problematic, as mental disorders are major causes of disability, especially in adults of working age. Social Inequalities and the Distribution of the Common Mental Disorders presents in-depth and up-to-date research, looking at the links between social position, ethnicity and mental health. Its findings will have implications for mental health professionals and policy makers.

"Clinical Management in Mental Health Services" is a practical guide to the day to day operational management of mental health teams. It explores both the theoretical aspects of management plus strategies for dealing with the wide range of management issues faced by managers working in mental health. It looks at issues such as leading a multidisciplinary team, Communication and Public Relations, the importance of clinical supervision, evidence-based practice, and quality assurance. It addresses the issue of workload management, clinical information management, how to plan a budget and how to manage stress.

The client group referred to as the long-term mentally ill, the persistently severely mentally distressed, the chronically psychotic, or people with long-term mental health problems, have generally received a poor deal from the traditional psychiatric services. Help has largely rested on custodial and medical treatments.;With the growing emphasis on community care, it is now time to develop services in the community which are both beneficial and acceptable to the people who receive them. The text calls for more effective collaboration between professionals in health authorities and local authorities, the voluntary sector, the various informal carers at home, and above all the clients themselves.;This book should be of interest to occupational therapists and other members of the multi-health care team.

Personality disorder affects more than 10% of the population but is widely ignored by health professionals as it is viewed as a term of stigma. The new classification of personality disorder in the ICD-11 shows that we are all on a spectrum of personality disturbance and that this can change over time. This important new book explains why all health professionals need to be aware of personality disorders in their clinical practice. Abnormal personality, at all levels of severity, should be taken into account when choosing treatment, when predicting outcomes, when anticipating relapse, and when explaining diagnosis. Authored by leading experts in this field, this book explains how the new classification of personality disorders in the ICD-11 helps to select treatment programmes, plan long-term management and avoid adverse consequences in the treatment of this patient group.