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One of the ways that scholars and policy makers have attempted to address the problems of madness and distress is by applying theories and policies from disability, including the social model of disability. This book brings together leading scholars and activists from Europe, North America, Australia and India to explore the challenges to that approach and the relationship of madness, distress, and disability.
Written for social workers by a social worker, "Mental Disorders, Medications, and Clinical Social Work" discusses the etiology, epidemiology, assessment, and intervention planning for common mental disorders. Looking at disorders from an ecosystems perspective, Austrian goes beyond a linear classification approach and DSM-IV-TR categories and encourages social workers to analyze the internal and external environmental factors that contribute to a disorder's development. Austrian's discussion of effective intervention(s) for a particular client also stresses the importance of working with families in treating disorders.
In addition to information on new medications, biochemical data on the causes of disease, and diagnostic tests, the revised third edition discusses therapies such as motivational interviewing, cognitive-behavioral, interpersonal, and dialectic.
This book traces the historical roots of the problems in India's mental health care system. It accounts for indigenous experiences of the lunatic asylum in the Bombay Presidency (1793-1921). The book argues that the colonial lunatic asylum failed to assimilate into Indian society and therefore remained a failed colonial-medical enterprise. It begins by assessing the implications of lunatic asylums on indigenous knowledge and healing traditions. It then examines the lunatic asylum as a `middle-ground', and the European superintendents' `common-sense' treatment of Indian insanity. Furthermore, it analyses the soundscapes of Bombay's asylums, and the extent to which public perceptions influenced their use. Lunatic asylums left a legacy of historical trauma for the indigenous community because of their coercive and custodial character. This book aims to disrupt that legacy of trauma and to enable new narratives in mental health treatment in India.
The federal government is involved in mental health care in various ways, including direct provision of services, payment for services, and indirect support for services. Policy makers have demonstrated interest in the federal government's broad role in mental health care. They have done so primarily by holding hearings and introducing legislation addressing the interrelated topics of quality of mental health care, access to mental health care, and the cost of mental health care. This book begins with a working definition of the mental health workforce and a brief discussion of alternative definitions. It then describes three dimensions of the mental health workforce that may influence quality of care, access to care, and costs of care. The book then briefly discusses how these dimensions of the mental health workforce might inform certain policy discussions, and provides statements and testimonies from various individuals on mental health care.
Written by many of the world's leading practitioners in the delivery of mental health care, this book clearly presents the results of scientific research about care and treatment for people with mental illness in community settings. The book presents clear accounts of what is known, extensively referenced, with critical appraisals of the strength of the evidence and the robustness of the conclusions that can be drawn. "Improving Mental Health Care" adds to our knowledge of the challenge and the solutions and stands to make a significant contribution to global mental health.
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.
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.
Problem gambling is a recognised mental disorder and a significant public health issue internationally. A Clinician's Guide to Working with Problem Gamblers introduces the reader to the concept of problem gambling as an illness, it describes the current gambling habits and explores the way problem gambling may present in an individual. This guide is the product of a collaboration between two of the country's most eminent experts on problem gambling as a psychiatric disorder. Bowden-Jones and George bring together contributions from leading clinicians working in the field to provide an outline of the epidemiology, aetiology, research, assessment procedures and treatment practices which are discussed and presented in an accessible and engaging manner. The inclusion of questionnaires and screening tools adds to the `hands on' feel of the book. The book covers a range of topics that clinicians and trainees need in order to review and understand the disorder, including, amongst others: Cognitive behavioural models of problem gambling Psychiatric co-morbidity Family interventions Gambling and women Remote gambling A Clinician's Guide to Working with Problem Gamblers will be essential reading for mental health professionals working with problem gamblers, as well as those in training, it is a comprehensive reference point on all aspects of this psychiatric condition. It is also aimed at various other groups of people who have an interest in the field of problem gambling, including academics, researchers, policy makers, NHS commissioners, probation officers, other health care professionals, the lay reader and family members of those affected by gambling.
This practical book enables those already practicing or joining social work to consider the various ways that people can be supported to live well with dementia. Areas focused on include how the personalisation agenda is changing services through self-directed support, re-enablement and telecare, how risk can be managed while choice and independence are maintained, and how safeguarding of people with dementia can be positively practiced. The authors present information on essential new developments in the field of dementia care including changes in legislation and Government policy as well as providing examples of positive practice from around the country.
Clinical Social Work Practice in Behavioral Mental Health, 3/e uses evidence-based practice to provide in-depth coverage of clinical social work practice with clients in mental health settings. The authors show the social worker as the critical link between the client, the agency, the family, and the community. Organized around 2 parts: PART I: A Framework for Practice (History, Culturally Competency, Legal and Ethical Issues, Biopsychosocial framework and assessment and Feminist Practice) and PART II: Intervention (Evidence Based Practice with clients with: Depression, Anxiety Disorders, Serious Mental Illness, Severe Mental Illness in Community Context and with their Families, and Co-occuring Substance Abuse and Serious Mental Illness)
The authoritative source for conducting risk assessments and managing risk
Beginning with a brief historical overview of the field, "Forensic Assessment of Violence Risk" clarifies the risk assessment model, which begins by exploring the risk assessment question and concludes by connecting the completed risk assessment to effective strategies for risk management.
This vital resource discusses topics including:
Defining the referral question
Idiographic factors and the need for individualized assessment
Understanding the results of a risk assessment
How to proceed from risk assessment to risk management
"Conroy and Murrie successfully capture the advances in risk
assessment and forensic assessment seen particularly in the last
decade. From task definition to risk communication, prediction to
management, adolescents to adults, and civil to criminal contexts,
they provide a range of useful information, examples, and
conclusions. Forensic Assessment of Violence Risk is valuable for
anyone involved in policy-making, litigation, assessment, or
interventions related to the risk of violent behavior."
"Forensic Assessment of Violence Risk is both an accessible
overview for the professional just beginning to conduct risk
assessments and a stimulating update for the seasoned forensic risk
assessment practitioner. It strikes a good balance between
discussion of recent research and practical guidelines for
"This guide is indispensable for all forensic mental health
professionals who assess violence risk for juveniles,
psychiatricpatients, sex offenders, and in the context of death
penalty cases. The model Conroy and Murrie propose represents the
integration of what is currently empirically established in terms
of base rates for violence with the need to consider idiographic
factors for the individual being evaluated."
In the mid-1850s, the counties of Hertfordshire, Bedfordshire and Huntingdonshire set about looking for a site for a new asylum to house their 'pauper lunatics'. Two hundred acres of farmland at Stotfold on the Hertfordshire-Bedfordshire border were purchased and in March 1860 the first patients were admitted to the new Three Counties Asylum (TCA). The asylum was in operation for almost a century and a half and, as approaches to treating mental illness changed, so did TCA. When it first opened, in the wake of the 1845 Lunacy Act, it was with the intention of providing humane treatment to replace the harsh regimes in private madhouses, prisons and workhouses. In time, drugs and other therapies were developed that were sometimes successful in alleviating symptoms. Finally, as the era of institutional care ended, Fairfield Hospital, as it came to be known, closed its doors in 1999.This is a revised edition of A Place in the Country and focuses on the history of the Three Counties Asylum. It gives a detailed account of the buildings themselves and of the staff and patients who populated them. A vivid picture emerges of a community that in some respects was as self-contained as a village and provided work for many locals as well as an enclosed place for very vulnerable people.
Hundreds of thousands of the inmates who populate the nation's jails and prison systems today are identified as mentally ill. Many experts point to the deinstitutionalization of mental hospitals in the 1960s, which led to more patients living on their own, as the reason for this high rate of incarceration. But this explanation does not justify why our society has chosen to treat these people with punitive measures.In ""Crime, Punishment, and Mental Illness"", Patricia E. Erickson and Steven K. Erickson explore how societal beliefs about free will and moral responsibility have shaped current policies and they identify the differences among the goals, ethos, and actions of the legal and health care systems. Drawing on high-profile cases, the authors provide a critical analysis of topics, including legal standards for competency, insanity versus mental illness, sex offenders, psychologically disturbed juveniles, the injury and death rates of mentally ill prisoners due to the inappropriate use of force, the high level of suicide, and the release of mentally ill individuals from jails and prisons who have received little or no treatment.
Prevention of mental illness and mental health promotion have often been ignored in the past, both in undergraduate and postgraduate curricula. Recently, however, there has been a clear shift towards public mental health, as a result of increasing scientific evidence that both these actions have a serious potential to reduce the onset of illness and subsequent burden as a result of mental illness and related social, economic and political costs. A clear distinction between prevention of mental illness and mental health promotion is critical. Selective prevention, both at societal and individual level, is an important way forward. The Oxford Textbook of Public Mental Health brings together the increasing interest in public mental health and the growing emphasis on the prevention of mental ill health and promotion of well-being into a single comprehensive textbook. Comprising international experiences of mental health promotion and mental well-being, chapters are supplemented with practical examples and illustrations to provide the most relevant information succinctly. This book will serve as an essential resource for mental and public health professionals, as well as for commissioners of services, nurses and community health visitors.
The past half-century has been marked by major changes in the treatment of mental illness: important advances in understanding mental illnesses, increases in spending on mental health care and support of people with mental illnesses, and the availability of new medications that are easier for the patient to tolerate. Although these changes have made things better for those who have mental illness, they are not quite enough.
In Better But Not Well, Richard G. Frank and Sherry A. Glied examine the well-being of people with mental illness in the United States over the past fifty years, addressing issues such as economics, treatment, standards of living, rights, and stigma. Marshaling a range of new empirical evidence, they first argue that people with mental illness -- severe and persistent disorders as well as less serious mental health conditions -- are faring better today than in the past. Improvements have come about for unheralded and unexpected reasons. Rather than being a result of more effective mental health treatments, progress has come from the growth of private health insurance and of mainstream social programs -- such as Medicaid, Supplemental Security Income, housing vouchers, and food stamps -- and the development of new treatments that are easier for patients to tolerate and for physicians to manage.
The authors remind us that, despite the progress that has been made, this disadvantaged group remains worse off than most others in society. The "mainstreaming" of persons with mental illness has left a policy void, where governmental institutions responsible for meeting the needs of mental health patients lack resources and programmatic authority. To fill this void, Frank and Glied suggest that institutional resources be applied systematically and routinely to examine and address how federal and state programs affect the well-being of people with mental illness.
Over 100 Australians who served in Afghanistan have committed suicide since returning to civilian life. Partners and family members also suffer, in their shared lives with emotionally scarred war veterans. Ex-service personnel and affected relatives provided author Ian Ferguson with fascinating first-hand information for the esearch of Wars That Never End. Their confronting recollections surfaced in personal interviews, and sometimes in Diggers' letters and diary entries from front line battle fields, dating back to the Boer War. Few publications candidly tackle the contentious issue of mental health among combat veterans, so this book is a must read for all discerning lovers of Australian war history.
In many African countries, mental health issues, including the burden of serious mental illness and trauma, have not been adequately addressed. These essays shed light on the treatment of common and chronic mental disorders, including mental illness and treatment in the current climate of economic and political instability, access to health care, access to medicines, and the impact of HIV-AIDS and other chronic illness on mental health. While problems are rampant and carry real and devastating consequences, this volume promotes an understanding of the African mental health landscape in service of reform.
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.
In the first book devoted exclusively to the contentious politics of autism, noted political scientist and public policy expert John J. Pitney, Jr., explains how autism has evolved into a heated political issue disputed by scientists, educators, social workers, and families. Nearly everything about autism is subject to debate and struggle, including its measurement and definition. Organizational attempts to deal with autism have resulted in not a single "autism policy," but a vast array of policies at the federal, state, and local levels, which often leave people with autism and their families frustrated and confused. Americans with autism are citizens, friends, coworkers, sons, daughters, fathers, and mothers. No longer simply the objects of public policy, they are active participants in current policy debates. Pitney's fascinating look at how public policy is made and implemented offers networks of concerned parents, educators, and researchers a compass to navigate the current systems and hope for a path towards more regularized and effective policies for America's autism community.
"It is a great honor to write the foreword to such an important book edited by E.J.R. David, filled with contributions from leading and emerging psychological scholars on internalized oppression. One of the best features of the book, in my opinion, is that the chapter authors are allowed to share their own personal experiences and that such experiences are regarded to be just as valid and legitimate as the 'theories' and 'empirical studies' that they review."
-Eduardo Duran, PhD
The oppression of various groups has taken place throughout human history. People are stereotyped, discriminated against, and treated unjustly simply because of their social group membership. But what does it look like when the oppression that people face from the outside gets under their skin? Long overdue, this is the first book to highlight the universality of internalized oppression across marginalized groups in the United States from a mental health perspective. It focuses on the psychological manifestations and mental health implications of internalized oppression for a variety of groups. The book provides insight into the ways in which internalized oppression influences the thoughts, attitudes, feelings, and behaviors of the oppressed toward themselves, other members of their group, and members of the dominant group. It also considers promising clinical and community programs that are currently addressing internalized oppression among specific groups.
The book describes the implications and unique manifestations of internalized oppression among African Americans, Latinos, Asian Americans, Pacific Islanders, American Indians and Alaska natives, women, people with disabilities, and the lesbian, gay, bisexual, and transgender community. For each group, the text considers its demographic profile, history of oppression, contemporary oppression, common manifestations and mental and behavioral health implications, clinical and community programs, and future directions. Chapters are written by leading and emerging scholars, who share their personal experiences to provide a real-world point of view. Additionally, each chapter is coauthored by a member of a particular community group, who helps to bring academic concepts to life. Key Features:
Addresses the universality of internalized oppression across marginalized groups in the U.S. and its corresponding mental health and psychological manifestations Considers how specific groups exhibit internalized oppression in their own unique ways Provides insight into how internalized oppression influences the thoughts, feelings, attitudes, and behaviors of the oppressed Highlights promising clinical and community programs
There's so many different types of abuse, and it all comes down to the same thing. It's making people nothing. And Fran was nothing. There was never anything nice said about her, everything was negative. And she had to put up with that, and we had to put up with that, until we all sort of believed it, almost.' Preventing the Emotional Abuse and Neglect of People with Intellectual Disability throws light onto the traumatic experiences faced by people with intellectual disability living in disability accommodation services. Through the narratives of nine people with intellectual disability and their family members, it reveals: the problem of systematic abuse; the cumulative impact of emotional and psychological abuse and neglect over time; recognition of the abuse by people with intellectual disability; and the lack of moral authority afforded to them in abuse acknowledgement and reporting. The author suggests a number of positive approaches and methods to help all those working with people with intellectual disability to prevent emotional abuse, respond appropriately and effectively support the recovery of victims. This book will prove to be indispensable for social care workers, care home managers, social workers, researchers and academics in the disability field, social sciences students, human rights workers and abuse practitioners.
The world of mental illness is typically framed around symptoms and cures, where every client is given a label. In this challenging new book, Professor Bernard Guerin provides a fresh alternative to considering these issues, based in interdisciplinary social sciences and discourse analysis rather than medical studies or cognitive metaphors. A timely and articulate challenge to mainstream approaches, Guerin asks the reader to observe the ecological contexts for behavior rather than diagnose symptoms, to find new ways to understand and help those experiencing mental distress. This book shows the reader: how we attribute `mental illness' to someone's behavior why we call some forms of suffering `mental' but not others what Western diagnoses look like when you strip away the theory and categories why psychiatry and psychology appeared for the first time at the start of modernity the relationship between capitalism and modern ideas of `mental illness' why it seems that women, the poor and people of Indigenous and non-Western backgrounds have worse `mental health' how we can rethink the `hearing of voices' more ecologically how self-identity has evolved historically how thinking arises from our social contexts rather than from inside our heads. Offering solutions rather than theory to develop a new `post-internal' psychology, How to Rethink Mental Illness will be essential reading for every mental health professional, as well as anyone who has either experienced a mental illness themselves, or helped a friend or family member who has.
*Highly Commended in the Psychiatry Category of the 2011 BMA Book Awards* Working with Suicidal Individuals provides a comprehensive guide to understanding suicide, the assessment of risk, and the treatment and management of suicidal individuals. It begins by covering the theory behind suicidal behaviour, using Transactional Analysis to explore the personality types of suicidal individuals and to understand their motivations. Factors that contribute to an individual becoming suicidal, such as mental illness, are also explored. A comprehensive system for the assessment of suicide risk is provided, including both quantitative and qualitative approaches. Finally, the author discusses different ways suicidal and pseudo-suicidal individuals can be managed and treated, including the 'no suicide contract' and redecision therapy. Case studies are included throughout to demonstrate the theory and practice. This book will be essential reading for all those working with a suicidal or at-risk individual, including practitioners in health, social work, psychotherapy, psychology and counselling.
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