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Anyone who works within children and adolescent mental health services will tell you what a challenging and complex world it is. To help prepare you, the authors have produced a clear introduction to child and adolescent mental health that takes you step-by-step on a journey through the subject. Beginning with the foundations, the book explores the common mental health concepts and influences that you can expect to encounter examining topics like the difference between emotional and mental health issues and how mental health problems develop. It then moves on to explore the vital skills that you will need to develop like effective communication and basic counselling skills, and introduces some of the common interventions like Cognitive Behavioural Therapy, Psychodynamic theory and Family work.
Written by a multi-disciplinary team of passionate and experienced experts, the book strikes an effective balance between introducing the relevant theory and showing how this can be applied in the real world. It is an essential starting point to the subject of child and adolescent mental health and suitable for any students planning to support this group.
This book provides a concise overview of sexuality and gender identity in clients with intellectual disabilities for therapists, social workers, educators, and healthcare providers. It captures the social, political, and legal environment of the late 2010s and bridges the gap between research and practice, with engaging case examples drawn from the author's own practice. Guidance on everyday issues like dating and sex education is juxtaposed with material on complex, current issues in topics like LGBTQ inclusion and sexual offending. User-friendly "toolboxes" provide brief guides to practical issues like using trans-friendly language and providing family interventions. Accessible enough for students and trainees, but thorough enough for veteran clinicians, this book explores issues that professionals face in providing competent care through the lens of justice and inclusion.
The experience of living and working with schizophrenia is often fraught with challenges and setbacks. This book is a comprehensive attempt to explain why, in spite of near-miraculous advances in medication and treatment, persons with mental illness fare worse than almost any other disadvantaged group in the labor market. As a researcher of economics and disability and the mother of a son with schizophrenia, the author speaks from both professional and personal experience. First, she looks at societal factors that affect employment outcomes for persons with schizophrenia (or other serious mental illness), including stigma and discrimination, investments in human capital, the quality of mental health services, and the support of family and friends. Then she examines workplace factors that affect employment outcomes, including employer mandates in the Americans with Disabilities Act, the decision to disclose a diagnosis of mental illness at work, the interaction between job demands and functional limitations, and job accommodations for persons with a serious mental illness. Giving weight to both perspectives, the final chapter outlines a set of policy recommendations designed to improve employment outcomes for this population.
Humans are social animals and, in general, don't thrive in isolated environments. Homeless people, many of whom suffer from serious mental illnesses, often live socially isolated on the streets or in shelters. Homelessness, Housing, and Mental Illness describes a carefully designed large-scale study to assess how well these people do when attempts are made to reduce their social isolation and integrate them into the community. Should homeless mentally ill people be provided with the type of housing they want or with what clinicians think they need? Is residential staff necessary? Are roommates advantageous? How is community integration affected by substance abuse, psychiatric diagnoses, and cognitive functioning? Homelessness, Housing, and Mental Illness answers these questions and reexamines the assumptions behind housing policies that support the preference of most homeless mentally ill people to live alone in independent apartments. The analysis shows that living alone reduces housing retention as well as cognitive functioning, while group homes improve these critical outcomes. Throughout the book, Russell Schutt explores the meaning and value of community for our most fragile citizens.
In 2008, twenty year-old Jonny Benjamin stood on Waterloo Bridge, about to jump. A stranger saw his distress and stopped to talk with him – a decision that saved Jonny's life.
Fast forward to 2014 and Jonny, together with Rethink Mental Illness launch a campaign with a short video clip so that Jonny could finally thank that stranger who put him on the path to recovery. More than 319 million people around the world followed the search. ITV's breakfast shows picked up the story until the stranger, whose name is Neil Laybourn, was found and – in an emotional and touching moment – the pair re-united and have remained firm friends ever since.
The Stranger on the Bridge is a memoir of the journey Jonny made both personally, and publicly to not only find the person who saved his life, but also to explore how he got to the bridge in the first place and how he continues to manage his diagnosis of schizoaffective disorder. Using extracts from diaries Jonny has been writing from the age of thirteen, this book is a deeply personal memoir with a unique insight on mental health.
Jonny was recognised for his work as an influential activist changing the culture around mental health, when he was awarded an MBE in 2017. He and Neil now work full-time together visiting schools, hospitals, prisons and workplaces to help end the stigma by talking about mental health and suicide prevention. The pair ran the London Marathon together in 2017 in aid of HeadsTogether. Following the global campaign to find the stranger, in 2015 Channel 4 made a documentary of Jonny's search which has now been shown in 14 territories.
Youth crime and youth violence blights our communities and shapes the lives of many, whether they are victims, perpetrators or family members. This book examines the application of psychological thinking and practice when working with young people who display high risk behaviours across a broad range of forensic mental health settings in the UK. It provides an up-to-date account of current thinking and practice in the field and the challenges of applying effective psychological approaches within forensic settings for young people. The contributors to Young People in Forensic Mental Health Settings are drawn from a range of environments including universities, youth offending services, secure in-patient settings, young offender institutions, Community Forensic Child and Adolescent Mental Health Services (F-CAMHS), and secure children's homes. This volume serves as an important platform for debate and as a forum for discussing the future delivery of psychologically informed services, intervention and mental health provision with young people who display high-risk behaviours.
This book aims to show the value but also the difficulties encountered in the application of 'insider knowledge' in service user research. Mental health service users in research considers ways of 'doing research' which bring multiple understandings together effectively, and explains the sociological use of autobiography and its relevance. It examines how our identity shapes the knowledge we produce, and asks why voices which challenge contemporary beliefs about health and the role of treatment are often silenced. An imbalance of power and opportunity for service users, and the stigmatising nature of services, are considered as human rights issues.Most of the contributors to the book are service users/survivors as well as academics. Their fields of expertise include LGB issues, racial tensions, and recovering from the shame and stigma of alcoholism. They stress the importance of research approaches which involve mutualities of respect and understanding within the worlds of researcher, clinician and service user/survivor.
Even among mental health clinicians, the communications of individuals experiencing psychosis have historically been considered mysterious, bizarre, and invalid. These judgmental, inaccurate interpretations and accusatory attitudes can cause iatrogenic trauma, a significant obstacle to recovery. Healing the Distress of Psychosis focuses on practice-based and evidence-informed interventions to effectively understand and communicate with people who are experiencing psychotic symptoms. The text thoughtfully describes: the experience of psychosis, as well as the unique intervention method of fostering the therapeutic relationship; and the psychotic thought process from neurological, linguistic, and existential-psychological perspectives. Mental health professionals, individuals with lived psychotic experiences, and their family members and loved ones will find this book to be a strong and accurate voice that highlights the past and present disappointments in mainstream public mental health treatment, while delivering hope in creating a secure, self-determined life.
This revised and updated edition of Care of the Mentally Disordered Offender in the Community provides a comprehensive, evidence-based guide to theory and practice. The social and clinical context within which mental health care is provided to offenders in community settings has changed significantly in recent years. An increasing proportion of all mental health care is provided in the community and our knowledge of the links between violence and mental illness has advanced. Existing psychological and pharmacological treatments have been refined and new treatments have been introduced. Epidemiological and intervention-based research has evaluated these changes and suggested new avenues for clinical development. Over three sections, the second edition of Care of the Mentally Disordered Offender in the Community explores the key areas of the field. Part 1 describes the social, administrative and clinical context within which care is now given. Part 2 discusses treatment and the evaluation of violence risk when determining the most appropriate treatment. Part 3 explores psychiatric services and their relationship with other agencies. The text has been updated to cover recent developments in theory and practice. New chapters have been added that cover US provision for people with mental disorders leaving prison, the community management of sexual offenders, the relationship between care and coercion and the treatment of personality disorders. Written by a global team of experts, the book provides critical insights into the social, clinical, and institutional aspects of an increasingly important part of psychiatric community care.
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.
Mental Health Case Management: A Practical Guide represents the first modern guide designed to provide students and practitioners with a grounded and practical tutorial on the key functions of a case manager serving adults with severe mental illness. The guide is purposely devoid of extensive theoretical and historical discourse, and rather focuses on a direct and to-the-point approach that time-pressed readers will appreciate when learning the fundamentals of providing mental health case management. Within this work, readers will learn the ABC's of mental health case management ranging from likely psychiatric conditions their clients will experience to working with the local and federal disability systems. This information is captured within a strengths-based, recovery-oriented framework that places empowerment and the dignity of the client being served at the forefront of the delivery of excellent care, and is intended to be augmented with field experience and close supervision by expert case managers. By the end of reading this guide, students and practitioners should have a clear understanding of the foundation principles of mental health case management and knowledge of how to implement these principles into effective practice.
Crazy in America shows how people suffering from schizophrenia, bipolar disorder, clinical depression, and other serious psychological illnesses are regularly incarcerated because alternative care is not available. Once behind bars, they are frequently punished again for behavior that is psychotic, not criminal. A compelling and important examination of a shocking human rights abuse in our midst, Crazy in America is an indictment of a society that incarcerates its weakest and most vulnerable citizens -- causing them to emerge sicker and more damaged.
Veronica Burton's first experience of depression came as a teenager. Following a ten year remission, during which she gained her general nursing qualification and completed her Special and Intensive Nursing of the Newborn course, work-related events precipitated a depressive relapse that has lasted to the present day. Since her retirement on medical grounds, she has campaigned against prejudice by nurses toward other nurses - including mental health nurses - who need psychological support of any kind. This book recounts the author's experiences of major depression, hospital admissions and treatments including medication, ECT and 'talking treatments'. It discusses the care given by medical and nursing staff and social and medical prejudices against those with psychiatric illnesses from a medical practitioner's perspective. Like stumbling on a secret room in a familiar building. In illuminating these previously inaccessible corners of her illness experience, she forces me to challenge my own taken-for-granted version of her history. Familiar territory seen from another perspective suddenly seems perturbing. As psychiatrists, too often we are drawn into seeing people through a lens of illness, as if this was their only identity.A" Veronica Burton's Psychiatrist Nick Rose in his Postscript
This book presents a review and criticism of all sociological literature on suicide, from Emile Durkheim's influential Suicide (1897) to contemporary writings by sociologists who have patterned their own work on Durkheim's. Douglas points out fundamental weaknesses in the structural-functional study of suicide, and offers an alternative theoretical approach. He demonstrates the unreliability of official statistics on suicide and contends that Durkheim's explanations of suicide rates in terms of abstract social meanings are founded on an inadequate and misleading statistical base. The study of suicidal actions, Douglas argues, requires an examination of the individual's own construction of his actions. He analyzes revenge, escape, and sympathy motives; using diaries, notes, and observers' reports, he shows how the social meanings of actual cases should be studied. Originally published in 1967. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
This far-reaching volume analyzes the social, cultural, political, and economic factors contributing to mental health issues and shaping treatment options in the Asian and Pacific world. Multiple lenses examine complex experiences and needs in this vast region, identifying not only cultural issues at the individual and collective levels, but also the impacts of colonial history, effects of war and disasters, and the current climate of globalization on mental illness and its care. These concerns are located in the larger context of physical health and its determinants, worldwide goals such as reducing global poverty, and the evolving mental health response to meet rising challenges affecting the diverse populations of the region. Chapters focus on countries in East, Southeast, and South Asia plus Oceania and Australia, describing: * National history of psychiatry and its acceptance. * Present-day mental health practice and services. * Mental/physical health impact of recent social change. * Disparities in accessibility, service delivery, and quality of care. * Collaborations with indigenous and community approaches to healing. * Current mental health resources, the state of policy, and areas for intervention. A welcome addition to the global health literature, Mental Health in Asia and the Pacific brings historical depth and present-day insight to practitioners providing services in this diverse area of the world as well as researchers and policymakers studying the region.
With a fine-tuned ethnographic sensibility, Janis H Jenkins explores the lived experience of psychosis, trauma, and depression among people of diverse cultural orientations, revealing how mental illness engages fundamental human processes of self, desire, gender, identity, attachment, and interpretation. Extraordinary Conditions illuminates the cultural shaping of extreme psychological suffering and the social rendering of the mentally ill as nonhuman or not fully human. Jenkins contends that mental illness is better characterized in terms of struggle than symptoms and that culture is central to all aspects of mental illness from onset to recovery. Her analysis refashions the boundaries between the ordinary and the extraordinary, the routine and the extreme, and the healthy and the pathological. This book asserts that the study of mental illness is indispensable to the anthropological understanding of culture and experience, and reciprocally that understanding culture and experience is critical to the study of mental illness.
A fresh perspective on the history of the post-war period, and the plight of a traumatised nation. We know that millions of soldiers were scarred by their experiences in the First World War trenches, but what happened after they returned home? Suzie Grogan reveals the First World War's disturbing legacy for soldiers and their families, exploring the myth of a nation of 'broken men' and 'spare women'. In 1922 the British Parliament published a report into the situation of thousands of mentally ill ex-soldiers still in hospital. Suzie Grogan has examined what happened to these men, what sort of treatments were on offer to them, and what reception did they receive from their families and society? Drawing on a variety of original sources, Suzie Grogan combines personal stories with a wider narrative of the war to show the true extent of the trauma experienced by the survivors. She also uncovers fascinating neglected areas, like the surge in spiritualism and the effects of the Zeppelin raids on the Home Front.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
The stigma attached to mental illness is the main obstacle to better mental health care and the better quality of life of people who have the illness, of their families, of their communities and of health service staff that deal with psychiatric disorders. Stigma is pernicious and there are indications that despite advances of psychiatry and medicine it continues to grow and has more and often terrible consequences for patients and families. In 1996, the WPA began an international programme to fight the stigma and discrimination because of schizophrenia. The 'Open the Doors' programme has since been implemented in more than 20 countries and involved roughly 200 different anti-stigma interventions. This book details the results of these efforts internationally and provides recommendations and guidance for those seeking to join this international effort or start similar efforts to dispel stigma and discrimination.
An Introduction to Active Support: A guide to supporting children and adults with intellectual and developmental disabilities is based on the Person-centred active support training materials by Jim Mansell, Julie Beadle-Brown, Bev Ashman and John Ockenden first published in 2004, as well as drawing on more recent publications and on the authors experiences of implementing active support in practice. This new publication explains what active support is and why it is important, and then goes on to explain what active and meaningful engagement is and gives examples of engagement and disengagement. Finally, the four key principles of active support are explained: Every moment has potential - viewing everything that happens at home and in the community as an opportunity Little and often - supporting participation in the small parts of each opportunity with slow, quiet and obvious support Graded assistance - providing just enough of the right type to help to enable the person to take part successfully in that activity at the time Maximising choice and control - seeking opportunities for people to make more choices and take more control in when and how they will be engaged.
This clinical training manual presents a critical analysis of several, very challenging individual therapy cases of severely mentally ill clients of colour. Key interchanges and cultural dynamics in the therapies are explored through discussion questions. Key hypotheses about those interchanges are supported with citations from research on the subject and are linked to relevant theories. This helps to establish an evidence-based framework for the larger discussion matter. The integration of contemporary theory, research and practice makes this a must have addition to your library of clinical training materials.
People receiving care in residential services or their own homes can become very isolated. This workbook will equip social care staff with the knowledge and skills to understand what friendships and relationships mean to service users' health and well being. Supporting Relationships and Friendships looks at how to assess social skills and the qualities needed in a friend. Sharing interests can provide companionship and promote self-esteem, but some relationships and friendships can become negative or burdensome, and this book offers useful guidance on supporting service users in managing these relationships. The book is appropriate for all staff supporting people with mental health needs, people with a learning or physical disability, older people and people with dementia. This workbook is a valuable source of guidance for any social care worker keen to improve their practice, and represents a cost-effective way for managers or trainers in residential and domiciliary settings to train staff.
Researching child and adolescent mental health can be a daunting task, but with the right practical skills and knowledge your students can transform the way they work with children and young people, giving them a 'voice' through their research in the wider community.
Michelle O'Reilly and Nikki Parker combine their clinical, academic and research expertise to take your students step-by-step through each stage of the research process. From first inception to data collection and dissemination, they'll guide them through the key issues faced when undertaking their research, highlighting the dilemmas, challenges and debates, and exploring the important questions asked when doing research with this population.
Providing practical advice and strategies for dealing with the reality of conducting research in practice, this book will;
- Provide your students with an overview of the theories that underpin methodological choice and the value of using qualitative research.
- Guide them through the planning stage of your project, clearly outlining important ethical and legal issues.
- Take them through the most popular qualitative data collection techniques and support them with their analysis.
- Help them write up their findings and demonstrate how research evidence translates into effective clinical practice.
Supported by helpful hints and tips, case examples and definitions of key terms, this highly practical and accessible guide throws a lifebelt to any students or mental health practitioner learning about the research process for the first time.
Care in context is a thought-provoking book that looks at gender inequalities in the context of care. Drawing in part from unique transnational perspectives and gripping interviews, this book focuses on key questions that intellectuals, policy makers and all of us who care and need care have to ask, such as: What is good care? Who should be involved in providing it? And how should care be arranged and organized so that that the interests of both care givers and care recipients are equally provided for? Care is indispensable to human flourishing. Without it we cannot survive. It is vital to the development of all individuals and to that of the broader society. Increasing economic and health problems have also contributed to mounting care crises in different parts of the world. With this view, the book offers fresh and nuanced perspectives and is a definite must read for all those affected by issues of care.
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