Mental health does not exist in a vacuum. The context in which an individual is born, grows, lives, and works has a profound impact on their mental and physical well-being. But although the powerful effects of these social determinants of mental health are not in question, how to affect them in actionable ways is. Struggle and Solidarity addresses that gap in a compelling manner. By taking a case study approach to seven key pieces of federal legislation-among them, the Agricultural Adjustment Act of 1933, the Social Security Act of 1935, the Civil Rights Act of 1964, and the Housing and Urban Development Act of 1965-it demonstrates how public policies, even when not explicitly mental health-related, can shape social determinants and improve mental health in the United States. For each of the seven laws, the book describes * The crisis in society that spurred the law's inception* Some of the key individuals and groups who drove its passage* How the law has evolved over time-including its shortcomings* How the law can continue to influence mental health in the future Forgoing academic language in favor of a more approachable style and including photographs of some of the key players involved in each piece of legislation, this volume is accessible to all audiences while still making vivid and rigorous connections between national policymaking and the social determinants of mental health, summarizing the literature linking key social determinants affected by each law to mental health outcomes. In sharing real examples of how individuals and groups have successfully advocated for policy changes, the authors of this book illustrate how important advocacy work can be accomplished and inspire readers to get involved in similar work to improve mental health today and in the future.

The American Opioid Epidemic: From Patient Care to Public Health provides practicing psychiatrists, trainees, and other mental health professionals with the latest information on opioid addiction, including misuse of heroin and other illicit opioids, the role of prescription analgesic opioids, and recent overdose trends. Although highly effective in relieving acute pain, opioids can cause untold damage to people's lives, health, and social structures. Recognizing the efficacy of these drugs when prescribed appropriately, the editors call not for eliminating access or for incarcerating those who are addicted, but for changing the patterns of prescribing and use. The crisis is analyzed by expert contributors from a wide variety of perspectives; they address issues of epidemiology and toxicology, prevention and harm reduction, and common comorbidities. Stressing that prevention and treatment do work, expert contributors provide down-to-earth, public-health-focused strategies that clinicians and public health workers alike will find indispensable. Moreover, the use of clinical vignettes and key chapter points help ground the reader and highlight the most important concepts.The book is comprehensive in its exploration of all facets of the crisis: * A thorough overview of prescription opioids is presented, including descriptions of the agents and their physiological effects, details on the origins of the opioid prescription use and misuse epidemic, current national trends in the nonmedical use of these prescription medications, and the consequences of long-term use of prescription opioids, such as the risk of initiating use of heroin and other illegal opioids.* Screening, assessment, and treatment planning for opioid use disorder is explored in detail, as is the pathophysiology, clinical signs, and management of opioid withdrawal.* The epidemiology, pathophysiology, and toxicology of opioid-related overdose are covered, guiding clinicians in key principles of overdose management-from evaluation to treatment to prevention. Readers will learn about the pharmacology and clinical use of the main opioid overdose reversal agent, naloxone, as well as the toxic profiles of the most common opioids implicated in overdose deaths.* The social determinants of the opioid epidemic are addressed from historical, demographic, and socioeconomic perspectives, as well as the pharmaceutical marketing-related, regulatory, and governmental policy-oriented factors that shape health disparities around opioid addiction and its consequences.* Harm reduction programs, including syringe access programs, overdose prevention education (including naloxone training and dispensing), education for safe injection practices, and facilitating access to opioid agonist treatment, are thoroughly explored. Harm reduction strategies that clinicians can use with individual patients are also discussed. The American Opioid Epidemic: From Patient Care to Public Health provides an in-depth look at clinical and public health approaches to this epidemic from both psychiatric and medical perspectives and gives mental health professionals the big picture necessary to understand the epidemic, as well as the clinical detail required to help patients avoid or overcome opioid addition.