Throughout the 1960's and 1970's, a revolution in mental health policy and practice known as deinstitutionalization occurred in Europe and the US. This movement was catalyzed by criticisms of psychiatric institutions and resulted in the release of thousands of people with serious mental illness from long-term care facilities into the community. It is acknowledged that these reforms held great promise, but have had numerous unintended negative consequences. Moreover, deinstitutionalization has strained the resources and reach of community-based mental health treatment systems, spilling into other institutions such as criminal justice and education. Volume 17 of Advances in Medical Sociology will examine deinstitutionalization's legacies approximately 50 years after reintegration began, turning a critical lens toward contemporary problems and solutions related to mental illness in countries where reform occurred. This volume will highlight pressing issues around mental health treatment, social and health policy, and the lived experiences of people and families coping with mental illness that were or continue to be significantly influenced by deinstitutionalization reforms.

The First Episode Psychosis Services Fidelity Scale (FEPS-FS 1.0) is a highly reliable scale that assesses the degree to which mental health teams deliver specialized evidence-based care to people experiencing a first episode psychosis. The scale comprises 35 components each rated on a 1 to 5 scale. It has been used in the United States, Canada and Europe. It can be used for on site fidelity reviews, remote fidelity assessment or self-report. Published papers document its psychometric features and allow comparisons with a representative sample of US programs. It is suitable for research, quality improvement and accreditation.The Manual provides a practical guide for scoring a FEPS program against the criteria set out in the fidelity scale. It is designed to increase the reliability and consistency of ratings across different sites and assessors. It includes a definition and rationale for each component, data sources, decision rules and a structured interview guide. There are also modules to support training the key informant and data abstractor. Templates support structured feedback to programs for quality improvement. The scale can be adjusted to rate care for different diagnostic groups including the schizophrenia spectrum disorders, bipolar disorder and those with an attenuated psychosis syndrome.

This timely text provides foundational knowledge and skills pertaining to ethical and evidence-based practice for mental health providers engaging in or considering using distance modalities to treat clients. Targeting day-to-day application, the book explains the core functions of Telemental Health counseling (TMH) and its use across a broad spectrum of mental health modalities and settings. Using the framework of the ACA divisions, ASCA, and CACREP core areas to examine TMH, the text provides instructions to develop skills that readers can apply directly to their own counseling interactions. Providing a wealth of information based on empirical and impartial views, the book helps readers examine the benefits and risks of distance counseling in various settings. It encompasses the history of TMH, ethical codes, legal guidelines, and recent research.Case studies and opportunities for self-reflection enable readers to envision distance counseling in real-world contexts, ask critical questions, and form conclusions about its utility in their practice. Of particular value is the "Voices from the Field" feature, where practitioners from different settings describe using distance counseling. The "Challenges and Opportunities" features discuss the pros and cons of telemental health practice. The book is written through the lens of professional counseling which makes it an ideal companion to Counselor Education program courses in Counseling Skills, Pre-Practicum, Advanced Theory, or elective coursework pertaining to distance counseling and telemental health. The purchase of the book includes digital access for use on most mobile devices or computers. Key Features: Includes critical content pertaining to the COVID-19 crisis Expands the view of distance counseling to include such varied professionals as mental health, school, family, couple, rehabilitation, addiction specialists, etc. Presents abundant case studies to provide context and practical application Addresses the positive and negative aspects of practicing distance counseling Includes ethical issues in each chapter pertaining to designated core areas or specialty Presents "Questions of Practice" to foster critical thinking regarding the use of TMH in specific roles or functions, Offers "Voices from the Field" with real-world examples focusing on practicing TMH within the designated core areas or specialties Emphasizes ethical, practical, and logistical TMH practice in all chapters Written through the lens of a professional counselor who is also a board-certified telemental health provider Includes digital access for use on most mobile devices or computers.

- unique in addressing the implications of homelessness as they relate to psychosis and recovery from it - written for broad audience from psychiatrists to community caregivers

As many as 5-10 million Americans may suffer from body dysmorphic disorder (BDD) yet it remains under-recognized by both mental health professionals and the general public. Tormented by obsessive thoughts associated with physical appearance, and related compulsive behaviors, people with BDD believe their bodies are flawed or even deformed-imperfections typically not noticeable to others. High suicide attempt rates, the pursuit of cosmetic remedies and other factors complicate the clinical picture. Although Scott Granet began showing symptoms of BDD at 19, more than two decades passed before he discovered that his obsessive fear of losing his hair was a sign of a serious psychiatric condition. Written from the perspective of therapist who has lived with and triumphed over BDD, Granet's personal and clinical narrative guides the reader through the process of assessing and treating BDD.

Understanding and Treating Incels is an indispensable guide for mental health clinical staff, social workers, prevention specialists, educators, and threat assessment professionals who want to better understand the involuntary celibate movement, assess individuals' potential for violence, and offer treatment approaches and prevention efforts. Chapters explore the movement in terms of gender, technology, the media, and pornography usage. The book discusses how the incel mentality has motivated individuals to misogynistic worldviews and increased rage and disillusionment, and inspired acts of targeted violence such as school shootings and mass casualty events. Later chapters walk the reader through three cases studies and offer treatment considerations to assist mental health professionals and those developing education and prevention-based programming. The complete text gives the reader useful perspectives and insights into incel culture while offering mental health clinicians and educators guidance on treatment and prevention efforts.

This book examines how Chinese-language newspapers across greater China report on severe mental illness, and why they do so in the ways they do, given that reporting in local newspapers can strongly influence how Chinese readers view the illness. By assessing how the reporting in three leading broadsheet newspapers from mainland China, Hong Kong, and Taiwan constructs the illness, the book considers how the distinct social and political histories of the three culturally Chinese communities shape the reporting, and whether it bears out or contests the intense stigma against the illness that prevails locally. The findings can usefully encourage and inform attempts to humanise, include, and empower those with a severe mental illness across greater China and the global Chinese diaspora. Employing a well-tested, transparent discourse analytic approach, the book also includes numerous Chinese-English bilingual news report extracts to illustrate its claims. As such, Reporting Mental Illness in China will be of interest to sinologists, discourse analysts, mental health professionals and public health authorities across the globe, especially in places where there are large Chinese-speaking populations.

This essential companion to the DSM uniquely integrates intersectionality and resilience that helps mental health practitioners assess clients from a strength-based perspective. The third edition expands the section on neurocognitive disorders to include traumatic brain injury, includes more information on assessment and treatment of common childhood disorders, and brings a new focus on the impact of today's culture wars and their impact on mental health professionals, policy, and clients Also new to the third edition is an emphasis on meta-analysis literature and a module on wellbeing discussing neuroscience and wellness concepts in relation to a strengths-based approach to diagnosis.By demonstrating how to practically integrate diversity and intersectionality into the diagnostic process rather than limiting assessment to a purely problem-focused diagnostic label, this successful textbook strengthens the DSM for social workers and other mental health practitioners by promoting the inclusion of intersectionality, resiliency, culture, spirituality, and community into practice. It includes multiple case studies featuring complex, real life scenarios that offer a greater depth of learning by demonstrating how a strength-based assessment of the whole person can lead to more effective and successful treatment. Discussion questions promote critical thinking, key points in each chapter highlight and reinforce important concepts, and abundant web resources encourage additional study. The book also includes a robust instructor package. Purchase of the print edition includes access to Ebook format. New to the Third Edition: Adds traumatic brain injury to neurocognitive disorders section Expands information on treatment of common childhood disorders Emphasizes meta-analysis literature Discusses neuroscience and wellness concepts in relation to a strengths-based approach to diagnosis Focuses on wellness and health care delivery in the context of today's culture wars Key Features: Delivers a unique formulation integrating intersectionality and resilience to provide strengths-based assessment and treatment Demonstrates the rationale for strengths-based DSM practice Includes real-life case scenarios for complex problem-solving Uses a standard format for each disorder for quick access to information Reviews key literature on disorders and evidence-based best practices Provides classroom questions and activities to foster critical thinking Identifies professional and scholarly activities to promote increased effectiveness in diagnosis

Feeling anxious and on the back foot? No idea where or how to start getting relief? Anxiety making you feel overwhelmed and alone? In bite-sized chapters, Generation Panic is a simple, easy-to-follow guide that teaches you to take back control and combat your anxiety. With its dip-in-and-out format, Generation Panic is ideal for busy professionals in their twenties and thirties who are not feeling themselves, are out of control and are struggling to manage their anxiety. From setting boundaries to using the 7-7-7 breathing method, Generation Panic sets out over 100 quick techniques. Start learning all the tools and techniques you need to get back on track and start living a fulfilled, happy and panic-free life again.

A comparative sociological account of eight different therapeutic communities, One Foot in Eden, originally published in 1988, was the first study in this area to compare observational material from such a large number of settings. The communities chosen represent the wide variety of therapeutic community practice at the time: a residential Rudolf Steiner school for mentally handicapped children; two contrasting residential psychiatric units; a community for the treatment of addiction; a communally organised community for mentally handicapped and disturbed young people; a psychiatric day hospital; and two contrasting halfway houses for disturbed adolescents. All these places are recognised therapeutic communities seeking to mobilise the social life of the community as an instrument of therapy, yet, as this study shows, they follow different (and sometimes antithetical) treatment practices. The book also directs new light on other areas, of particular concern to sociologists, such as the general properties of therapeutic work and the socialisation process as it is experienced by new community residents. It will be of special interest to therapeutic community staff, to sociologists of medicine and occupations, and to others involved in the care of disturbed and handicapped people.

Liaison psychiatry, that is, psychiatry with patients with organic disorders or physical symptoms in general hospitals, is a field that grew rapidly in the 1980s. Yet there had been no introductory book to the subject which might have served the needs of trainee psychiatrists, medical students, and general physicians and surgeons, as well as nurses and others, whose patients might be involved. This book, originally published in 1987, aimed to fill this gap in the literature. It begins by examining the scope and organisational issues of liaison psychiatry at the time and its role in psychiatric patients with organic disease, psychosomatic disorders, emotional reactions to physical disease, terminal illness, etc. The bulk of the book then reviews liaison in a range of medical specialities. The book should thus have a wide readership.

Originally published in 1985, this book focuses on British psychiatric policies, particularly in the 1920s, and 1950s when the main legislation concerning mental illness was passed. It approaches policy primarily as the outcome of the relationship between politicians' attitudes and those of professional groups in a specific social context. It examines the beliefs and theories of psychiatrists, nurses, psychologists and social workers, as well as the attitudes of government and MPs to mental illness, related services and its role in society. It is argued that the adherence to a medical-somatic view of mental illness by psychiatrists and politicians alike has led to the exclusion of viable alternatives, despite lip service being paid to some of them. It is shown that the issues of recent decades have important messages today, particularly in view of the 1982 amendments to the Mental Health Act and the debate about community services.

Originally published in 1986, this volume presents the clinical and administrative aspects of emergency psychiatry from the point of view of the clinician administrator involved in organizing and running an emergency service. Part 1 provides an administrative overview of psychiatric emergency care - the development of the field, the concepts, the patient profile, the team, the architecture, fiscal planning, legal constraints as well as training and research issues. Part 2 describes psychiatric emergency care delivery systems in the emergency department, the average hospital wards, the community mental health centers and health maintenance organizations. Part 3 gives examples of the process of administration - in one instance how a psychiatric emergency service developed, in the other how one functions day to day and what themes recur administratively. Part 4 focuses on protocols and models useful to the emergency service administrator: protocols, records, standards of care, politics, liaison with the court, mobile response, collaborative arrangements and disaster preparedness. Part 5 provides an annotated bibliography which reviews and draws attention to the relevant literature for the clinicians and administrators to use in practicing emergency psychiatry.

What are the human consequences of conflict and what are the appropriate service responses? This book seeks to provide an answer to these important questions, drawing on over twenty-five years of work by the author in Northern Ireland and elsewhere. Focusing on the work undertaken following the Omagh bombing, the book describes how needs were assessed and understood, how evidence-based services were put in place, and the training and education programmes that were developed to assist first those communities affected by the bombing and later the wider population affected by the years of conflict. The author places the mental-health needs of affected communities at the heart of the political and peace processes that follow. This is a practical book and will be of particular interest to those planning for and responding to conflict-related disasters, policy makers, service commissioners and providers, politicians, civil servants and peace makers. -- .

These volumes make new contributions to the history of psychiatry and society in three ways: First, they propose a theory of values and ideology influencing the evolution of psychiatry and society in recurring cycles, and survey the history of psychiatry in recent centuries in light of this theory. Second, they review the waxing, prominence, and waning of Community Mental Health as an example of a segment of this cyclical history of psychiatry. Third, they provide the first biography of Erich Lindemann, one of the founders of social and community psychiatry, and explore the interaction of the prominent contributor with the historical environment and the influence this has on both. We return to the issue of values and ideologies as influences on psychiatry, whether or not it is accepted as professionally proper. This is intended to stimulate self-reflection and the acceptance of the values sources of ideology, their effect on professional practice, and the effect of values-based ideology on the community in which psychiatry practices. The books will be of interest to psychiatric teachers and practitioners, health planners, and socially responsible citizens.

These volumes make new contributions to the history of psychiatry and society in three ways: First, they propose a theory of values and ideology influencing the evolution of psychiatry and society in recurring cycles, and survey the history of psychiatry in recent centuries in light of this theory. Second, they review the waxing, prominence, and waning of Community Mental Health as an example of a segment of this cyclical history of psychiatry. Third, they provide the first biography of Erich Lindemann, one of the founders of social and community psychiatry, and explore the interaction of the prominent contributor with the historical environment and the influence this has on both. We return to the issue of values and ideologies as influences on psychiatry, whether or not it is accepted as professionally proper. This is intended to stimulate self-reflection and the acceptance of the values sources of ideology, their effect on professional practice, and the effect of values-based ideology on the community in which psychiatry practices. The books will be of interest to psychiatric teachers and practitioners, health planners, and socially responsible citizens.

These volumes make new contributions to the history of psychiatry and society in three ways: First, they propose a theory of values and ideology influencing the evolution of psychiatry and society in recurring cycles, and survey the history of psychiatry in recent centuries in light of this theory. Second, they review the waxing, prominence, and waning of Community Mental Health as an example of a segment of this cyclical history of psychiatry. Third, they provide the first biography of Erich Lindemann, one of the founders of social and community psychiatry, and explore the interaction of the prominent contributor with the historical environment and the influence this has on both. We return to the issue of values and ideologies as influences on psychiatry, whether or not it is accepted as professionally proper. This is intended to stimulate self-reflection and the acceptance of the values sources of ideology, their effect on professional practice, and the effect of values-based ideology on the community in which psychiatry practices. The books will be of interest to psychiatric teachers and practitioners, health planners, and socially responsible citizens.

Most historians portray 19th-century county asylums as the exclusive realm of the asylum doctor, but Bartlett (law, U. of Nottingham) argues that they should be thought of as an aspect of English poor law, in which the medical superintendent had remarkably little power. He examines the place of the county asylum movement in the midcentury poor law debates and its legal and administrative regimes. Taking the Leicestershire asylum as a case study, he explores the role of poor law officers in admission processes, and relations between them and the staff and inspectors.

In the past century there has been awareness of the importance of a global public health perspective in understanding the etiology, course and treatment of mental disorders. However, just recently there has been a focus on population science and with it an evidence-based call to improving public mental health in communities. Mental Health in Public Health synthesizes important topics in public health psychiatry that were discussed at the American Psychopathological Association (APPA) meeting in 2010. The book, like the APPA meeting, aims to bring advanced knowledge of the social and environmental risk factors for psychiatric disorders, as well as ideas for preventing them. Chapters are written by experts from around the world and include such public health concerns as Veteran's mental health, mental health disparities among minorities, causes of addictions, and mortality of these disorders.

This book explores, in depth, the link between modern psychiatric practice and the person-centred approach. It promotes an open dialogue between traditional rivals - counsellors and psychiatrists within the NHS - to assist greater understanding and improve practice. Easy to read and comprehend, it explains complex issues in a clear and accessible manner. The author is a full-time psychiatrist and qualified counsellor who offers a unique perspective drawing on personal experience. Humanising Psychiatry and Mental Health Care will be of significant interest and help to all mental health professionals including psychiatrists and psychiatric nurses, social care workers, occupational therapists, psychologists, person-centred counsellors and therapists. Health and social care policy makers and shapers, including patient groups, will also find it helpful and informative.

China's massive economic restructuring in recent decades has generated alarming incidences of mental disorder affecting over one hundred million people. This timely book provides an anthropological analysis of mental health in China through an exploration of psychology, psychiatry, psychotherapy and psychosocial practices, and the role of the State. The book offers a critical study of new characteristics and unique practices of Chinese psychology and cultural tradition, highlighting the embodied, holistic, heart-based approach to mental health. Drawing together voices from her own research and a broad range of theory, Jie Yang addresses the mental health of a diverse array of people, including members of China's elite, the middle class and underprivileged groups. She argues that the Chinese government aligns psychology with the imperatives and interests of state and market, mobilizing concepts of mental illness to resolve social, moral, economic, and political disorders while legitimating the continued rule of the party through psychological care and permissive empathy. This thoughtful analysis will appeal to those across the social sciences and humanities interested in well-being in China and the intersection of society, politics, culture, and mental health.

Now you can more effectively help patients suffering from sexual conflict in its various manifestations. As sexuality has "come out of the closet," people have become more willing to seek professional help in dealing with their sexual conflicts and unhappiness. Several leading authorities demonstrate how sexual conflicts arise--often in early childhood, and provide examples of effective therapeutic approaches for treating patients who experience sexual conflict about homosexuality, extramarital sex, voyeurism, and exhibitionism.

This reader brings together a selection of seminal papers by Christopher Bollas.

Essays such as "The Fascist State of Mind," "The Structure of Evil," and "The Functions of History" have established his position as one of the most significant cultural critics of our time. Also included are examples of his psychoanalytical writings, such as "The Transformational Object" and "Psychic Genera," that deepen and renew interest in unconscious creative processes. Two recent essays, "Character and Interformality" and "The Wisdom of the Dream" extend his work on aesthetics and the role of form in everyday life.
This is a collection of papers that will appeal to anyone interested in human experience and subjectivity.