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Books > Medicine > General issues > Health systems & services > Mental health services
This text outlines the importance of biopsychosocial factors in
improving medical care, and illustrates evidence-based,
state-of-the-art interventions for patients with a variety of
medical conditions. Each chapter is focused on a particular health
concern or illness, which is described both in terms of prevalence
and frequent psychological and psychiatric comorbidities that may
present to clinicians working with these populations. Consistent
with evidence-based care, information on the efficacy of the
treatments being described is presented to support their continued
use. To accommodate the needs of clinicians, we describe population
specific approaches to treatment, including goal settings, modules
and skills as well as strategies to assess and monitor progress. To
facilitate learning, each chapter contains one or more case
examples that explicate the skills described to convey change
within a behavioral medicine protocol. Each chapter also includes
resources in the form of books and websites to gain additional
knowledge and detail as needed. Authors are experts in the field of
each chapter, ensuring that information presented is recent and of
high quality.
Borderline personality disorder (BPD) is a potentially severely
debilitating psychiatric diagnosis that may affect up to 2% of the
general population. Hallmarks of BPD include impulsivity, emotional
instability, and poor self-image, and those with BPD have increased
risk for self-harm and suicide. Systems Training for Emotional
Predictability and Problem Solving (STEPPS) brings together
research findings and information on implementation and best
practices for a group treatment program for outpatients with BPD. A
five-month long program easily learned and delivered by therapists
from a wide range of theoretical orientations, STEPPS combines
cognitive behavioral therapy, emotion management and behavioral
skills training, and psychoeducation with a systems component that
involves professional care providers, family, friends, and
significant others of persons with BPD. The book provides a
detailed description of the program, reviews the body of evidence
supporting its use and implementation, and describes its
dissemination worldwide and in different settings. Empirical data
show that STEPPS is effective and produces clinically important
improvement in mood and behavior, while reducing health care
utilization. Unique among programs for BPD, STEPPS has been
exhaustively studied in correctional systems (both prisons and
community corrections), where it is shown to be as effective as in
community settings. This volume will be a valuable guide to those
in psychiatry, psychology, social work, nursing, and the counseling
professions who treat people with BPD.
This issue of Primary Care: Clinics in Office Practice, guest
edited by Dr. Janet Albers, is devoted to Psychiatric Care in
Primary Care Practice. Articles in this issue include: Integrating
Behavioral Health in the Medical Home Model - The Role of the
Interdisciplinary Team; Behavioral Health in Prevention and Chronic
Illness Management - Motivational Interviewing; Childhood Sexual
Abuse and Mental Health Screening in Primary Care; Autism
Spectrum/Pervasive Developmental Disorders; Pearls in Working with
Patients Diagnosed with Personality Disorders; Psychopharmacology
in Primary Care Settings; Depression: Screening, Diagnosis,
Treatment Across Populations; Anxiety Disorders in Primary Care;
Bipolar Disorder; Eating Disorders; Substance Abuse Screening and
Treatment; Pain Medication Seeking Behavior; Psychiatric
Emergencies; and Physician Wellness Across the Professional
Continuum.
The treatment of mental disorders has changed with the evolution of
new technologies. The use of the web and computing tools to treat
mental illness provides the ability to reach a higher number of
users with innovative and proactive interventions. Web-Based
Behavioral Therapies for Mental Disorders is a pivotal reference
source for the latest scholarly research on alternative
technology-based approaches to the treatment and support of mental
illnesses. Featuring extensive coverage on topics such as cognitive
behavioral therapy, depression, and acceptance and commitment
therapy, this book is ideally designed for researchers,
psychologists, psychiatrists, and clinical scientists seeking
current research on effective technological solutions for promoting
well-being and meeting the needs for personalized health.
Gender and Mental Health provides a critical introduction to the
ways in which gender affects mental health experiences and mental
health service use. The volume is unique in including a policy
perspective and an overview-including a look at crime, the law, and
service structures-of society's responses to mental disorders.
Recent research has challenged basic assumptions that women are
more prone than men to mental disorders, and has highlighted the
increasing visibility of men in psychiatric statistics in the
twentieth century. Yet, gender differences continue to be
intertwined with risk factors in socioeconomic conditions and in
biased approaches to diagnosis and treatment.
Prior here examines the individual experiences of mental
disorders for both men and women and explores a range of mental
health policy issues including concepts of normality, trends in
mental health care legislation and service delivery, the differing
impacts of national mental health policies on women and on men, and
changing views of disorders linked with sexual identity and
orientation.
Based on up-to-date information from both the United States and
Europe, this volume will be useful to a broad range of scholars and
professionals in psychology, sociology, social policy, gender
studies, social work, medicine, and law.
Since ancient times, physicians have believed that women are
especially vulnerable to certain mental illnesses. Contemporary
research confirms that women are indeed more susceptible than men
to anxiety, depression, multiple personality, and eating disorders,
and several forms of what used to be called hysteria.
Why are these disorders more prevalent in women? Brant Wenegrat
convincingly asserts that women's excess risk stems from a lack of
social power. He reviews women's social power from an evolutionary
and cross-cultural perspective and places mental disorders in the
context of evolution and societal organization. In this
comprehensive look at mental disorders commonly associated with
women, Brant Wenegrat convincingly asserts that women's excess risk
stems from a lack of social power.
Violence is one of the most important challenges, not only for
public health systems, but also for public mental health. Violence
can have immediate as well as long-term and even transgenerational
effects on the mental health of its victims. This book provides a
comprehensive and wide-ranging assessment of the mental health
legacy left by violence. It addresses the issues as they affect
states, communities and families, in other words at macro-, meso-
and microlevels, beginning by describing the impact of violence on
neurobiology and mental health, as well as the spectrum of
syndromes and disorders associated with different forms of
violence.
The work moves on to tackle violence at the international and
intranational level before zeroing in on the nature of violence in
communities such as villages or city districts. It also examines
the results of violence in the family. Each type of violence has
distinct effects on mental health and in each chapter specific
groups are explored in depth to demonstrate the heterogeneity of
violence as well as the diversity of its outcomes in the realm of
public mental health. Finally, the book addresses the notion of
undoing violence by detailing case studies of effective
interventions and prevention occurring in countries, communities
and families. These cases give us pause to reflect on the nature of
resilience and dignity in the context of violence and mental
health.
All the chapters have been written by leading authors in the
field and provide a state-of-the-art perspective. The authors, from
different fields of expertise, facilitate interdisciplinary and
international insights into the impact of violence on mental
health."
This is the first book to address the history of psychiatry under
Communism in Central and Eastern Europe, from the Soviet Union to
East Germany. It brings together new research addressing
understandings of mental health and disorder, treatments and
therapies, and the interplay between politics, ideology and
psychiatry.
"La mayor enfermedad hoy en dia no es la lepra, ni la tuberculosis,
sino mas bien, el sentirse no querido, no cuidado y abandonado por
todos. El mayor mal es la falta de amor y caridad, ....." Teresa de
Calcuta. La depresion afecta las actividades diarias de quien la
padezca, pues esta enfermedad se distingue por presentar una
sensacion de no servir para nada, de tristeza, de autoculpa,
desanimo, ausencia de esperanza, alteraciones del sueno,
alteraciones en el comer, abandono de si mismo, y por supuesto
problemas en el rendimiento academico, entre otros. Lamentablemente
es una realidad indeseable, que no se puede negar, es uno de los
trastornos psicologicos mas asistidos por la poblacion mundial. Ya
la Organizacion Panamericana de la Salud (OPS) en septiembre de
2001, la ha llamado la epidemia del siglo, pues en el 2010
alrededor de 25 a 35 millones de personas presentaron depresion en
America. De los cuales solo un 15 por ciento son diagnosticados y
reciben un tratamiento adecuado. Por su parte Dr. Dean Jamison,
profesor de Salud Publica en la Universidad de California, en Los
Angeles y su equipo de colaboradores contratados por la
Organizacion Mundial de la Salud (OMS), realizaron un estudio
prospectivos y estimaron que para el ano 2020, la depresion sera
uno de los mayores problemas de salud publica, convirtiendose en la
segunda causa de incapacidad en el mundo. En Mexico el Instituto
Nacional de Estadistica y Geografia (INEGI): dieron a conocer las
estadisticas de suicidios en la poblacion de los Estados Unidos
Mexicanos 2009, de 5,190 personas, se suicidaron, de los que 4201
eran varones y 989 mujeres. La mayoria pre rio el mes de mayo, la
minoria, febrero. Del total de estas personas que se quitaron la
vida, 2,197 fueron solteros y 1,978 casados. Y menciona ademas que
los Adolescentes y jovenes entre 15 y 24 anos, ocupan el primer
lugar en sectores vulnerables, en segundo lugar se ubican personas
adultas y en tercero adultos mayores, sin embargo se ha detectado
un incremento en ninos menores de 10 anos. En el ambito
universitario hablando de depresion, en un estudio realizado, en la
Universidad Veracruzana se encontro: en Psicologia un 7.4% de
depresion en los hombres mientras que en las mujeres fue un 9.1%,
no siendo signi cativa la diferencia, en Enfermeria quienes
presentaron mayor porcentaje de depresion fueron los hombres con un
11.1%, y las mujeres se encontro solo un 3.6%. (Barradas y cols.,
2013. Pag.135). El proposito de este libro, es orientar al publico
en general, especialmente a maestros y quienes de alguna manera
estan en contacto con adolescente y jovenes universitarios, a
conocer lo determinante que es, que los profesores que dan clases
en diferentes niveles educativos, que conozca, que es la depresion,
sus causas, sintomas, consecuencias en el rendimiento academico y
sobre todo las alternativas para detectarla en el aula y prevenir
mayor afectacion en los estudiantes. Lo importante que es, estar
consciente que podemos ser facilitadores de una mejor calidad de
vida para quienes nos rodean, ya que un diagnostico oportuno con su
respectivo tratamiento e caz, la depresion se supera. Todos podemos
poner un granito de arena para construir una mejor sociedad.
It has long been known that the pathway through the criminal
justice system for those with mental health needs is fraught with
difficulty. This interdisciplinary collection explores key issues
in mental health, crime and criminal justice, including: offenders'
rights; intervention designs; desistance; health-informed
approaches to offending and the medical needs of offenders;
psychological jurisprudence, and; collaborative and multi-agency
practice. This volume draws on the knowledge of professionals and
academics working in this field internationally, as well as the
experience of service users. It offers a solution-focused response
to these issues, and promotes both equality and quality of
experience for service users. It will be essential reading for
practitioners, scholars and students with an interest in forensic
mental health and criminal justice.
This book serves as a training manual for mental health
professionals and other community members who desire a practical
"handbook" to guide their work with adult children from
dysfunctional families in both individual and group counseling. An
approach to the resolution of trauma is offered, along with
prevention and intervention techniques for use with children and
adolescents from dysfunctional families in school and other
community-based settings. Group psychoeducation is highlighted as a
tool for the delivery of curricula, covering diverse topics such as
how to engage in healthy parenting behavior, how the stress of
immigration/migration contributes to the creation of dysfunctional
families, how to attain cultural sensitivity, as well as how to
prevent or stop violent behavior. Always practical, Dr. Wallace
provides a timely and comprehensive guide for community mental
health promotion at a time when multiple, overlapping epidemics
undermine family functioning.
This book offers a new approach by combining the disciplines of
history, psychology, and religion to explain the suicidal element
in both Western culture and the individual, and how to treat it.
Ancient Greek society displays in its literature and the lives of
its people an obsessive interest in suicide and death. Kaplan and
Schwartz have explored the psychodynamic roots of this problem--in
particular, the tragic confusion of the Greek heroic impulse and
its commitment to unsatisfactory choices that are destructively
rigid and harsh. The ancient Hebraic writings speak little of
suicide and approach reality and freedom in vastly different terms:
God is an involved parent, caring for his children. Therefore,
heroism, in the Greek sense, is not needed nor is the individual
compelled to choose between impossible alternatives.
In each of the first three sections, the authors discuss the
issues of suicide from a comparative framework, whether in thought
or myth, then the suicide-inducing effects of the Graeco-Roman
world, and finally, the suicide-preventing effects of the Hebrew
world. The final section draws on this material to present a
suicide prevention therapy. Historical in scope, the book offers a
new psychological model linking culture to the suicidal personality
and suggests an antidote, especially with regard to the treatment
of the suicidal individual.
This handbook presents a diverse range of effective treatment
approaches for individuals with intellectual and developmental
disabilities (IDD). Its triple focus on key concepts, treatment and
training modalities, and evidence-based interventions for
challenging behaviors of individuals with IDD provides a solid
foundation for effective treatment strategies,
theory-to-implementation issues, and the philosophical and moral
aspects of care. Expert contributions advocate for changes in
treating individuals with intellectual and developmental
disabilities by emphasizing caregiver support as well as respecting
and encouraging client autonomy, self-determination, and choice.
With its quality-of-life approach, the handbook details practices
that are person-centered and supportive as well as therapeutically
sound. Topics featured in the handbook include: Functional and
preference assessments for clinical decision making. Treatment
modalities from cognitive behavioral therapy and pharmacotherapy to
mindfulness, telehealth, and assistive technologies.
Self-determination and choice as well as community living skills.
Quality-of-life issues for individuals with IDD. Early intensive
behavior interventions for autism spectrum disorder. Skills
training for parents of children with IDD as well as staff training
in positive behavior support. Evidence-based interventions for a
wide range of challenging behaviors and issues. The Handbook of
Evidence-Based Practices in Intellectual and Developmental
Disabilities is a must-have resource for researchers, clinicians,
scientist-practitioners, and graduate students in clinical
psychology, social work, behavior therapy, and rehabilitation.
This book examines infant and early childhood mental health and the
importance of early emotional and social development for later
developmental trajectories. It incorporates research and clinical
perspectives and brings research findings to bear in evaluating
intervention strategies. By incorporating empirical developmental
literature that is directly relevant to infant mental health and
clinical practice, the book addresses the multiple forces which
shape young children's mental health. These forces include child
factors, parental and familial variables, childrearing practices,
and environmental influences. In addition, the book explores
parent-child relationships, family networks, and social supports as
protective factors, as well as risk factors such as poverty,
exposure to violence, and substance abuse, which influence and
change developmental processes. It shows that, by examining
socio-emotional development in a cultural context, human
development in the twenty-first century can be conceptualized
through differences, similarities and diversity perspectives,
focusing on the rights of every individual child.
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