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Books > Medicine > General issues > Health systems & services > Mental health services
This book examines depression as a widely diagnosed and treated common mental disorder in India and offers a significant ethnographic study of the application of a traditional Indian medical system (Ayurveda) to the very modern problem of depression. Based on over a year of fieldwork, it investigates the Ayurvedic response to the burden of depression in the Indian state of Kerala as one of the key processes of the local appropriation or glocalization of depression. More broadly, Lang considers: What happens with the category of depression when it leaves the West and travels to South Asia? How is depression appropriated in a South Asian society characterized by medical pluralism? She explores on the level of ideas, institutions and materialities how depression interacts with and changes local worlds, clinical practice and knowledge and subjectivities. As depression travels from 'the West' to South India, its ontology, Lang argues, multiplies and thus leads to what she calls 'depression multiple'.
Available Open Access under CC-BY-NC licence. Health literacy addresses a range of social dimensions of health, including knowledge, navigation and communication, as well as individual and organizational skills for accessing, understanding, evaluating and using information. Particularly over the past decade, health literacy has globally become a major public health concern as an asset for promoting health, wellbeing and sustainable development. This comprehensive handbook provides an invaluable overview of current international thinking about health literacy, highlighting cutting edge research, policy and practice in the field. With a diverse team of contributors, the book addresses health literacy across the life-span and offers insights from different populations and settings. Providing a wide range of major findings, the book outlines current discourse in the field and examines necessary future dialogues and new perspectives.
Regardless of the fate of national health care reform, public policy makers will have to make difficult and tragic choices about which health services are more or less important. This volume, the first comprehensive examination of setting mental health services priorities, systematically explores the history, ethics, and politics of setting priorities for public mental health services. Because mental health services have traditionally been given lower priority and less generous benefits than general health services, they form a striking case study for priority setting. Written by mental health care practitioners and scholars, "What Price Mental Health? "explores the social factors that most influence attempts to set priorities; offers case studies at the state level; illustrates priorities at the federal level and in the private sector; and identifies the ethical criteria that must be applied in any attempt to set priorities. This volume is conceptionally rich for those familiar with mental health care research, but written in a style understandable to the general reader. Policy makers will find the book useful in the on-going debates about mental health care. Psychologists, public health professionals, researchers and students of psychology, public policy and public health will find this study an absorbing and informative addition to the mental health field.
Lunatic Hospitals in Georgian England 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:
This book will interest specialist historians as well as mental health professionals and people interested in local and regional studies.
Endangered Private Practice explains how health care reform, driven by the Affordable Health Care Act of 2010, affects and will be affecting those providers within the delivery system section of health care. Private practice businesses cannot continue to offer quality services while losing money, and access has not improved. Due to many of the changes within the reform package the mental health profession has lost over 30% of their reimbursements and has had to increase their overhead expenses by another 30% in order to stay in practice. This book was written so that readers can become more sensitized to the real winners and losers of the reform movement and to get a clearer picture of what health care services might look like in the future.
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.
Ethnic minority children now comprise over 75 percent of students
in 100 of the largest cities in the United States. However, these
students have not been given equal access to, nor benefited from,
the contemporary mental health system as have their non-minority
peers. "TEMAS "("Tell-Me-A-Story) Assessment in Multicultural
Societies "examines the health/mental care system in which
professional service providers, including psychologists, labor to
offer quality care for youth in the United States. The authors
ardently support the use of the TEMAS assessment instrument as a
useful tool for diagnosis of all youngsters, particularly its use
on the growing population of minority children and adolescents.
Previously considered a rare condition among children and
adolescents, recent research on obsessive-compulsive disorder (OCD)
has indicated an increased prevalence among this age group, insofar
as it is now considered one of the most common of all psychiatric
illnesses affecting youth. "Handbook of Child and Adolescent
Obsessive-Compulsive Disorder "is the definitive book on OCD in
children and adolescents. It provides a comprehensive review of the
existing literature on pediatric OCD, and is a welcome contribution
to the extant literature, which otherwise lacks a text detailing
the state of knowledge in this area. Emphasizing developments made
in recent years, this new volume serves to disseminate information
regarding effective treatments, etiology, and accurate assessment,
and guides practitioners to formulate new questions that will
further elucidate this condition.
This classic book allows its readers for the first time to comprehend the size, organization, staffing and operation of a national system of hospitals and residential services for the subnormal. It also allows for the first time, reliable estimates to be given of the scale and severity of certain problems. The basis has been laid for an evaluation of the effectiveness of hospitals for the subnormal. All this has been made possible by a generous grant from the National Society for Mentally Handicapped Children to the Department of Sociology in the University of Essex upon the foundation of the University. Of course, a great deal of further research remains to be done but a preliminary network of information is now available to all those deeply concerned about the handicapped. This is a study of the range and quality of institutional provisions made in England and Wales for that group of handicapped individuals who are known as mentally deficient. Dr. Morris reports on an investigation, which covered nearly half the hospitals for the sub-normal in the country: many of its findings can only shock and dismay. The investigation was concerned to discover what facilities-physical, occupational and educational-there was for patients, and to learn more about their social environment. It was also concerned to determine the extent to which both staff and patients are affected by their social environment, and by administrative action, and to learn something of the relationship between the hospital as an institution and the outside community, as well as between the patients and the outside world. In addition, it examined the extent to which the provisions and facilities available met the needs of the patients in relation to their physical and mental handicaps.
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 is the first examination in depth of the reasons and ways that people seek psychiatric help. Viewing contemporary metropolitan life from the standpoint of an experienced social analyst, Charles Kadushin deals with such issues as, why people believe they have emotional problems, what types of problems send them to psychiatrists, how, why, and by whom potential patients are told they are disturbed, why people choose psychiatry over other healing methods, and why many people do not receive treatment from the sources to which they apply. The author develops a new theory of social circles, describing how people move in a network of friends and acquaintances with varying degrees of knowledge of and interest in psychiatry. This factor affects decisions to obtain professional help and also has bearing on the types of problems presented. The study encompasses a wide variety of persons in a complex community environment--New York City, the psychotherapy capital of the world. The basic data were obtained from 1,500 patients in ten psychiatric clinics in three major treatment areas medical, analytic, and religio-psychiatric. The book provides new insights into the motivations of the patients as well as information about their social setting. It is an informative and engrossing work for students and scholars; for sociologists in the areas of medicine and mental health; for psychiatrists, clinical psychologists, and social workers actively engaged in treatment and casework; and for all professionals in the community health field.
Observation of the body helps psychiatrists to determine the cause
and treatment of mental illness. To form a diagnosis, practitioners
conduct detailed observations of patients' appearance, posture,
gesture and gait, thereby using the body as a diagnostic index.
However, within routine mental health practice, there is little
consideration of how the bodily presentation of patients may
reflect aspects of their "lived experience."
Observation of the body helps psychiatrists to determine the cause
and treatment of mental illness. To form a diagnosis, practitioners
conduct detailed observations of patients' appearance, posture,
gesture and gait, thereby using the body as a diagnostic index.
However, within routine mental health practice, there is little
consideration of how the bodily presentation of patients may
reflect aspects of their "lived experience."
Life After Darkness is the remarkable and moving story of a doctor and mother of four who endured seven years of severe depression. Self-harm, attempted suicides and admissions to psychiatric units culminated in her resorting to brain surgery as a final attempt to escape her illness. The story of Cathy Wield covers the horrors of time spent in archaic institutions and the loss of any hope, to a full recovery following surgery. Today she has returned to her career and rediscovered the joys of life and her family. This story is one of hope from an often hidden and stigmatized disease.
As alternative approaches to health and social care gain wider acceptance, exercise is being adopted as a strategy for mental health promotion in a variety of settings. Exercise, Health and Mental Health provides an introduction to this emerging field and a platform for future research and practice. Written by internationally acclaimed exercise, health and medical scientists, this is the first systematic review of the evidence for the psychological role of exercise in: -treating and managing mental health problems including dementia, schizophrenia, drug and alcohol dependence -coping with chronic clinical conditions including cancer, heart disease and HIV/AIDS -enhancing wellbeing in the general population - by improving sleep, assisting in smoking cessation, and as a way of addressing broader social issues such as antisocial behaviour. Adopting a consistent and user-friendly format, the research findings for each topic are summarized and critically examined for their implications. For students and researchers, this book provides an authoritative guide to current issues and future research. basis for the development of evidence-based practice.
This volume addresses the importance of measuring psychological abuse and shows that psychological aggression can be reliably measured. Part I identifies measurement issues and contains several scales and inventories for measuring psychological maltreatment. Part II discusses the interpersonal dynamics with specific populations, including battered women, low-income women, and African American women. This remains an important resource in the field of domestic violence.
Completely updated and revised, the third edition provides primary care physicians with practice-tested, condition-specific treatment recommendations for various childhood mental disorders. Obtain clear guidance on dosing, monitoring, and potential adverse reactions of psychotropic medications for treatment of common psychiatric disorders and mental health or behavioral problems in children and adolescents. It includes digital tools offering instant access to additional information on psychotropic medications. TOPICS INCLUDE Conceptual framework for prescribing psychotropics Newly approved medications, changes in regulations and guidelines, and updates in the professional literature are included in this new edition Medications for specific diagnoses-ADHD, anxiety, and depression Food and Drug Administration approved antipsychotics and mood stabilizers and all other medications What to do when treatment is unsuccessful
The headlines ring with “opioid epidemic” as Americans accidentally overdose on prescription pills. Parents shriek how their kids are “addicted to their screens,” law enforcement decries the flood of fentanyl increasing the lethality of street drugs, and teen alcohol poisoning rates continue to rise. Now, more than ever, powerlessness and despair fuel the nightmare experienced by family members with someone they love suffering with addiction or mental illness. Directing the family members of someone suffering with addiction or mental illness to “let go” or “let them hit bottom” is like telling them to stab themselves in the eye. Recovery books, even those written for family members, extol such directives, thereby causing more pain for family members enduring the powerlessness, futility, and demoralizing impossibility of loving someone trapped by substance abuse, mood, eating, thinking, or trauma-related disorder. IT STOPS WITH ME provides a model for understanding family system turmoil and a method to guide families toward serenity, sanity, and wellness for each member and the system as a whole. Creating connection, rebuilding trust, and defining a sustainable personal posture that feels right, lie at the heart of the theory and techniques shown. For the first time in many families, a happy ending seems possible; and, best of all, the outcome does not depend on the behavior, recovery effort, or mental health of any one family member. The author takes a systemic and inter-generational view, combining current knowledge of epigenetics with his deep personal experience of working with and being one of the super-sensitive people that experience addiction and inter-generational family system pathology. IT STOPS WITH ME guides readers toward understanding their system, their position in it, and describes specific steps to take to help everyone get well through the mindful pursuit of closeness and clarity following a core practice: “Open Heart, Clear Boundaries.” Most books about addiction focus on the addict or the disease. If they do focus on the family, they try to either repair or “fix” the addict, or marginalize the addict (“get rid of them”), so the family can recover. IT STOPS WITH ME is different. Using Dr. Perlmutter’s ground-breaking model of “Stress-Induced Impaired Coping (SIIC)” readers are shown how to do more than just take care of themselves; they’ll be guided to deepen or restore relationships with everyone in the family while pursuing wellness for the system itself. More than 3000 family members have been treated employing the now-proven SIIC model. This has taken place at a handful of national level treatment centers and in Perlmutter‘s consulting rooms. Perlmutter invites family members to understand their biologically-derived attachment and reactivity styles in order to move toward one another, deepen empathy and understanding, and create connection -- the book’s driving theme. IT STOPS WITH ME illuminates the environmental, emotional, and behavioral characteristics of these wounded family systems, often inaccurately branded as “dysfunctional.” As the author illustrates, far from dysfunctional, these wounded systems function quite well to: ❖ keep their terrible secrets buried, ❖ hold members in rigid roles, ❖ suppress difficult emotions (or delegate certain members to express them) ❖ get rid of anxiety and uncertainty; and, most importantly, ❖ make tolerable the often-fraught experience of life in the family environment. Believing that one’s family is not so much dysfunctional as seeking to make tolerable a chaotic, cold, or unpredictable family environment, makes it possible to move toward one another, improve self-care, support the recovery effort for all members, and choose new ways of thinking and interacting. IT STOPS WITH ME puts into words the brutal and often relentless experience of those close to someone who has required intensive treatment for addiction and mental illness. Descriptions of family members being simultaneously powerless and determined to “fix things” are vivid and relatable. As they read along they will say “Yes, that’s how I feel,” or “yes, that’s what happens to me [when my loved one acts out].” Readers caught in the grip of family system madness, propelled by the addiction or mental illness of a loved one, will recognize themselves. IT STOPS WITH ME serves as a gentle companion for family members caught in systemic distress and provides them specific strategies with scripted examples to obtain relief and serenity, regardless of what their problematic loved ones may or may not be doing. And further, it shows how to stay in relationship with the problematic loved one, opening the door to recovery for the entire family. By examining, understanding and healing the system using the SIIC model and its specific guidelines, family members will find their authentic voice, interrupt the cycles of loss, and create the conditions under which their loved ones make a project out of their lives and their recovery. This book shows them how.
Exercise, Health and Mental Health provides an introduction to this emerging field and a platform for future research and practice. Written by internationally acclaimed exercise, health and medical scientists, it is the first systematic review of the evidence for the potential role of exercise in:
Adopting a consistent and accessible format, the research findings for each topic are clearly summarized and critically examined for their implications.
The Handbook of Forensic Learning Disabilities examines current innovations, policy and practice with a pragmatic approach whilst drawing out the practical implications of working with this particular client group. It provides a complete analysis of the key issues surrounding forensic learning disabilities and looks at past, present and possible future issues to examine the unique and diverse needs of this service user group. The editors start out by investigating the likely cause of the problem then go on to discuss possible assessments, the specific disorders and the options for treatment or therapeutic intervention. The criminal justice system, policy, mental health law and risk management are all considered, along with issues surrounding specific offenders. Readers are encouraged to consider case studies, develop insights into the field, and are then directed to supplementary texts and resources for further research if required. This book will appeal to a broad range of health and social care professionals working with people who have learning difficulties.It will also be invaluable as a reference text for employees of the criminal justice and mental health systems, pre and post-registration nurses training in the field and student social workers. Lawyers, support organisations, and policy-makers and shapers and will also find the multifaceted approach interesting and informative.
'Clinical Effectiveness'; 'Clinical Governance'; 'Clinical Audit'; 'Clinical Guidelines': these are all vitally important to the UK government's quality agenda for the NHS; all are apparently about clinical practice and yet all lead to a fair amount of confusion for the average practitioner. Despite the often confusing wealth of literature on the s
In the last two decades, new communication technologies have dramatically changed the world in which mental health professionals and their patients live. Developments such as e-mail, online chat groups, Web pages, search engines, and electronic databases are directly or indirectly affecting most people's routines and expectations. Other developments are poised to do so in the near future. Already, for example, patients are acquiring both good and bad advice and information on the Web; many expect to be able to reach their therapists by e-mail. And already there is pressure from third party payers for providers to submit claims electronically. These technological breakthroughs have the potential to make mental health care more widely available and accessible, affordable, acceptable to patients, and adaptable to special needs. But many mental health professionals, as well as those who train them, are skeptical about integrating the new capabilities into their services and question the ethical and legal appropriateness of doing so. Those unfamiliar with the technologies tend to be particularly doubtful. How much e-mail contact with patients should I encourage or permit, and for what purposes? Why should I set up a Web site and how do I do so and what should I put on it? Should I refer patients to chat groups or Web-based discussion forums? Could video-conferencing be a helpful tool in some cases and what is involved? How do I avoid trouble if I dare to experiment with innovations? And last but not least, will the results of my experimentation be cost-effective? The book includes:
For better or worse, no mental health professional today can avoid confronting the issues presented by the new technologies. The Mental Health Professional and the New Technologies: A Handbook for Practice Today will enormously simplify the job of thinking through the issues and making clinically, ethically, and legally prudent decisions.
In recent years, a growing number of children and adults have been
diagnosed with Asperger's Syndrome, a neurological condition
characterized by severe difficulties with social communication.
While extremely talented in their areas of special interest, many
with the diagnosis also have problems with coordination and sensory
processing. Professionals and families struggle to help them
function competently and make the most of their unique abilities.
In the real world, caseloads include clients with substance abuse, psychiatric, and co-occurring disorders. Here you'll find reliable information and informative case examples to help you manage your caseload more effectively! Caseloads that include mental health, substance use, and co-occurring disorders are becoming more and more common, yet most texts in this area focus on one specific type of disorder. This unique handbook reflects the reality facing mental health and substance abuse professionals in their daily practices, focusing on how to effectively manage caseloads that include individuals with vastly differing levels of functioning. Providing diagnostic criteria, treatment regimens, and a great deal more, Treating Co-Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals is an exceptional single source for useful information on handling all of these types of cases and clients. Treating Co-Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals describes the psychiatric and substance use disorders that commonly co-occur and examines the evolution of co-occurring concepts and treatment. It provides an overview of relapse prevention and symptom management models for use with clients with co-occurring disorders and another covering mental health and substance abuse recovery movements. Treating Co-Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals will bring you closer to topics that impact day-to-day practice, including: conducting comprehensive assessments for individuals with psychiatric and substance use symptoms providing individual, group, family, and case management interventions for clients of differing levels of function who exhibit psychiatric and substance abuse symptoms identifying standard interventions for all clients with co-occurring disorders measuring change and establishing reasonable treatment outcome performance standards for these clients supervising staff who work with multifarious caseloads From the authors: Currently, most mental health and substance abuse professionals are aware of how to effectively assess and treat individuals with diagnoses for which they were trained. However, few therapists exclusively have clients who manifest only psychiatric or substance abuse symptoms. This book provides information and case examples concerning how to effectively manage a caseload composed of individuals with substance abuse, psychiatric, and co-occurring disorders. It presents strategies for providing comprehensive assessments for these individuals. Additionally, it describes how to provide effective case management as well as individual, group, and family treatment for individuals with multiple disorders and levels of function, and provides information on interacting effectively with the mental health and substance abuse recovery communities. Tables, figures, and a generous portion of intriguing case descriptions will help you apply the information in this useful volume to your own work. |
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