In the wake of disaster emergency responders are first on the scene and last to leave. They put concern for the lives of others over concern for their own lives, and work tirelessly to recover the bodies of the missing. Their heroic actions save lives, provide comfort to and care for the wounded and inspire onlookers, but at what cost to themselves? We now know that rescue workers who are exposed to mutilated bodies, mass destruction, multiple casualties, and life-threatening situations may become the hidden victims of disaster. The traumatic consequences of exposure can profoundly impact emergency responders, radiate to their families, and permeate the emergency organization. This much-needed new book, based on the authors' original research and clinical experience, describes the consequences of trauma exposure on police officers, fire fighters, and paramedics. Weaving data collected in large-scale quantitative studies with the personal stories of responders shared in qualitative interviews, this much-needed account explores the personal, organizational, and societal factors that can ameliorate or exacerbate traumatic response. Stress theory, organizational theory, crisis theory, and trauma theory provide a framework for understanding trauma responses and guiding intervention strategies. Using an ecological perspective, the authors explore interventions spanning prevention, disaster response, and follow-up, on individual, family, group, organizational, and community levels. They provide specific suggestions for planning intervention programs, developing trauma response teams, training emergency service responders and mental health professionals, and evaluating the effectiveness of services provided. Disaster, whether large-scale or small, underscores our ongoing vulnerability and the crucial need for response plans that address the health and well being of those who confront disaster on a daily basis. In the Line of Fire speaks directly to these emergency response workers as well as to the mental health professionals who provide them with services, the administrators who support their efforts, and the family members who wonder if their loved one will return home safely from work tonight.

High-profile legal cases involving individuals with mental health challenges often address complex issues that confront previous decisions of the courts, influence or change existing social policies, and ultimately have a profound impact on the daily practice of mental health professionals and the lives of their patients. Providing in-depth context into milestone cases in forensic mental health, this book addresses issues such as the confidentiality of mental health records, criminal responsibility, fitness to stand trial, the right of individuals to refuse mental health treatment, and the duty of mental health practitioners to warn and protect individuals who may be at risk of harm at the hands of a patient. The authors explore the social and political context in which these cases occurred, incorporating court decisions, contemporaneous media articles, and legal reviews in the analysis. Graham Glancy and Cheryl Regehr, who are experts in the field of forensic psychiatry, draw upon their own practice, in addition to scholarly literature, to describe the impact of the decisions rendered by the courts in the area of mental health and offer practical guidelines for professionals working at the interface of law and mental health.

Social workers regularly make high-risk, high-impact decisions: determining that a child has been abused; that an individual may take their own life; or that someone with a history of violence poses harm to another. In the course of this work, social workers are exposed to acute and prolonged workplace trauma and stress that may result in posttraumatic stress, compassion fatigue, and burnout. These effects not only impact practitioners, but also the decisions that social workers make and ultimately the quality of the services that they provide. In this book, Cheryl Regehr explores the intersection between workplace stress, trauma exposure, and professional decision-making in social workers. She weaves together practice experience, research on the impact of stress and trauma on performance and decision-making in other high-risk professions including paramedics and police officers, and the empirical study of competence and decision-making in social work practice. Covering a wide range of research and theory, she surveys practical approaches to reducing stress and trauma exposure, mitigating their effects in social work practice, and improving decision-making. This book is critical reading for all social workers who engage in high-stakes decision-making, from those newly embarking on a career to expert practitioners.

Mental Health Social Work Practice in Canada is a concise yet comprehensive introduction to the nature of mental health issues and the legal and policy framework within which treatment is provided. Written by leading experts in the field, this highly readable text teaches students about the evidence-based social work practices that will best help individuals and families living with mental health challenges. This third edition has been fully updated to reflect recent research and legislation, and includes new coverage of the impacts of social media, the legalization of cannabis, medical assistance in dying, and the effects of the COVID-19 pandemic on the health care system.

High-profile legal cases involving individuals with mental health challenges often address complex issues that confront previous decisions of the courts, influence or change existing social policies, and ultimately have a profound impact on the daily practice of mental health professionals and the lives of their patients. Providing in-depth context into milestone cases in forensic mental health, this book addresses issues such as the confidentiality of mental health records, criminal responsibility, fitness to stand trial, the right of individuals to refuse mental health treatment, and the duty of mental health practitioners to warn and protect individuals who may be at risk of harm at the hands of a patient. The authors explore the social and political context in which these cases occurred, incorporating court decisions, contemporaneous media articles, and legal reviews in the analysis. Graham Glancy and Cheryl Regehr, who are experts in the field of forensic psychiatry, draw upon their own practice, in addition to scholarly literature, to describe the impact of the decisions rendered by the courts in the area of mental health and offer practical guidelines for professionals working at the interface of law and mental health.

Social workers regularly make high-risk, high-impact decisions: determining that a child has been abused; that an individual may take their own life; or that someone with a history of violence poses harm to another. In the course of this work, social workers are exposed to acute and prolonged workplace trauma and stress that may result in posttraumatic stress, compassion fatigue, and burnout. These effects not only impact practitioners, but also the decisions that social workers make and ultimately the quality of the services that they provide. In this book, Cheryl Regehr explores the intersection between workplace stress, trauma exposure, and professional decision-making in social workers. She weaves together practice experience, research on the impact of stress and trauma on performance and decision-making in other high-risk professions including paramedics and police officers, and the empirical study of competence and decision-making in social work practice. Covering a wide range of research and theory, she surveys practical approaches to reducing stress and trauma exposure, mitigating their effects in social work practice, and improving decision-making. This book is critical reading for all social workers who engage in high-stakes decision-making, from those newly embarking on a career to expert practitioners.