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Books > Medicine > General issues > Health systems & services > Mental health services
Climate change is increasing the severity of disasters and adverse weather conditions worldwide, with particularly devastating effects on developing countries and on individuals with lower resources. Climate change is likely to impact mental health and psychosocial well-being via multiple pathways, leading to new challenges. Direct effects such as gradual environmental changes, higher temperatures, and natural disasters, are likely to lead to more indirect consequences such as social and economic stressors, population displacement, and conflict. Climate change, largely the product of industrialized nations, is projected to magnify existing inequalities and to impact the most vulnerable, including those with low resources, individuals living in developing countries and specific populations such as women, children and those with pre-existing disabilities. This book outlines areas of impact on human well being, consider specific populations, and shed light on mitigating the impact of climate change. Recommendations discuss ways of strengthening community resilience, building on local capacities, responding to humanitarian crises, as well as conducting research and evaluation projects in diverse settings.
The Future of Mental Health drills to the heart of the current mental health crisis, where hundreds of millions of individuals worldwide receive unwarranted "mental disorder diagnoses." It paints a picture of how mental health providers can improve their practices to better serve individuals in distress and outlines necessary steps for a mental health revolution. Eric Maisel's goal is to inject more human interaction into the therapeutic process. Maisel powerfully deconstructs the "mental disorder" paradigm that is the foundation of current mental health practices. The author presents a revolutionary alternative, a "human experience" paradigm. He sheds a bright light on the differences between so-called "psychiatric medication" and mere chemicals with powerful effects, explains why the DSM-5 is silent on causes, silent on treatment, and wedded to illegitimate "symptom pictures." Maisel describes powerful helping alternatives like communities of care, and explains why one day "human experience specialists" may replace current mental health professionals. An important book for both service providers and service users, The Future of Mental Health brilliantly unmasks current mental health practices and goes an important step further: it describes what we are obliged to do in order to secure better mental health services-and better mental health-for everyone.
Eat for your mental health and learn the fascinating science behind
nutrition with this "must-read" guide from an expert psychiatrist (Amy
Myers, MD).
A triple threat in the food space, Dr. Uma Naidoo is a board-certified psychiatrist, nutrition specialist, and professionally trained chef. In This Is Your Brain on Food, she draws on cutting-edge research to explain the many ways in which food contributes to our mental health, and shows how a sound diet can help treat and prevent a wide range of psychological and cognitive health issues. Packed with fascinating science, actionable nutritional recommendations, and 40 delicious, brain-healthy recipes, This Is Your Brain on Food is the go-to guide to optimizing your mental health with food.
From a historical point of view the first studies on the response of the organism to stressful situations in general, and on the psychobiology of stress in particular, are probably those of Cannon and de la Paz, the physiologists who showed in 1911 that the adrenal medulla and the sympathetic system are involved in emergency situations. Cannon noted that the venous blood of cats frightened by barking dogs contained adrenaline, a response of the organism which was prevented by adrenalectomy or by section of the splanchnic nerve innervating the adrenal medulla. Cannon suggested that the adrenal medulla was acting in concert with the sympathetic nervous system, so that both systems were activated during stress. The role of the sympathetic system in response to stressful events was later emphasized by the experiments carried out by Maickel et al. (1967) and by Mason (1968): these authors clearly showed that stressors activate the sympathetic system causing it to release adrenaline and noradrenaline. This line of research may be contrasted with that carried out by Hans Selye, centered on of the adrenal cortex in the stress response. Selye's findings and theories originated the role the so-called hypothalamic - pituitary - adrenal cortex (HPA) model of stress: in short, during stress adrenocorticotropic hormone is released from cells of the anterior pituitary and elicits secretion of glucocorticoids from the adrenal cortex.
This fascinating, entertaining and often gruelling book by James Mills, examines the lunatic asylums set up by the British in nineteenth-century India. The author asserts that there was a growth in asylums following the Indian Mutiny, fuelled by the fear of itinerant and dangerous individuals, which existed primarily in the British imagination. Once established though, these asylums, which were staffed by Indians and populated by Indians, quickly became arenas in which the designs of the British were contested and confronted. Mills argues that power is everywhere and is behind every action; colonial power is therefore just another way to assert control over the less powerful. This social history draws on official archives and documents based in Scotland, England and India. This book is essential reading for anyone interested in history, sociology, or the general interest reader.
What is schizophrenia? Is it a nervous breakdown or a neurochemical malfunction? Why does it develop mostly in late adolescence? In this groundbreaking and innovative book, Chris Harrop and Peter Trower outline a whole new way of understanding schizophrenia. Controversially, they argue that symptoms seen as psychosis can be linked to the typical psychological development of adolescence and, in particular, to problems constructing an independent, adult self. This unique psychological account of schizophrenia, written in accessible language, offers insights and practical therapeutic techniques that will be of value to young people with this problem, their families and anyone working with adolescents. For therapists and all those working in mental health services, particularly those interested in early intervention, this book is essential reading. ‘… a valuable contribution to what remains one of the most problematical issues for health providers, receivers and researchers.’ Dr Paul Patterson ‘… what Peter and Chris have to say is controversial, but I suspect this work will be regarded in time to come as "trail-blazing".’ Professor Max Birchwood
The World Health Organization's concept of health as "the condition of psychophysical and social well-being" must be translated into opera tional terms. The objective is to place the human person within the social system, given that mental health, mental illness, and suffering are individual, despite the fact that their causes are to be sought in the society and environment that surround and interact with the indi vidual. One dimension that must be emphasized in this field is the contin uum that exists between social environment and cerebral development. This continuum consists of the physical and biological features of the two interacting systems: on one hand, the brain managed and con trolled by the genetic program, and, on the other hand, the environ ment, be it natural or social. A simple dichotomy of individual and environment is no longer a sufficient concept in understanding the etiology of mental health and illness. Needless to say, socioepidemiological research in psychiatry and transcultural psychiatry is useful in reaching these ends. However, at the root of mental illness, one can always find the same causal elements: informational chaos, inadequate dietary intake, substance abuse, trauma, conditioning, and so on, which make the interactive systems dysfunctional. Subsequent organic and psychotic disorders occur to the detriment of both the individual and society. Current biological psychiatry is inadequately equipped in treating mental illness."
Participation in Children and Young People's Mental Health: An Essential Guide aims to break down the historical challenges surrounding children and young people's mental health (CYPMH) participation. It explores topics from how to conceptualise participation to more practical advice and guidance surrounding how to 'do' participation. Uniquely edited by Experts-by-Experience, it offers useful insights to how participation ought to be led from those with experience in the field. This ground-breaking text is supported by contributors from leading experts, including a mixture of lived experience and academic persepctives, providing a comprehensive dive into key concepts and practical examples to help improve practice. The chapters aim to spark thinking, conversations, and actions in participation and will provide lessons to embed into services, organisations, areas, groups, practice, and work. This text is an essential guide for trainees and professionals working in CYPMH services which includes the NHS in England, voluntary sector, and other health systems internationally.
Forced hospitalization of people with mental disorders has long been a critical issue in the mental health services. Coercion and Aggressive Community Treatment is the first sustained description and analysis of what happens when aggressive' treatment becomes coerced' treatment. Mental health professionals poignantly discuss the tension they feel between wanting to do everything to treat desperately ill people and the need to respect the rights of these same people who want to make their own decisions, even if this means forgoing treatment.
Originally published in 1970 this title commemorates the men and ideas that started, inspired and established a pioneer institution in British psychiatry. Based on the impetus of Freudian and related innovations after the First World War, the Tavistock Clinic offered treatment, training and research facilities in the field of neurosis, child guidance and later on group relations. Dr Dicks, who had been associated for nearly forty years with the work and personalities that helped to develop the Tavistock venture, describes the struggles and capacity for survival of the clinic. He shows how, belonging neither to the older classical psychiatry nor to orthodox psychoanalysis, and suspect to both, the Clinic nevertheless became increasingly used by the rest of the profession as a psychotherapeutic resource. Dr Dicks describes the influence of the Tavistock on the medical, psychological and social work scene both before and after the Second World War, and assesses its achievements as a centre of psycho- and socio-dynamic thinking. The Tavistock is shown as a pioneer sui generis, launching psychosomatic research and initiating the exciting ventures in social psychiatry associated with the Army in the Second World War. As the Tavistock was the outcome of work with shell-shock victims in the first war, so its offspring, the Institute of Human Relations, was the natural continuation of the military effort in man-management, morale and group dynamic studies. The book includes an account of the inter-relationship between the Clinic, now part of the National Health Service, and the Institute, a private corporation. Still going strong as part of the Tavistock and Portman NHS Foundation Trust today this is an opportunity to revisit its early history.
This international survey defines mental health as a basic human right, and tracks the emergence of mental health prevention and promotion as a global priority. Locating mental illness within a cycle of negative causes and effects affecting human quality of life, the editors identify modern policy barriers to promotion/prevention initiatives, particularly the favoring of the biomedical health model by major stakeholders. The book's selection of successful programs from diverse countries displays a lifespan approach, emphasizing the centrality of interdisciplinary educational settings in providing primary and secondary prevention and promotion interventions, and the ongoing fight against missing financial investigations, discrimination and stigma. Together, these papers make a forceful argument for rights- based responses to worldwide mental health needs as part of the commitment toward global human rights and long-term development goals. Included in the coverage: * Mental health priorities around the world. * Social determinants of mental health. * Mental health and stigma: aspects of anti-stigma interventions. * Promoting social and emotional wellbeing and responding to mental health problems in schools. * The promotion and delivery of mental health services in primary care settings. * Economic evaluation of mental health promotion and mental illness prevention. Bringing to the fore public health concerns that are too often marginalized, Global Mental Health is necessary reading for health professionals, health and clinical psychologists, psychiatrists, medical sociologists, and policymakers.
This book is a research mono graph reporting empirical results, but we have tried to place the data in a very broad national perspective. Our intent is a volume on mental health policy in the United States, most notably our de facto policies, as indicated by empirical data. The book gives a broad perspective of mental disorders and mental disorder treatment in general hospitals in the United States. The audi ence that we ho pe to reach is those interested in mental health policy, planning, and treatment alternatives. The issues raised in this book are germane to anyone who is concerned with the problems that beset those see king treatment for mental or substance abuse disorders. We address the foUowing types of issues: (1) the history of health policy in the United States; (2) the history of our mental health policy as a eomponent of our health poliey; (3) the effeets of ehanges in payment policies; (4) mental disorders among special populations (children, the elderly, the disabled); (5) the cost of treatment; (6) changes in labeling of diagnosis; (7) the effectiveness of treatment; and (8) evolving public policy issues."
Multiple voices throughout the last century have preached the merits of various treatments for schizophrenia, ranging from cold baths to the currently accepted standards such as neuroleptic medication. Along with these ongoing treatments, there have been quiet commentaries, made mostly from the sidelines, suggesting the need to shift and refocus the way we think and talk about schizophrenia. Harry Stack Sullivan noted in 1927 that, 'The psychiatrist sees too many end states and deals professionally with too few of the pre psychotic" (Sullivan 192711994, p. 135). Similar thoughts have been echoed by purveyors of modem treatment for psychosis such as Thomas H. McGlashan: "Like others before me, I tried to make a difference . . . but like the others my efforts were largely in vain. I came upon the scene too late; most of the damage was already done" (McGlashan, 1996). Similar interest in the early phase of schizophrenia has developed across the globe and consolidated into a tentative, yet meaningful deliberation about the potential for prevention of psychotic illness through early identification and intervention. In the past decade, international support has grown from: Ian Falloon's prodromal intervention project in Great Britain (Falloon et aI., 1996); Patrick McGorry's and Jane Edward's first episode psychosis program in Melbourne, Australia (McGorry et al."
A paradigm shift in the ways in which mental health services are delivered is happening-both for service users and for professional mental healthcare workers. The landscape is being changed by a more influential service user movement, a range of new community-based mental healthcare programmes delivered by an increasing plurality of providers, and new mental health policy and legislation. Written by a team of experienced authors and drawing on their expertise in policy and clinical leadership, Working in Mental Health: Practice and Policy in a Changing Environment explains how mental health services staff can operate and contribute in this new environment. Divided into three parts, the first focuses on the socio-political environment, incorporating service user perspectives. The second section looks at current themes and ways of working in mental health. It includes chapters on recovery, the IAPT programme, and mental healthcare for specific vulnerable populations. The final part explores new and future challenges, such as changing professional roles and commissioning services. The book focuses throughout on the importance of public health approaches to mental healthcare. This important text will be of interest to all those studying and working in mental healthcare, whether from a nursing, medical, social work or allied health background.
Innovating in Community Mental Health presents lively examples of successful attempts to change mental health service systems in innovative ways to achieve the goal of providing care for persons with severe mental illness. These examples are drawn from such diverse national settings as Italy, Russia, Germany, England, China, and the United States, and involve a range of stratgies from treatment teams of professionals, grassroots community organizations, consumer cooperatives, professional-volunteer teamwork, and housing-based alternatives. The stories of these varied innovations are told by established, knowledgeable scholars from each of the featured countries. The editors help us understand the triumphs and pitfalls involved in these innovations through the presentation of a broad, research-based theory of innovation and change, which is used to guide the presentation of the examples and subsequently to determine their similarities and differences. Through the theoretical framework presented, the nuances of the process of innovation are highlighted, including the importance of the type of innovation itself, the wider environmental influences, place of internal organizational structures, and the role of the individual change agent. Through this framework and the examples presented, the reader is given indications of how innovation and change may be possible in such diverse and seemingly difficult situations, and also of how effective strategies for change might be chosen by administrators, providers, and other policymakers.
Despite the growing emphasis on a population-based training and service delivery model for school psychology, few resources exist to provide guidance concerning how such services might be conceptualized and put into place. In this book, the authors propose a public health model for comprehensive children's mental health services that expands, rather than replaces, the traditional model of school psychology. The background and theoretical perspective for this public health model are discussed as an important way to solve problems and accomplish goals in schools, after which the authors outline and develop a clear, practical procedure for implementing and evaluating programs based on public health ideas. A case study in one elementary school walks readers through the stages of applying a public health model, detailing the key steps of each stage. Finally, the authors consider the changes to the role of school psychologist that will be required to practice a public health problem-solving model. Accompanying downloadable resources contain sample forms, handouts, and other valuable materials that will be of use to school psychologists implementing this public health model in their schools.
This book examines the recovery principle of co-production within mental health services, defining it as the creation of a space where all stakeholders - including service users, family members, carers and supporters - come together in a partnership to improve all aspects of mental health services. Exploring both the practicalities and complexities of co-production, the book provides detailed analyses of all aspects of the concept in relation to mental health and discusses the growing evidence-base for adopting co-production as a recovery approach within a mental health setting. The book's chapters outline: the foundational principles in implementing the concept in services; the theories of co-production in and outside of mental health settings; how to translate theory into practice; and examples of implementation. The book also explores the sustainability of co-production and the tensions that are present between the idea of recovery and mental health policy. The volume represents an ideal introduction to the concept of co-production in mental health and will be valuable reading for those researching and working in the area of mental health services and recovery, including nurses, occupational therapists and social workers.
For the first time in history, behavioral health providers are expected to understand and participate in activities intended to access and improve the quality of services they provide. This handbook is designed as a general resource in the field of behavioral health quality management for a very diverse group of readers, including graduate and undergraduate students, payors, purchasers and administrators within managed care organizations, public sector service system planners and managers, applied health services researchers and program evaluators. This volume provides a comprehensive context for the development of quality management (QM) in health services - behavioral health in particular - as well as an overview of tools, techniques, and programs reflecting QM in practice. It also offers perspectives on both internally- and externally-based QM activities.
This text, by a well regarded writing team, examines the relationship between the knowledge base of mental health professionals, evidence about inequalities and mental health service utilization. Starting with a critical appraisal of traditional psychiatric epidemiology, it moves into an exploration of the inequalities created by familial and neighborhood influences, service contact and challenges during the life span. Controversies in mental health debates, about violence and different forms of psychiatric treatment, are discussed within a framework of social inequalities. |
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