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Books > Medicine > General issues > Health systems & services > Mental health services
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.
When little things have big impacts. This book is for anyone who
feels that they're sleepwalking through life, looking for answers
to challenging emotions and the practical tools to begin living the
life they want. 'How are you really feeling? A bit blah, meh or
simply 'I don't actually know'. If this is your honest,
knot-in-the-throat response, take a moment - breathe - and let me
reassure you that it's not you, it's what's happened to you over
the years. You can't quite put your finger on it, but somehow you
just don't feel like you're thriving or truly participating in your
own life. This is the result of a build-up of life's scrapes,
papercuts and bruises that have left you feeling simply 'not ok'.
Emotional illiteracy, microaggressions, challenging familial
relationships, toxic positivity and gaslighting are some examples
of what I call 'Tiny T' trauma - the impact of which often leads to
problems such as high-functioning anxiety, languishing,
perfectionism, comfort eating and sleep disturbance, to name but a
few. We have been fooled into believing that 'Tiny T' trauma
doesn't matter. There always seem to be huge, intractable problems
in the world, so we tend to overlook those small, everyday injuries
that drill down to your core. This leaves us with an undercurrent
of constant melancholy and niggling pinpricks of anxiety, all
wrapped up in the film of other people's Insta-perfect lives. But
life doesn't have to be experienced in this suffocating way; we owe
it to ourselves to develop Awareness, Acceptance, and take Action
on our Tiny T trauma, no matter how 'small', and to start living
every day as we deserve.'
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."
"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.
This fascinating book on the trials and tribulations of the life of
Khaliyq (Ka-leek) Nazaire will take you along for a journey of
compassion. Khaliyq is not your average young adult. His mix of
genius and struggle with mental dis-ease leads him on an intriguing
journey of self-discovery and self-destruction. No hurdle is too
high to contemplate jumping, no accomplishment thought out of
reach. Yet on the streets, everyone's a potential enemy in
Khaliyq's mind. What he still can't get used to is a world where
integrity is an option, one where people trying to take from you is
the norm. Khaliyq plunges deeply into creating the life of his
desire. He has a promising career with a path toward
entrepreneurship, degrees from a prominent college and university,
women who love him, worldwide vacation destinies, techy toys, and a
house in the suburbs. Khaliyq's life is a mirror in extremes,
exemplified by his unique childhood in an Islamic commune in
Brooklyn, NY, to the prestigious Morehouse College and then St.
John's University, to one of the big four accounting firms on Wall
Street. A leader by nature and example, helper and inspiration to
many, made sure that giving back was an inherent part of his
lifestyle. But all of that is not enough, and he sets his hurdles
precipitously higher and higher. This book will show you that
everyone struggles with something, and being our brother's keeper
is the best thing we can do to help each other hold fast on our
way. Leaping the Hurdles of Life, A Tiger's Story is for everyone
who struggles on the path of life, desires to live a life of joy,
and is a reminder that no one can do it alone.
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 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.
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.
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.
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.
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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