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Books > Medicine > General issues > Health systems & services > Mental health services
Urban Child and Adolescent Mental Health Services weaves together different strands of mental health work undertaken in one inner-city Child and Adolescent Mental Health Service by professionals working in a range of ways. In particular, it provides examples of how an urban CAMH service has been responsive to, and influenced by, local circumstances, resources and knowledge. The book explores the relationship between professionals and the community context, which provides the background to the lives of individual service users and the families they serve, and how this relationship is integral to the development of a responsive service. The chapters cover a range of settings and approaches, addressing the social, cultural, political and community contexts impacting on children, young people and families. In this way Urban Child and Adolescent Mental Health Services explores challenges and issues emerging in a responsive approach to child and family work in all community settings whether they be urban, suburban or rural. Urban Child and Adolescent Mental Health Services is intended for mental health and social care professionals involved in therapeutic, social and pastoral work with children, young people, families and communities. The book will be of interest to policy-makers, mental health and social care professionals, health visitors, general practitioners, nurses and midwives , as well as to trainees in these professions including trainee clinical psychologists, social workers or psychoanalytic and systemic psychotherapists. It will also appeal to those interested in responsive communities and critical approaches to therapeutic interventions in mental health work, psychology, psychotherapy and counselling.
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.
Religion and Psychoanalysis in India questions the assumptions of an established scientific, evidence-based global mental health paradigm by examining the practices of faith-based healing. It proposes that human beings demonstrate a dual loyalty: to science as faith and faith as science, both of which get reconfigured in the process. In this particular context, science and faith are deployed in ways that are not only different but at times contrary to mainstream discourses of science and religion, and faith healing becomes a point where these two discourses collide head-on in negotiating cultural values and practices. The book addresses key questions, such as: What is the value of 'faith healing' in understanding distress and treatment in different cultural contexts? What is a critical psychological perspective on faith and religious systems? What challenges do alternative religious practices pose to critical psychology? How should we re-imagine clinical work in a context marked by science and religion? Situated between 'West' and 'East', between the global mental health movement and local faith-based practices in India, the book addresses a wide audience that includes students and researchers in psychology, cultural and medical anthropology, the sociology of religion, cultural theory, postcolonial theory, and the sociology of science. It will also appeal to policy-makers and practitioners interested in the work of NGOs and the legal frameworks driving mental health movements in India.
Religion and Psychoanalysis in India questions the assumptions of an established scientific, evidence-based global mental health paradigm by examining the practices of faith-based healing. It proposes that human beings demonstrate a dual loyalty: to science as faith and faith as science, both of which get reconfigured in the process. In this particular context, science and faith are deployed in ways that are not only different but at times contrary to mainstream discourses of science and religion, and faith healing becomes a point where these two discourses collide head-on in negotiating cultural values and practices. The book addresses key questions, such as: What is the value of 'faith healing' in understanding distress and treatment in different cultural contexts? What is a critical psychological perspective on faith and religious systems? What challenges do alternative religious practices pose to critical psychology? How should we re-imagine clinical work in a context marked by science and religion? Situated between 'West' and 'East', between the global mental health movement and local faith-based practices in India, the book addresses a wide audience that includes students and researchers in psychology, cultural and medical anthropology, the sociology of religion, cultural theory, postcolonial theory, and the sociology of science. It will also appeal to policy-makers and practitioners interested in the work of NGOs and the legal frameworks driving mental health movements in India.
Originally published in 1987, this book presents papers from the First Conference of European Clinical Psychologists, held at the University of Kent Canterbury in July of that year. It shows some of the most exciting and recent developments in research and innovations in professional practice from many European countries with an overall theme of the WHO strategy of 'Health for all by the year 2000.' The whole range of clinical psychology is covered, including: cognitive therapy, clinical psychology and WHO strategy, the mental health of ethnic minority groups, health psychology, care in the community, and many other topics. The book is likely to be of interest for anyone concerned with the recent history and policies in clinical psychology.
The psychotherapy and counselling profession has recently experienced far-reaching changes because of the development of evidence-based medicine and managed care systems. The Future of Psychological Therapy brings together leading counsellors, psychotherapists, psychological therapists and managers to address how these changes are beginning to affect all aspects of the psychotherapy and counselling profession. It evaluates the impact of these developments, shows how they affect practitioner's capacity to care, anticipates future developments and offers a coherent and viable approach to research and practice. The book draws on psychotherapeutic theory to develop insight into managed care and engages in qualitative microphenonena research into the complexities of clinical practice drawing on cutting edge developments. It aims to establish a balanced counselling and psychotherapy profession by: opening up a debate about these far-reaching developments which threaten the profession, challenging the rhetoric of accountability, audit, transparency and measurement of care, exposing the danger of sleeping through these momentous changes in the counselling and psychotherapy profession. The Future of Psychological Therapy is a timely and important book, examining the psychotherapy profession's approach to managed care and evidence-based research, and discussing whether a balanced, coherent and viable counselling and psychotherapy research and practice culture can be established. It will be of interest to practitioners, academics and policy makers in the field, non-clinical professionals and anyone who is interested in psychological therapy and addressing the worldwide deterioration in psychological health.
There has been increasing attention in recent years, both positive and negative, on college student mental health and the provision of counseling services on campus. At the same time, there continue to be misperceptions of college counselors, both within and outside college campuses. Drawing on over 20 years of experience as a college counselor, Dr. Sharkin addresses these misunderstandings, providing a detailed description and discussion of the many roles and contributions these professionals have. He explores topics such as the history of college counseling and its evolution, who college counselors are, how someone can become a college counselor, and what skills are needed to be a college counselor today. Roles and responsibilities, including counseling, crisis intervention, consultation, outreach, and administrative duties, are discussed in detail and supplemented with both research and case studies. Diversity competencies and special challenges faced by today's college counselors are also considered. This engaging and accessible book will be a valuable resource for those already working in college mental health settings and those wishing to enter the field.
The psychotherapy and counselling profession has recently experienced far-reaching changes because of the development of evidence-based medicine and managed care systems. The Future of Psychological Therapy brings together leading counsellors, psychotherapists, psychological therapists and managers to address how these changes are beginning to affect all aspects of the psychotherapy and counselling profession. It evaluates the impact of these developments, shows how they affect practitioner's capacity to care, anticipates future developments and offers a coherent and viable approach to research and practice. The book draws on psychotherapeutic theory to develop insight into managed care and engages in qualitative microphenonena research into the complexities of clinical practice drawing on cutting edge developments. It aims to establish a balanced counselling and psychotherapy profession by: opening up a debate about these far-reaching developments which threaten the profession, challenging the rhetoric of accountability, audit, transparency and measurement of care, exposing the danger of sleeping through these momentous changes in the counselling and psychotherapy profession. The Future of Psychological Therapy is a timely and important book, examining the psychotherapy profession's approach to managed care and evidence-based research, and discussing whether a balanced, coherent and viable counselling and psychotherapy research and practice culture can be established. It will be of interest to practitioners, academics and policy makers in the field, non-clinical professionals and anyone who is interested in psychological therapy and addressing the worldwide deterioration in psychological health.
Foundations of Consultation-Liaison Psychiatry: The Bumpy Road to Specialization documents the development of Consultation-Liaison Psychiatry from its inception to the present. The book draws on contributions from philosophy, physiology, psychoanalysis, epidemiology and other disciplines to define the broad scope of the field. Distinctions and similarities between Consultation-Liaison Psychiatry and Psychosomatic Medicine will be of interest to psychiatrists, social workers, and health psychologists, as well as students, residents, and fellows pursuing careers in these disciplines.
Can self-help recordings containing subliminal messages improve your self-esteem or memory? Is hypnotic age-regression therapy a valid way of rediscovering lost childhood memories? Does Thought Field Therapy effectively treat anxiety by manipulating energy fields? A dizzying array of popular psychology books, articles, and promotion campaigns tout these and other alleged remedies for psychological problems. Faced with this confusion, consumers of mental health services need guidelines for finding effective therapy. This useful book brings together accessible, nontechnical articles by leading scientific researchers and clinicians to help answer such critical questions concerning mental health care as: How should I select a therapist? How can I tell the difference between scientifically valid and questionable psychotherapy? Can I trust the diagnosis I have received? If you or someone you know is seeking therapy, this excellent reference book will provide needed guidance for navigating the mental health maze.
The national public asylum system in Ireland was established during the early nineteenth century and continued to operate up to the close of the twentieth century. These asylums / mental hospitals were a significant physical and social feature of Irish communities. They were used intensively and provided a convenient form of institutional intervention to manage a host of social problems. Irish Insanity identifies the long-term trends in institutional residency through the development of a detailed empirical data set, based on an analysis of original copies of the reports of Inspector of Asylums/Mental Hospitals in Ireland. Damien Brennan explores core social and historical features linked to this data including: the political context governance and social policy the relationship between church and state changing economic structures and social deprivation professionalization legislation and systems of admission and discharge categorisation and diagnostic criteria international developments family dynamics This book demonstrates that the actual rate of asylum utilisation in Ireland was the highest by international standards, but challenges the idea that an "epidemic of Irish insanity" actually existed. Offering a historical and sociological insight into an institutional legacy that is unusual within the international context, this book will be of particular relevance and interest to scholars within the fields of sociology, criminology, law, history, Irish studies, social policy, anthropology, nursing and medicine.
This book illuminates the process of child psychological assessment in community psychology through discussion, theory, and case studies of collaborative, systemic treatment of children and their parents. "Assessing Children in the Urban Community" presents a semi-structured form of collaborative psychological assessment, designed to help clients gain new insights and make changes in their lives. Traditional psychological assessment focuses on diagnosis and treatment but has been slow to include contextual elements, particularly social and cultural contexts into the assessment process and psychological report. Clients receiving services in a community psychology clinic pay for their treatment through state welfare coverage. They cannot choose their providers, they cannot always determine the length and course of their mental health care, they often do not have access to transportation to begin services, to continue them, or to take advantage of follow-up recommendations. The Therapeutic Assessment model is particularly adaptable to community psychology because it allows maximum interaction in the assessment process and promotes participation and collaboration in an often dis-empowering system. This book will be relevant to clinical psychologists, community psychologists, social workers, family therapists, graduate students in psychology, social work, marriage and family therapists, and counseling programs.
A Complete Guide to Mindfulness Tools for Clinicians At last, an authoritative book filled with mindfulness tools that deliver an essential set of engaging, practical strategies along with key research and evidence-based information. The awareness boosting methods in this guidebook offer participants a means of reappraising and observing negative and anxious thoughts, habits, pain, and stress in fresh ways that produce new insight, positive change, and a sense of hope. Featuring over 40 easy to use, reproducible handouts and expertly crafted, guided scripts-such as working with the breath, overcoming depression with here and now pleasantness, calming the anxious mind with sense grounding, expanding a client's strength narrative, the stress pause S-T-O-P technique, and meditations for peace, acceptance, and re-envisioning pain-this book is ideal for clinicians wanting to integrate mindfulness into their work.
Advertising today is not only under sterner scrutiny by the various federal regulatory and judicial bodies but is also facing an ominous storm of public criticism because of certain abuses. One of the big questions troubling advertisers, agencies and media is whether advertising will be subject to increasingly stringent governmental controls or whether it will forestall such action by mature self-regulation. In Advertising at the Crossroads the author has attempted to face the issue squarely and realistically, and to point out several constructive measures that advertising must initiate in its self-interest. First published in 1952.
This book considers how mental health services have evolved over the past three decades to meet the needs of people with intellectual disability, focusing on the ways that theories and policies have been applied to clinical practice. Nick Bouras and Geraldine Holt both have extensive experience in developing and running mental health services and bring together international contributors all with longstanding expertise in the fields of mental health and intellectual disability. They present the current evidence-based practice on how people with intellectual disability can be best cared for in clinical settings. The book embraces a foreword by Professor David Goldberg and is divided into three sections: development of specialist mental health services, clinical practice, and training as an integrated component of service delivery. Chapters cover topics including: the association between psychopathology and intellectual disability international perspectives neuroimaging and genetic syndromes training professionals, families and support workers. Mental Health Services for Adults with Intellectual Disability provides an overview of the many improvements that have been made in services for people with intellectual disability, as well as examining the shortcomings of the services provided. It offers strategies and solutions for the wide array of interdisciplinary professionals who want to develop the range of resources on offer for people with intellectual disability.
Commended in the Mental Health category of the 2008 BMA Medical Book Competition. This book offers an insight into the experience of psychiatric in-patient care, from both a professional and a user perspective. The editors highlight the problems in creating therapeutic environments within settings which are often poorly resourced, crisis driven and risk aversive. The contributors argue that for change to occur there needs first of all to be a genuine appreciation of the experiences of those involved in the unpredictable, anxiety-arousing and sometimes threatening environment of the psychiatric ward. Each chapter comprises a personal account of in-patient care by those in the front line: people who have been admitted to a psychiatric ward; their relatives; or those that provide the care. These accounts are followed by two commentaries written from different perspectives, suggesting lessons that can be learnt to improve the quality of care. Experiences of Mental Health In-patient Care will be useful for all mental health professionals, including mental health nurses, psychiatrists, clinical psychologists, occupational therapists, arts therapists, social workers and trainees, as well as service users and carers organisations.
Family constellations work has broadened and developed in many different fields as a method of counseling and therapy. In addition to constellations in organizations and schools, applying this approach to working with illness and disease has expanded the potential for healing effects in the field of medicine as well. A view of transgenerational entanglements and family dynamics casts a new light on health and disease, and the insights gained from constellations with illness and health problems have led to a more holistic view of those who are ill. In Even if it Costs me my Life, Stephan Hausner aims to provide a picture of the healing potential of systemic constellations, entering into the reciprocal effects of family dynamics and illness. Extensive use of case studies demonstrates this technique in action, revealing how existing illnesses and pathologies are rooted within the family dynamic, and setting up healing postures to facilitate growth, development, and direction.
Paul Grayson, a co-editor of the successful 1989 book College Psychotherapy, has teamed up with Phil Meilman, a seasoned veteran of college counseling and psychological services, to compile this needed comprehensive up-to-date treatment guide. After an opening discussion of the campus environment and student mentality, the book provides an overview of the state of college mental health at the start of the 21st century, touching on the issues faced by students of every generation, as well as those concerns unique to this day and age. With an emphasis on practice, and not theory, this easily referenced treatment guide will be of use to anyone working in the mental health fields in and around a college environment.
This volume provides school-based practitioners with a comprehensive and comparative guide to the strategic interventions, therapeutic modalities, and treatment approaches that are most commonly and effectively used in educational settings. Three main sections of the text present a foundation of universal interventions, targeted interventions, and alternative interventions appropriate for use in schools. Unifying the chapters are two central case examples, allowing the reader to see and evaluate the strengths and potential challenges of each technique in a familiar situation. This emphasis on case examples and the comparative structure of the volume will provide a level of hands-on and practical learning that is helpful for both students and mental health practitioners working in schools for the first time, and as a resource for more seasoned professionals who need to expand the tools at their disposal.
Trauma-Informed Practices With Children and Adolescents is a sourcebook of practical approaches to working with children and adolescents that synthesizes research from leading trauma specialists and translates it into easy-to-implement techniques. The approaches laid out address the sensory and somatic experiences of trauma within structured formats that meet the "best practices" criteria for trauma-informed care: safety, self-regulation, trauma integration, healthy relationships, and healthy environments. Each chapter contains short excerpts, case examples, and commentary relevant to the chapter topic from recognized leaders in the field of trauma intervention with children and adolescents. In addition to this, readers will find chapters filled with easily applied activities, methods, and approaches to assessment, self-regulation, trauma integration, and resilience-building. The book's structured yet comprehensive approach provides professionals with the resources they need to help trauma victims not just survive but thrive and move from victim thinking to survivor thinking using the current best practices in the field.
Mental health policy in the United States has involved varying approaches, often reflecting the social and economic conditions of the times. The compelling needs of individuals, however, have consistently demanded attention and some form of public policy response has been necessary, even since the early days. Societal reaction has moved in many differing directions--from institutionalization and deinstitutionalization to the care and costs borne at public expense to the current emphasis on increasing privatization. Dorwart and Epstein stress that the mental health system must be seen as a system within two other systems--health care and social service--if it is to be effective. They have written an authoritative, comprehensive, and practical analysis of the mental health policy area, offering sound policy recommendations.
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.'
In this "masterpiece... the preeminent historian of neuroscience" (Science) explores psychiatry's frustrated efforts to understand mental disorders as medical disorders. Anne Harrington reveals how psychiatry's waxing and waning theories have been shaped, not just by developments in the clinic and laboratory, but also by a surprising range of social factors. The "enthralling Mind Fixers" (Nature) recounts the past and present undertaking to understand the biological basis of mental illness-its potential and its limitations-in order to lay the groundwork for creating a better future, both for those who suffer and those whose job it is to care for them. |
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