There are global concerns about the proliferation and misuse of club drugs and novel psychoactive substances, yet we know little about their harms and research on clinical management and treatment remains limited. This book fills the knowledge gap by providing a detailed overview of the research evidence available to date. The book provides a framework that allows readers to understand this large number of new drugs, using classifications based on primary psychoactive effect. Within this framework, the book provides detailed reviews of the more commonly used drugs. Each chapter explores pharmacology, patterns and mode of use, acute and chronic harms, and clinical interventions supported by research evidence. An invaluable resource for clinical staff, this book will support clinicians working in the emergency department, substance misuse and addiction services, mental health services, primary care, sexual health services and more. It will also be of interest to academics and those developing drug policy.

An exceptional opportunity is being missed. A chance to alleviate suffering and to achieve health care cost reductions for society is available, but is being ignored. There is an explosion of new knowledge about the emotional and intellectual development of children, and the causes and treatment of psychiatric disorders of children and adolescents. Research from diverse disciplines such as the developmental neurosciences, psychoanalysis, psychopharmacology, developmental psychology, and genetics propels us forward,. However, the effects of this new knowledge reach children and adolscents slowly, or not at all. The long history of neglect of the mental health of children and adolescents is now exaggurated by sudden, disruptive economic and political influences on mental health services for children and adolescents in most countries. Prevention and treatment of emotional and intellectual problems in childhood and adolescence have vastly improved, but utilization of these advantages lags behind. This disappointing incongruity stimulates a need to document our knowledge about these services and systems and to make it more broadly available. This is the primary aim of this new volume by a team of distinguished contributors. It reviews the causes and prevalences of psychiatric disorders in children and adolescents, the problem of health care financing for these services, the underutilization of these services, our current understanding of the outcomes of treatment, and the new models for both treatment and prevention. The book also provides a survey of current mental health services and sytems for children and adolescents in countries across the world. Information drawn from these multiple perspectives is has been used by a group of international experts to develop the Venice Declaration, providing specific guidelines for families, clinicians, administrators, and policy-makers who are concerned with the development of children and adolescents, and are committed to a more efficient economic approach to mental health services.

The author examines the problems facing parents of mentally-handicapped children and the responses of doctors, psychologists and teachers who work with them.

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Geographically and demographically Asia is a huge region with a large number of societies and cultures, each affected by their own unique problems including over-population, major natural disasters, poverty and changing social and economic factors. Inevitably this means that different mental health needs have developed across the region. Colonialism, globalization, industrialization and urbanization have brought major demographic and cultural shifts in the region but clinical mental health practices and services and societal attitudes to mental health issues vary enormously.

This handbook surveys the state of the current psychiatric care field across the whole Asia-Pacific region. Focusing on individual countries, each chapter will include:

• A summary of factors affecting the practice and provision of psychiatric care, including cultural attitudes to mental health issues
• Coverage of the conceptualisation, causation and prevalence of mental health issues in society
• An overview of mental health care services and systems available and workforce training
• Coverage of country specific innovative practices and folk therapies

As the first major reference work on psychiatric care in Asia this book is an essential resource for scholars and students researching mental health in Asia as well as psychiatrists and other mental health professionals working in the region.

With the emphasis in the 1980s on effectiveness and efficiency in health services, evaluation of practice was increasingly important. This was particularly true of mental health, where many practices were poorly evaluated and therefore might have been of questionable validity. Originally published in 1987, this book reviews the state of evaluative research of mental health programmes at the time, showing how practices can be evaluated and hence improved. A multidisciplinary group of authors, covering psychiatry, clinical psychology, psychiatric nursing, social work and other 'therapies', describe previous studies and applications in each discipline, before detailing a case study of their own evaluative work. The book will still have something to offer all professionals concerned with improving the quality of their work in the mental health area.

Audit is an essential activity for all psychiatrists. Involvement in audit must be evidenced by consultants for revalidation and by trainees in their Annual Review of Competence Progression (ARCP). This book will therefore be relevant for psychiatrists of all grades. It aims to help ease the audit process by offering tried and tested recipes for conducting audits in clinical services. All the audits in this book have been undertaken by the authors and it therefore provides useful practical advice for carrying out the audits in day-to-day practice.

Stop Walking on Eggshells has already helped more than a million people with friends and family members suffering from borderline personality disorder (BPD) understand this difficult disorder, set boundaries, and help their loved ones to stop relying on dangerous behaviors. This fully revised and updated third edition includes the very latest BPD research, extensive new information on narcissistic personality disorder (NPD), comorbidity and the effectiveness of schema therapy, and includes coping and communication skills readers can use to stabilize their relationship with the BPD or NPD sufferer in their life. Isn't it time you stopped walking on eggshells? Learn how with this fully revised and updated third edition of a self-help classic-now with more than one million copies sold!Do you feel manipulated, controlled, or lied to? Are you the focus of intense, violent, and irrational rages? Do you feel you are 'walking on eggshells' to avoid the next confrontation? If the answer is 'yes,' someone you care about may have borderline personality disorder (BPD)-a mood disorder that causes negative self-image, emotional instability, and difficulty with interpersonal relationships.Stop Walking on Eggshells has already helped more than a million people with friends and family members suffering from BPD understand this difficult disorder, set boundaries, and help their loved ones stop relying on dangerous BPD behaviors. This fully revised third edition has been updated with the very latest BPD research on comorbidity, extensive new information about narcissistic personality disorder (NPD), the effectiveness of schema therapy, and coping and communication skills you can use to stabilize your relationship with the BPD or NPD sufferer in your life.This compassionate guide will enable you to: ·Make sense out of the chaos ·Stand up for yourself and assert your needs ·Defuse arguments and conflicts ·Protect yourself and others from violent behavior If you're ready to bring peace and stability back into your life, this time-tested guide will show you how, one confident step at a time.

This 5th edition of the bestselling introduction to counselling is thoroughly revised and updated. Pete Sanders, Paula J Williams and Andy Rogers position counselling in contemporary society and render the theory, practice and origins of counselling understandable to all. Other short contributions explore the role of power, language and race in the field of counselling.

In the early hours of 28th July 2016, Colette McCulloch was hit by a lorry and killed on the A1. Eighteen hours earlier she had walked out of the specialist care facility for autistic adults where she was being treated. Here, Andy and Amanda McCulloch tell the story of their daughter's life and untimely death: the years in which her autism went undiagnosed, her lifelong battle with eating disorders and the lack of support for her complex needs. The book is interspersed with Colette's own vivid and eloquent writing, her poetry and prose articulating her experiences grappling with a world forever at odds with her. Colette's story is a call to action and ultimately leaves a message of hope for a future in which autistic people will be better understood and able to flourish.

Lunatic Hospitals in Georgian England, 1750-1830 constitutes the first comprehensive study of the philanthropic asylum system in Georgian England. Using original research and drawing upon a wide range of expertise on the history of mental health this book demonstrates the crucial role of the lunatic hospitals in the early development of a national system of psychiatric institutions. These hospitals were to form an essential historical link in the emergence of a national system of institutional provision for mentally disordered people. They provided important prototypes for the subsequent development of a network of state-sponsored lunatic asylums during the nineteenth century. This is an impressive volume which covers various areas including: the provincial lunatic hospitals managing the hospital managing the insane. This book will interest specialist historians as well as mental health professionals and people interested in local and regional studies.

Why do people want to become a psychotherapist? How do they translate this desire into reality? On Becoming a Psychotherapist explores these and related questions. Ten leading therapists write about their profession and their careers, examining how and why they became psychotherapists. The contributors, representing a wide cross-section of their profession, come from both Britain and America, from different theoretical backgrounds, and are at different stages in their careers. They write in a personal and revealing way about their childhoods, families, colleagues, and training. This absorbing and fascinating book offers a fresh perspective on psychotherapy and the people attracted to it. This Classic Edition of the book includes a new introduction written by the authors and will be invaluable for qualified psychotherapists and those in training.

People seeking asylum face unique challenges and frequently experience mental health problems. Effective support requires an understanding of their mental health needs in the broader context of their lives, cultures and extreme experiences. This book provides practical guidance for professionals and services working with people seeking asylum in mental health, social care, legal, government. managerial and commissioning roles. With authors from a wide range of professional backgrounds, the book is enriched by accounts from people with first hand experience of the asylum system itself. It considers the challenges and dilemmas faced by all involved, including clients, clinicians and service planners, with a wealth of practical information about how to assess and understand strengths and needs, avoid inappropriate conclusions and discrimination, consider treatment options, and write records and reports. The authors emphasise that effective support depends on reflection, humanity and compassion. The book is a must-have resource for professionals working with those who have to seek asylum.

As an excellent source of learning for prescribers specializing in psychiatry, primary care physicians, nurse practitioners, psychologists, and pharmacists, this new edition features approximately 150 questions, divided into ten core areas of psychiatry, helping to identify areas in which you need further study. The majority of questions are new or updated in their explanations and referencing. Each question is followed by an explanation of the answer and a list of references. After completing the questions you will be better able to: diagnose patients presenting with psychiatric symptoms using accepted diagnostic standards and practices; implement evidence-based psychiatric treatment strategies aligned with the patient's recovery goals; integrate recent advances in diagnostic and treatment strategies into clinical practice according to best practice guidelines. This collection has been approved by the American Board of Psychiatry and Neurology as part of a lifelong learning and self-assessment program and as a component of maintenance of certification.

An integrated guide to the entire range of clinical art therapy. Its scope is immense, covering every age range in a variety of settings from schools and outpatient clinics to psychiatric hospitals and private treatment. Of special value are the extensive case studies and 148 illustrations.

Depression has become the most frequently diagnosed chronic mental illness, and is a disability encountered almost daily by mental health professionals of all trades. "Major Depression" is a medical disease, which some would argue has reached epidemic proportions in contemporary society, and it affects our bodies and brains just like any other disease. Why, this book asks, has the incidence of depression been on such an increase in the last 50 years, if our basic biology hasn't changed as rapidly? To find answers, Dr. Blazer looks at the social forces, cultural and environmental upheavals, and other external, group factors that have undergone significant change. In so doing, the author revives the tenets of social psychiatry, the process of looking at social trends, environmental factors, and correlations among groups in efforts to understand psychiatric disorders.

This book gives readers an understanding of the theoretical foundations of social support communication along with practical tools to ethically and justly connect with and support others in daily life. Incorporating research, real-world examples, and autoethnographic methods, this book examines how social hierarchies, personal power dynamics, and relational and social histories can be better understood to create stronger social support messages across all our relationships, including family, friend, workplace, and health provider-patient relationships. The book translates theories of social support communication into practical application, examining how support messaging goes wrong and how to do it right. Intended as a supplementary text in interpersonal communication, psychology, and social work undergraduate courses, the book is also ideal for professionals who engage in caretaking and support tasks and wish to enhance their knowledge of social support theory.

Managing Fear examines the growing use of risk assessment as it relates to preventive detention and supervision schemes for offenders perceived to be at a high risk of re-offending, individuals with severe mental illness, and suspected terrorists. It outlines a number of legislative regimes in common law countries that have broadened 'civil' (as opposed to criminal) powers of detention and supervision. Drawing on the disciplines of criminology and social psychology, it explores how and why such schemes reflect a move towards curtailing liberty before harm results rather than after a crime has occurred. Human rights and ethical issues concerning the role of mental health practitioners in assessing risk for the purposes of preventive detention and supervision are explored, and regimes that require evidence from mental health practitioners are compared with those that rely on decision-makers' notions of 'reasonable belief' concerning the risk of harm. Case studies are used to exemplify some of the issues relating to how governments have attempted to manage the fear of future harm. This book aims to educate mental health practitioners in the law relating to preventive detention and supervision schemes and how the legal requirements differ from clinical assessment practices; examine the reasons why there has been a recent renewal of preventive detention and supervision schemes in common law countries; provide a comparative overview of existing preventive detention and supervision schemes; and analyse the human rights implications and the ethics of using forensic risk assessment techniques for preventive detention and supervision schemes.

Out of the Mainstream identifies those aspects of mental illness which can compromise parenting and affect children s development, as well as the efforts of professionals to intervene effectively. With chapters from professionals working primarily with children or adults, in different agencies and in specialist teams or in the community, the book illustrates the ways in which the needs of mentally ill parents and their children can be understood.

The book outlines different theoretical approaches which may be in use alongside each other, including:

A systems theory approach to work with families and with agencies;

The psychoanalytic understanding of mental illness and its impact on family relationships and organisations;

An educational approach to supporting staff, children and parents;

A psychiatric or bio-medical model of work"

Out of the Mainstream" considers how the diverse groups of agencies, specialist teams and groups in the community can work together, even when many barriers may hinder the effective co- working between individuals and these various groups. It will be an invaluable resource for psychologists, psychiatrists, social workers, health visitors, mental health nurses, teachers and voluntary sector agency staff. "

What Asylums Were, Are, and Ought to Be, first published in 1837, was of considerable significance in the history of lunacy reform in Britain. It contains perhaps the single most influential portrait by a medical author of the horrors of the traditional madhouse system. Its powerful and ideologically resonant description of the contrasting virtues of the reformed asylum, a hive of therapeutic activity under the benevolent but autocratic guidance and control of its medical superintendent, provided within a brief compass a strikingly attractive alternative vision of an apparently attainable utopia. Browne's book thus provided important impetus to the efforts then under way to make the provision of county asylums compulsory, and towards the institution of a national system of asylum inspection and supervision. This edition, originally published in 1991 as part of the Tavistock Classics in the History of Psychiatry series, contains a lengthy introductory essay by Andrew Scull. Scull discusses the social context within which What Asylums Were, Are, and Ought to Be came to be written, examines the impact of the book on the progress of lunacy reform, and places its author's career in the larger framework of the development of Victorian psychiatry as an organised profession. Through an examination of Browne's tenure as superintendent of the Crichton Royal Asylum in Dumfries, Scull compares the theory and practice of asylum care in the moral treatment era, revealing the remorseless processes through which such philanthropic foundations degenerated into more or less well-tended cemeteries for the still-breathing - institutions almost startlingly remote from Browne's earlier visions of what they ought to be.

The new edition of the classic "Helping Traumatized Families" not only offers clinicians a unified, evidence-based theory of the systemic impact of traumatic stress it also details a systematic approach to helping families heal by promoting their natural healing resources. Though the impact of trauma on a family can be growth producing, some families either struggle or fail to adapt successfully. "Helping Traumatized Families" guides practitioners around common pitfalls and toward a series of evidence-based strategies that they can use to help families feel empowered and ultimately to thrive by developing tools for enhancing resilience and self-regulation."

More than half of children either in foster care, or adopted from care in the developed world, have a measurable need for mental health services, while up to one quarter present with complex and severe trauma- and attachment-related psychological disorders. This book outlines how services can effectively detect, prevent, and treat mental health difficulties in this vulnerable population. Responding to increasing evidence that standard child and adolescent mental health services are poorly matched to the mental health service needs of children and young people who have been in foster care, this book provides expert guidance on the design of specialised services. The first part provides an overview of these children's mental health needs, their use of mental health services and what is known about the effectiveness of mental health interventions provided to them. The second part presents some recent innovations in mental health service delivery, concentrating on advances in clinical and developmental assessment and treatment. The final part confronts the challenges for delivering effective mental health services in this area. This is the definitive international reference for the design of specialised mental health services for children and young people in care and those adopted from care. It is invaluable reading for health and social care professionals working with this population and academics with an interest in child and adolescent mental health from a range of disciplines, including social work, nursing and psychology.

Promoting Resilience offers a fresh perspective that views resilience through a sociological lens, emphasizing the significance of loss issues and highlighting a range of practice implications across a wide range of fields. Drawing on the expertise of a wide range of contributors, the book provides a solid foundation for developing a fuller and more holistic picture of the many challenges associated with promoting resilience. Chapters present a range of sociological perspectives that cast light on trauma and vulnerability. Combining theoretical richness with practical insights, chapter authors bring a sociological lens to enrich understanding of loss and adversity. This volume offers a bedrock of understanding for students, clinicians, and researchers who want to extend and deepen their knowledge of the sociological aspects of overcoming life challenges.