Challenging Practice in Mental Health Nursing questions theories and practices which have become central in mental health care today.
The book is inspired by the growing concerns of both the public and professionals about accepted methods of practice and their effects on patients and clients. Liam Clarke argues that while many different theories and models exist their validity and effectiveness in caring for patients has yet to be proved.
Chapters examine:
* holism
* Rogerian and other counselling theories
* forensic psychiatry
* rational emotive therapy.
This will be an essential and thought-provoking read for nurses and other mental health professionals who want to develop as critical practitioners.

With its unrivaled scope, easy readability, and outstanding clinical relevance, Complementary and Integrative Treatments in Psychiatric Practice is an indispensable resource for psychiatric and other health care professionals. It is also well suited for individuals with mental disorders and their family members who are seeking updated, practical information on complementary, alternative, and integrative medicine (CAIM). An international group of experts, researchers, and clinicians examines an expansive range of treatments that have been chosen on the basis of their therapeutic potential, strength of evidence, safety, clinical experience, geographic and cultural diversity, and public interest. This guide offers advice on how to best tailor treatments to individual patient needs; combine and integrate treatments for optimal patient outcomes; identify high-quality products; administer appropriate doses; and deal with concerns about liability, safety, and herb-drug interactions. Treatments discussed include: * Nutrients and neutraceuticals* Plant-based medicines* Mind-body practices-breathing techniques, yoga, qigong, tai chi, and meditation* Art therapy and equine therapy for children and adolescents * Neurotherapy, neurostimulation, and other technologies Psychiatrists and other physicians, residents, fellows, medical students, psychologists, nurses, and other clinicians will benefit from guidelines for decision making, prioritizing, and combining CAIM treatments, as well as safely integrating CAIM with standard approaches. That the treatments considered in this clinician's guide are applied to five of the major DSM-5 categories-depressive disorders, anxiety disorders, trauma- and stressor-related disorders, bipolar and related disorders, and schizophrenia spectrum and other psychotic disorders-ensures its applicability, timeliness and timelessness.

Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success. The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support: * Often efforts to implement an integrated care program fail because the model is more than just "plug and play." To address this misconception, the authors explore the successful implementation from every angle-from leadership, primary care, therapist, psychiatric provider, and policy perspectives.* As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.

This new edition of a bestselling, evidence-based textbook provides a comprehensive overview of psychiatric and mental health nursing. Keeping service users and their recovery at the centre of care, the holistic approach will help nurses to gain the tools and understanding required to work in this complex area. Extensively updated for this new edition, the text looks at: Aspects of mental health nursing: covering topics such as ethics, developing therapeutic relationships and supervision. The foundations of mental health nursing: discussing diagnosis, assessment and risk. Caring for those experiencing mental health distress: looking at wide range of troubles including anxiety, bipolar disorder, eating disorders and issues around sexuality and gender. Care planning and approaches to therapeutic practice: exploring ideas, pathways and treatments such as recovery, CBT, psychodynamic therapies and psychopharmacology. Services and support for those with mental health distress: covering topics such as collaborative work, involvement of service users and their families and carers, and a range of different mental healthcare settings. Mental health nursing in the twenty-first century: highlighting emerging and future trends including the political landscape, physical health and health promotion, and technological advances. This accessible and comprehensive textbook integrates service user perspectives throughout and includes student-friendly features such as learning outcomes, key points summaries, reflection points and further reading sections. It is an essential resource for all mental health nursing students, as well as an invaluable reference for practising nurses.

As a mental health nurse, possessing an ethical sensibility and developing ethical reasoning is vital. This book is a practical introduction to the skills and knowledge the mental health nurse is professionally required to develop in their journey towards effectively managing complex ethical decisions. Written with the training mental health nurse in mind, this book is a clear and concise guide on how to approach common, ethically-complex situations mental health nurses will eventually find themselves faced with. It includes textboxes which take the reader into a 'real world' scenario to help them explore the moral and ethical issues discussed throughout the chapter. To ensure professional currency, the content of this book is mapped to the Nursing and Midwifery Council's pre-registration education standards of 2010, and uses a scenario-based approach in order to provide a pragmatic and robust resource. A Practical Introduction to Mental Health Ethics is essential reading for pre-registration mental health nursing students, while also being of value to registered mental health nurses working in ethically challenged areas such as dementia care, psychiatric intensive care units.

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.

When working in the field of mental illness, the best evidence is people's lived experience. The third edition of Working with Serious Mental Illness maintains its focus on research data, but this is framed by clients' personal perspectives to provide clear, practical advice for practitioners. Aimed at nurses and healthcare practitioners working with mental illnesses such as severe depression, bi-polar disorder and psychosis, this book provides solutions for engaging and working with clients and their families. It vividly presents lived experience and the recommendations of clients, then proceeds through developing and implementing effective interventions and how to reflect on client relationships to ensure sustained success. Easy to read and packed full of practical tips and strategies, this is the ideal book for all healthcare practitioners working with patients with serious mental illness, their families and their carers. It will also be valuable reading for staff working in acute and community mental care settings who lack specialist training in serious mental health disorders, for nursing students, mental health nurses and general nurses working in mental health, primary care and community settings. Focuses on the lived experiences, observations and recommendations for practitioners of people who use mental health services Combines theory and practice in a skills and intervention-based approach Presents down-to-earth intervention ideas designed for practitioners working at the front line Practical advice is provided in a user-friendly, clearly accessible way Contributions from experts and editors who are leaders in their field All content fully revised and updated to reflect changes in mental health service provision New chapters on Parity of Esteem, Working with the Principles of Trauma Informed Care and Looking After Ourselves All-new colour design and format

This book contains excerpts of life stories from 118 individuals diagnosed with schizophrenia, bipolar disorder, borderline personality disorder, and major depressive disorder. This library of personal narratives, heavily reproduced and quoted throughout the text, presents a composite image of the ways in which narrative identity can be affected by mental illness while also being a resource for personal recovery. Those researching, studying or practicing in mental health professions will find a wealth of humanizing first-person perspectives on mental illness that foster perspective-taking and aid patient-centered treatment and study. Researchers of narrative psychology will find a unique set of life stories synthesized with existing literature on identity and recovery. Moving towards intervention, the authors include a 'guide for narrative repair' with the aim of healing narrative identity damage and fostering growth of adaptive narrative identity.

This accessible, practical text provides mental health practitioners with the core knowledge and skills they need to be able to care effectively for the physical health of those who have been diagnosed with mental illness.

Linked closely to professional standards, and with a clear values- and evidence-base, the book aims to raise awareness of the physical health needs of individuals with mental health problems, outline the physical health assessment process and suggest health enhancing interventions for use in clinical practice. Consideration will be given to the following aspects of physical wellbeing;

-cardiovascular health

-diabetes

-sexual health

-respiratory health

-cancer

-wound care

-substance misuse

-infection control

-medicine management

Further chapters on legal and ethical issues explain the need to practise appropriately within the Mental Health Act and the Mental Capacity Act, while a linking theme throughout the book stresses the importance of health promotion.

Backed up by case examples and with a range of reflective exercises throughout, The Physical Care of People with Mental Health Problems is a key text for students and practitioners working in mental health services. It will also be useful reading for practice nurses, district nurses, midwives and all allied health practitioners.

The mental health needs of older people are all too often overlooked or put down to the inevitable consequences of ageing. This textbook will make it much easier for health, social care and third sector workers to identify, treat and support the needs of this population. The book takes an interdisciplinary team approach and sets the scene by looking at different practice contexts in the United Kingdom and the increasingly important role played by social care in addressing the mental health needs of older people. A number of more clinically focused chapters then cover: mental health promotion anxiety and depression ageing and psychosis alcohol and dual diagnosis dementia later life liaison services complex and enduring mood disorders. Each clinical chapter makes use of extended and detailed case studies which illuminate the team's role in the assessment-intervention-evaluation cycle and ensure the text's application to practice. Service user and family perspectives are drawn on throughout and current practice exemplars outlined. The final chapter distils key messages from the book and sets a number of key challenges. Mental Health and Later Life highlights the rewards and complexity of working with older people with mental health needs and their families. It is invaluable reading for all those learning about, or working with, this population.

'Core Anatomy - Illustrated' is a concise new atlas of human anatomy for medical and allied healthcare undergraduates, postgraduate trainees, and teaching staff. It presents the key anatomical knowledge necessary for clinical practice, at a level that is compatible with current core curricula, whether traditional or systems-based. Presenting beautifully photographed prosections of extraordinary clarity, this succinct volume comprises 71 easy-to-read double-page spreads. The combination of concise text on the left with labelled illustration and key on the right, offers a quick, accurate reference guide to human anatomy. Written by Professor Ian Parkin, Mr Bari Logan and Mr Mark McCarthy, who between them have over 75 years experience of teaching, examining and preparing human anatomical material, 'Core Anatomy - Illustrated' covers the human body, both male and female, literally from head to toe. The content of the book has been carefully selected as the most essential 'end view' level of dissected anatomy that medical, paramedical, and surgical practitioners must be familiar with to practise safely and effectively.

Winner of the 2020 Anselm Strauss Award for Qualitative Family Research, National Council on Family Relations. How is qualitative data actually collected, analyzed, and accomplished? Real stories of How Qualitative Data Analysis Occurs: Moving Beyond "Themes Emerged" offers an in-depth look into how qualitative social science researchers studying family issues and dynamics approach their data analyses. It moves beyond the usual vague statement of "themes emerged from the data" to show readers how researchers actively and consciously arrive at their themes and conclusions, revealing the complexity and time involved in making sense of thousands of pages of interview data, multiple data sources, and diverse types of data. How Qualitative Data Analysis Occurs focuses on a diversity of topics in family research across the life course. The various authors provide detailed narratives into how they analyzed their data from previous publications, and what methodologies they used, ranging from arts-based research, autoethnography, community-based participatory research, ethnography, grounded theory, to narrative analysis. Supplemental figures, images, and screenshots which are referred to in the chapters, are included in an accompanying eResource, as well as links to the previously published work on which the chapters are based. This book is an invaluable resource for experienced and novice qualitative researchers throughout the social sciences.

Personality disorder affects more than 10% of the population but is widely ignored by health professionals as it is viewed as a term of stigma. The new classification of personality disorder in the ICD-11 shows that we are all on a spectrum of personality disturbance and that this can change over time. This important new book explains why all health professionals need to be aware of personality disorders in their clinical practice. Abnormal personality, at all levels of severity, should be taken into account when choosing treatment, when predicting outcomes, when anticipating relapse, and when explaining diagnosis. Authored by leading experts in this field, this book explains how the new classification of personality disorders in the ICD-11 helps to select treatment programmes, plan long-term management and avoid adverse consequences in the treatment of this patient group.

Convenient, practical, and portable.Revised and updated, the second edition of this practical resource remains the only advanced practice guide to provide an overview of the major DSM-5 disorders across the lifespan and complete clinical guidelines for their psychopharmacologic management. Compiled by expert practitioners in psychiatric care and pharmacy, it is designed specifically for use by nurse practitioners and other primary caregivers in clinical practice. Organized for quick access to key information, the resource includes the clinical features of each disorder and symptoms and information about the most current and effective drugs for its management. Tables delineate the first and second lines of drug therapy along with adjunctive therapies for each disorder. Drugs are organized according to classification and include the essential information needed to safely prescribe and monitor a patient's response to a particular drug. Brand and generic names, drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations are also addressed. Convenient, practical, and portable, this guide will be a welcome and frequently used resource. Key Features: Delivers psychopharmacological treatment guidelines for major DSM-5 disorders and parameters for drug use Prioritizes drugs according to their clinical efficacy and recommended treatment algorithms Includes brand and generic names, dosages, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations Provides easy-to-read tables for quick clinical consultation Offers information on clinical algorithms, lab evaluation, and preventive services Addresses medical and legal pitfalls Purchase includes access to the eBook for use on most mobile devices or computers

Offers a wealth of information and insight geared specifically for APRNs providing holistic mental health care to older adults.Addressing the most commonly-encountered mental health disorders, this practical, evidence-based resource for advanced practice nurses, nurse educators, and graduate nursing students delivers the knowledge and tools needed to effectively assess, examine, diagnose, treat, and promote optimal mental health in the geriatric patient. Written by recognized experts in the field of geropsychiatry, this handbook encompasses updated DSM-5 diagnoses and criteria, psychopharmacology, the psychiatric exam, and systems-level approaches to care. It also considers the relationships of the geriatric patient to family, community, and health care providers as they contribute to successful treatment. This handbook examines the biological changes associated with aging and addresses common mental health disorders of older adults. It presents clear clinical guidelines and demonstrates the use of relevant clinical tools and scales with illustrative examples. Additionally, the text delves into cultural differences that impact treatment and addresses the distinct needs of patients during a pandemic such as COVID-19. Key Features: Written specifically for APNs and students who work in the geropsychiatry field Presents evidence-based content within a holistic nursing framework Links psychopharmacological content with psychotherapy Describes cultural considerations in assessment and treatment during a pandemic such as COVID-19-in assessment and treatment Delivers key information on interprofessional approaches to patient care Includes Case studies with discussion questions Interprofessional Boxes contain key information on partnerships that can enhance care Evidence-Based Practice Boxes focus on proven strategies and resources Purchase includes digital access for use on most mobile devices or computers.

Care planning and delivery are essential parts of everyday practice for all mental health practitioners. This new edition of Care Planning in Mental Health: Promoting Recovery moves away from a professionally-oriented model of care planning towards the active promotion of the personal narrative as being central to planning effective mental health care. It outlines essential concepts linked to the recovery process which is carried out in partnership with people with mental health problems and those closest to them. New to this edition: * A stronger, more explicit focus on recovery * A unique interpretation and explication of the recovery process * A greater promotion of the centrality of personhood * Examples drawing on a range of international perspectives and experiences * Enhanced user-friendly pedagogy, including practical case illustrations and first-hand accounts throughout Care Planning in Mental Health: Promoting Recovery is an ideal resource for anyone involved in the field of mental health care. It is also a valuable learning resource for students studying mental health care and the qualified and experienced practitioner wishing to gain a fresh approach to planning recovery-focused care.

This fascinating book provides a comprehensive overview of the extensive post-disaster mental health recovery program implemented after the 1988 Armenian earthquake. Covering the program's evolution, from the initial acute phase of clinical fieldwork, to its expansion as a three-year teaching and training program for local therapists, to the building of mental health clinics in devastated cities. Featuring poignant memoirs detailing the daily challenges and rewards of working in the trenches, the book presents a conceptual framework that can guide post-disaster clinical and research efforts, lessons learned from this work and other disasters, and highlights recent advances in disaster psychiatry. This school-based intervention program has informed subsequent disaster response efforts in many countries and has provided clinically relevant cutting-edge research findings from longitudinal and treatment outcomes studies conducted over 25 years. Essential reading for psychologists, psychiatrists, social workers and other mental health professionals and those working for relief organizations following disasters.

Brain Injury not only affects its victim, but those around them. In many cases, relatives are often overlooked despite facing many obstacles accepting and adjusting to a new way of life. Family Experience of Brain Injury showcases a unique collaboration between relatives of brain injured individuals and professionals from the field of neurorehabilitation. Family members from all different viewpoints tell their story and how the brain injury of a loved one has affected them. This book provides a space for those hidden and marginalised voices, the people who are in for the long haul, often dismissed by services and left to cope in isolation. By combining expert commentary with real life experiences, this book points towards sources of support, normalises the experience and provides a context for understanding the grief and losses of family members. Not only will the hard-earnt knowledge and wisdom evident in this book help educate health and social care staff, it highlights how love, commitment, hope and perseverance, against a seemingly unbearable grief, can remain. It is essential reading for individuals and families touched by brain injury and will give multi-disciplinary professionals, such as medics, nurses, psychologists, therapists, social workers, rehabilitation practitioners and clinical supervisors, a greater understanding of their role in helping the affected family.

"Understanding Children and Young People's Mental Health" has been designed to help the student and newly qualified health care professional to familiarise themselves with the key theoretical frameworks underpinning the field of children and young people's mental health. It explores the mental health challenges that children and young people face, and how we as adults can work alongside them to help them face and overcome such challenges.

This book provides comprehensive information on the theory and practice of particular mental health difficulties which children and young people may have to face, including self-harm, depression, suicide, child abuse, eating disorders, substance misuse, and early onset psychosis. "Understanding Children and Young People's Mental Health" is essential reading for pre-registration students in nursing and healthcare on child and mental health branches, and for newly qualified nursing, health and social care practitioners who work with children and young people.Brings together specialist practitioners and academics in the fieldIncorporates the latest guidelines and policiesPractical and accessible in style with learning outcomes, activities, examples and recommended reading in each chapter

Intermediate care comprises strategies which allow early discharge from acute care, prevent admission or re-admission to acute care and avoid bed-blocking in both acute and long-term residential care. It encompasses a range of short-term options including rapid response, hospital at home, residential rehabilitation, supported discharge and day rehabilitation. Continuing Care is delivered on a long-term basis in a variety of settings and often includes an element of rehabilitation.
Although these two types of care have distinct objectives, they are interrelated as changes in the supply of one type of care may affect demands for the other. In addition, from a patient perspective, intermediate and continuing care might be seen as part of the continuum of care options that are supplied to meet their needs. This book argues for consideration of intermediate and continuing care as part of the care continuum that provides integrated care adopting whole system approaches.
This edited volume explores policy, practice and current issues in intermediate and continuing care. It will be of interest to allhealth and social care professionals involved in the provision and planning of care for older people. It falls in three parts: intermediate care, continuing care, and a shorter section on patient and public involvement and future directions.

All human behaviour is, ultimately, a moral undertaking, in which each situation must be considered on its own merits. As a result ethical conduct is complex. Despite the proliferation of Codes of Conduct and other forms of professional guidance, there are no easy answers to most human problems. Mental Health Ethics encourages readers to heighten their awareness of the key ethical dilemmas found in mainstream contemporary mental health practice. This text provides an overview of traditional and contemporary ethical perspectives and critically examines a range of ethical and moral challenges present in contemporary 'psychiatric-mental' health services. Offering a comprehensive and interdisciplinary perspective, it includes six parts, each with their own introduction, summary and set of ethical challenges, covering: fundamental ethical principles; legal issues; specific challenges for different professional groups; working with different service user groups; models of care and treatment; recovery and human rights perspectives. Providing detailed consideration of issues and dilemmas, Mental Health Ethics helps all mental health professionals keep people at the centre of the services they offer.

Underscores the complexity of prescribing drugs for older adults while providing state-of-the-art guidelines for safe patient care.An evidence-based, quick-access reference for adult gerontology nurse practitioners and related health care providers, this text describes a holistic, patient-centered approach to prescribing drugs to older adults. Comprehensive yet concise writing distills timely guidance on the complexities of safely prescribing to this unique population. This book opens with physiologic changes and assessment considerations for older adults, followed by a discussion of pharmacokinetics and pharmacodynamics, then a final section on guidelines for drug selection, drug interactions, and multimorbidities. Each chapter presents information in a consistent, easy-to-read template. Patient Care Pearls alert readers to crucial information and relevant case studies with examples of inappropriate medical prescribing provide context for drug delivery. Key points and chapter summaries help reinforce information. Additional features include the provision of guidelines for psychotropic medications in LTC facilities, special considerations for frail older adults, and the role of pharmacists as a resource for other practitioners. Key Features: Decision-making guidance on prescribing practices in varied settings Discusses in depth physiological considerations including multimorbidity and poly pharmacy Presents Beer's Criteria and its implications Guidelines for psychotropic medications in LTC facilities Special considerations for frail older adults Patient care pearls, case studies, key points, and chapter summaries

Most specialist mental health care is provided by nurses who use face to face helping skills with a wide range of people in a variety of contexts. This book puts therapeutic skills at the heart of the nurse's role, with one central aim: to equip you with knowledge to use in your practice, thus improving your ability to deliver care. This book: * Will enable you to strengthen your core therapeutic skills and broaden your knowledge to include other practical therapeutic approaches * Collates in one place information on a range of therapeutic approaches, from person centred counselling, motivational interviewing and solution focused approaches, through to day to day skills of challenging unhelpful thoughts, de-escalating difficult situations, working with families, and problem solving * Demonstrates application of theory to practice through a variety of practical examples * Features reader activities to facilitate personal growth and learning * Includes a chapter exploring clinical supervision and how this makes practice more effective Each chapter is grounded in authentic clinical experiences and focuses on equipping the reader to develop confidence in their client facing skills. This text is an essential purchase for all mental health nurse students as well as qualified nurses. "Whilst the essential therapeutic component of mental health nursing is the nurse themselves, it is also essential that they have knowledge and competencies to offer the client. This valuable book offers the reader an introduction to a wide range of approaches that are considered helpful, evidence based and effective. Modern mental health nursing requires much of its practitioners; this book will help inform and support that endeavour." Ian Hulatt, Mental Health Adviser, Royal College of Nursing, UK "This is a timely book which addresses, head on, questions about what mental health nurses can do to be effective with their patients. At last we have a book that mental health nurses can draw on to understand why and how various therapeutic approaches are used. The range is from cognitive behavioural therapy, to psychodynamic approaches to mindfulness, with others in between. Each chapter is written by an expert and each offers concrete examples of what it involved in each of the approaches. These examples are imperative if readers are to understand how to use interventions in their everyday work. This ground breaking book will be compulsory reading for everyone involved in the care of those with mental health problems. A wonderful book." Philip Burnard, Emeritus Professor of Nursing, Cardiff University, UK