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The social climate in settings such as forensic psychiatric hospitalsand prisons is crucial to their success. The Essen Climate EvaluationSchema (EssenCES) described here is a short, well-validated questionnairethat measures three essential facets of an institution's socialatmosphere. An overview of the EssenCES is followed by detailedadvice on how to administer and score it and how to interpret findings,as well as reference norms from various countries and types of institutions.The EssenCES "manual and more" is thus a highly useful toolfor researchers, clinicians, and service managers working in forensicsettings.
Claire Barcham is a registered social worker with over 20 years' experience, including practicing as an ASW/AMHP since 1996 and regularly providing training in this and other areas of social work practice. *** Fully revised and updated, the new edition of this handy pocketbook provides key advice for busy social work practitioners on the day-to-day aspects of using and applying the Mental Health Act. The practitioner will find this guide invaluable for quickly finding the information they need to set up, undertake and complete an assessment under the Mental Health Act. The new edition features: * Up-to-date information reflecting the revised Mental Health Act Code of Practice, Reference Guide and case law * New advice on integrating the concept of Deprivation of Liberty in decision making during Mental Health Act Assessments * Points to watch out for when assessing homeless people, and young people experiencing mental health problems * New guidance on joint working with the police, particularly in relation to section 135 * An expanded chapter focusing on using compulsion in the community, aimed at helping practitioners understand and use all available frameworks, including the Deprivation of Liberty Safeguards * Key points of law, highlights from the Code of Practice, checklists, flow charts and reminders provide clear and unambiguous guidance throughout This practical guide is not only suitable for new and experienced AMHPs, but also health professionals, the police and those considering studying for AMHP status. *** *This book forms part of a series of pocketbooks for social workers. These compact guides are written in an accessible and to-the-point style to help the busy practitioner locate the information they need as and when they need it-all bound up in A5 and under! The pocketbooks explore key practical skills involved in such areas as mental capacity, report writing and assessment.* 'This book is an invaluable guide through the Mental Health Act Assessment maze. AMHPs and others will find the common issues and dilemmas (and many of the less common ones) discussed in a refreshingly straightforward and easy-to-understand manner. Claire's extensive AMHP experience leaps off the page ... I unhesitatingly recommend it'. Steve Benson, AMHP Training Lead, Bradford Council, UK 'I would wholeheartedly recommend this book as a useful resource not just for AMHPs, but also for AMHP trainees, social work and mental health nursing students, nurses, police, service users, and indeed anyone with a personal or professional interest in mental health and the Mental Health Act'. Steve Matthews (The Masked AMHP) AMHP and Practice Consultant, University of East Anglia, UK
The Mental Capacity Act 2005 and its accompanying Codes of Practice continue to have a huge impact on mental health professionals working with some of the most vulnerable people throughout England and Wales. Whether you are a Social Worker, Best Interest Assessor, Mental Health Nurse, Doctor, Psychiatrist or an Approved Mental Health Professional (AMHP), understanding the Mental Capacity Act and its implications for practice is essential and this indispensable guide will help you do just that. The Mental Capacity Act 2005 is designed to protect and empower individuals who may lack the mental capacity to make their own decisions about their care and treatment and this bestselling book will provide invaluable support to busy practitioners needing to draw on the Act in the following ways: - Sets out the full text of the main body of the Act for quick reference - Contains practical advice and checklists for working with the Act and the main principles and Codes of Practice - Shows how the Mental Health Act and Mental Capacity Act interact so that statutory requirements can be put into practice. Written in a style accessible to all professionals, this fully updated Third Edition has been revised and enlarged to incorporate revisions to the Mental Health Act Code of Practice 2015 and the crucial impact of the Supreme Court decisions in the Cheshire West cases.
This book explores the law relating to the right to liberty of people with mental illness and international human rights standards. It is also a manifesto for change, urging reconsideration of the protection and promotion of the human rights of people with mental illness. Covers all UK jurisdictions plus Ireland.
In a Victorian-era German asylum, seamstress Agnes Richter painstakingly stitched a mysterious autobiographical text into every inch of the jacket she created from her institutional uniform. Despite every attempt to silence them, hundreds of other patients have managed to get their stories out, at least in disguised form, and so it continues today. A vast gulf exists between the way medicine explains psychiatric illness and the experiences of those who suffer. Hornstein's brilliant work helps us to bridge that gulf, guiding us through the inner lives of those diagnosed with schizophrenia, bipolar illness, depression, and paranoia and emerging with nothing less than a new model for understanding so-called 'mental illness', one another and ourselves. One which asks not 'what's wrong with you' but 'what happened to you and how did you manage to survive?'
"Bedlam " The very name, derived from a nickname for the Bethlehem Hospital, conjures up graphic images of naked patients in filthy conditions, or parading untended wards deluded that they are Napoleon or Jesus Christ. This common image of madness can be traced to William Hogarth's 1735 "Rake's Progress "series, which depicts Bedlam as a freak show providing entertainment for Londoners between trips to the zoo, puppet shows, and public executions. That this is still the most powerful image of Bedlam, more than two centuries later, says much about the prevailing attitude to mental illness, although the Bedlam of the popular imagination is long gone. The hospital was relocated to the suburbs of Kent in 1930, and Sydney Smirke's impressive Victorian building in Southwark took on a new role as the Imperial War Museum. Following the historical narrative structure of "Necropolis," this history examines the capital's treatment of the insane over the centuries, from the founding of Bethlehem Hospital in 1247 through the heyday of the great Victorian asylums to the more enlightened attitudes that prevail today.
Criminal practitioners will encounter clients with mental health problems regularly. This book provides guidance on recognising the signs of such problems and understanding the correct procedures to provide the client with the best representation. It covers every aspect of the legal process, from initial contact with the client at a police station through to the sentencing hearing, and representing mentally disordered prisoners and on their release.
The topic of anxious children is on the front burner these days, both among parents and mental health professionals and it is only gaining attention as more and more clinicians are presented with anxious children in their practices. Anxiety symptoms-whether panic, OCD, phobias, social or separation anxiety-are one of the primary reasons parents seek help from a mental health professional for their child. And yet, parents may unintentionally reward or encourage the problem through their own behaviour (overprotection on the one hand, punishment on the other, or avoidance of all possible anxiety-provoking situations). This book will tackle that very issue, exploring the critical parent-child "dance" at the centre of child development and uncovering how, with the proper knowledge and tools at hand, therapists can guide parents in changing their dynamic so anxious outbursts are reduced and a child's confidence and growth are better supported.
In the 1960s, policymakers and mental health experts joined forces to participate in President Lyndon Johnson's War on Poverty. In her insightful interdisciplinary history, physician and historian Mical Raz examines the interplay between psychiatric theory and social policy throughout that decade, ending with President Richard Nixon's 1971 veto of a bill that would have provided universal day care. She shows that this cooperation between mental health professionals and policymakers was based on an understanding of what poor men, women, and children lacked. This perception was rooted in psychiatric theories of deprivation focused on two overlapping sections of American society: the poor had less, and African Americans, disproportionately represented among America's poor, were seen as having practically nothing.Raz analyzes the political and cultural context that led child mental health experts, educators, and policymakers to embrace this deprivation-based theory and its translation into liberal social policy. Deprivation theory, she shows, continues to haunt social policy today, profoundly shaping how both health professionals and educators view children from low-income and culturally and linguistically diverse homes.
Recent legal developments challenge how valid the concept of mental capacity is in determining whether individuals with impairments can make decisions about their care and treatment. Kong defends a concept of mental capacity but argues that such assessments must consider how relationships and dialogue can enable or disable the decision-making abilities of these individuals. This is thoroughly investigated using an interdisciplinary approach that combines philosophy and legal analysis of the law in England and Wales, the European Court of Human Rights, and the United Nations Convention on the Rights of Persons with Disabilities. By exploring key concepts underlying mental capacity, the investigation concludes that both primary relationships and capacity assessments themselves must display key competencies to ensure that autonomy skills are promoted and encouraged. This ultimately provides scope for justifiable interventions into disabling relationships and articulates the dialogical practices that help better situate, interpret, and understand the choices and actions of individuals with impairments.
Mental health problems, and the way we understand them, are a perennial source of fascination, but there is a surprising gap in the literature when it comes to mental health service clients' own understandings of mental ill health. At a time when service users' perspectives are increasingly recognised in healthcare, this seminal book highlights the importance of clients' perceptions of all aspects of mental illness. It examines the implications of these understandings, especially in relation to clients' relationships with services.
When Mark Meynell spoke in a central London church, more than 1,500 hung on to his every word. What they couldn't have known was that their minister was terrified of being laid bare in public. Fear of shame and exposure is crippling, even if, as in Mark's case, the sufferer is innocent. And it's one of the most devastating elements of depression, although certainly not the only one. Mark invites us into the darkness of his cave. We relive significant moments from boarding school, Uganda, Berlin and London. We visit the Psalms, Job and The Pilgrim's Progress. If you're after neat conclusions and a fair-weather faith, this is not for you. This book serves up gritty reality and raw honesty, but also the heartfelt hope that the author's brokenness 'can somehow contribute to another person's integration' and 'inspire their clinging while beset by darkness or fog or blizzards'.
People with personality disorder who offend tend to be neglected by health services in most countries. In the UK, there has been renewed interest in the field since government initiatives in the end of the 1990s. Government proposals themselves are controversial, but there is growing recognition that it is unsafe, both for the general public and for the primary sufferer alike, if the neglect continues. Years of experience have combined to provide a highly practical reference work covering: A*Models of understanding of personality development and disorder A*Methods of assessment and treatment and how they can be applied and modified A*Special issues - drug misuse, long-stay induced secondary disorders, issues pertinent to women only, 'intractable' patients A*A path for care - from initial assessment to the logistics of discharge A*Management issues - choosing staff, supervision and support of staff Evidence-based and entirely comprehensive in its approach, practitioners will find Personality Disorder and Serious Offending both a practical and insightful adjunct that will assist them in their work.
The psychological aftereffects of war are not just a modern-day plight. Following the Civil War, numerous soldiers returned with damaged bodies or damaged minds. Drawing on archival materials including digitized records for more than 70,000 white and African-American Union army recruits, newspaper reports, and census returns, Larry M. Logue and Peter Blanck uncover the diversity and severity of Civil War veterans' psychological distress. Their findings concerning the recognition of veterans' post-traumatic stress disorders, treatment programs, and suicide rates will inform current studies on how to effectively cope with this enduring disability in former soldiers. This compelling book brings to light the continued sacrifices of men who went to war.
Social workers and other professionals working in the area of mental health often face complex and difficult practice dilemmas shaped by increasingly demanding policy and legal contexts across the UK. Jim Campbell and Gavin Davidson focus on the post-qualifying role played by mental health social workers in this book. The authors draw on theoretical and research perspectives on the subject, before outlining how professionals can achieve best practice. Topics covered include: " Models of mental health and illness " Discrimination and social exclusion " Addressing service user needs " Carer perspectives " Working with individuals, families and communities The chapters are accompanied by exercises, which encourage readers to critically reflect on their own professional and personal experiences. Case studies are also included, so that students can reappraise the knowledge they have learned in the text. The book will be essential reading for social work practitioners taking postgraduate courses in mental health and for those training to become Approved Mental Health Professionals.
This book makes a highly innovative contribution to overcoming the stigma and discrimination associated with mental illness - still the heaviest burden both for those afflicted and those caring for them. The scene is set by the presentation of different fundamental perspectives on the problem of stigma and discrimination by researchers, consumers, families, and human rights experts. Current knowledge and practice used in reducing stigma are then described, with information on the programmes adopted across the world and their utility, feasibility, and effectiveness. The core of the volume comprises descriptions of new approaches and innovative programmes specifically designed to overcome stigma and discrimination. In the closing part of the book, the editors - all respected experts in the field - summarize some of the most important evidence- and experience-based recommendations for future action to successfully rewrite the long and burdensome `story' of mental illness stigma and discrimination.
New edition of an acclaimed manual which uses the solution focused approach to take an empathetic and validating approach to working with individuals considering suicide. * Offers invaluable guidance for suicide prevention by showing what works in treating those struggling with suicidal thoughts * Provides straightforward ways to deal frankly with the subject of suicide, along with a range of tools and techniques that are helpful to clients * Includes actual dialogue between practitioners and clients to allow readers to gain a better understanding of how to work with suicidal clients * Compares and contrasts a ground-breaking approach to suicide prevention with more traditional approaches to risk assessment and management * Features numerous updates and revisions along with brand new sections dealing with the international landscape, blaming the suicided person, Dr Alys Cole-King s Connecting with People , and telephone work with the suicidal, Human Givens Therapy, and zero suicide
A complete guide to evidence based interventions for children and adolescents The past decade has witnessed the development of numerous interventions proved to be highly effective; several treatments are now considered to be "well established" or "probably efficacious" interventions for children. Given the range of providers working with children clinical psychologists, child psychiatrists, clinical social workers, school psychologists, and marriage and family therapists this book is designed to provide all professionals the information they now need about the use of these evidence-based interventions (EBIs), as well as the evaluation criteria used to determine their efficacy in in meeting the mental health needs of children. Alfano and Beidel have assembled a team of experts to write the disorder chapters. Each chapter begins with an overview of the disorder then delves into evidence-based approaches to treatment, the impact of parental involvement, case-by-case modifications, progress measurement, and clinical examples. In overview chapters the editors cover: * The role of development in treatment planning and implementation * Dissemination of EBIs into school and community settings * The use of controversial therapies with children * Emerging methods of service delivery and access improvement Comprehensive Evidence Based Interventions for Children and Adolescents provides clinicians, researchers, and students alike with the theoretical, conceptual, and practical skills to provide children and adolescents with the best care possible.
This reflective and evidence-based book will equip students as well as professionals who work with people with learning disabilities in primary, secondary and specialist healthcare settings, with the knowledge and skills they need to work effectively with people with learning disabilities. Chapters - written by leading academics and practitioners in the learning disabilities field - examine and discuss core issues, while a case-study approach ensures a solid grounding in practical skills. This practical element is further reinforced by the inclusion of service-user and practitioner 'voices', whose lived experiences make the book even more engaging, as well as a range of reflective exercises and regular opportunities for readers to self-audit their learning. Reflecting the multi-professional nature of services for people with learning disabilities, this book will help practitioners and students make a real difference to the lives of people with learning disabilities who access health and social care environments.
The definitive guide to identify, assess, and create individualized treatment plans for high-risk clients who suffer from challenging co-occurring disorders
"Treat the person and not the diagnosis. Respect that all behaviors are purposeful. Remain mindful that nobody changes behaviors without motivation. These essential guiding principles are the framework of this book. They will be repeated quite often as we examine the challenging population of men and women with co-occurring disorders."
--From "Integrated Treatment for Co-Occurring Disorders"
Annual studies reveal that 70 percent of men and women who died by suicide were diagnosed with a mental illness or personality disorder and used drugs to gain temporary relief from the symptoms. Until now, very little has been written about how to identify, assess, and treat this population. "Integrated Treatment for Co-Occurring Disorders: Treating People, Not Behaviors" addresses that need.
Respectful of the client and filled with practical advice, this book: Examines the guiding principles for treating clients with co-occurring disordersDetails the methods of formulating an evidence-based individualized treatment plan for the self-medicating mentally illExplores how to assess this population for suicide risk and vulnerabilityFocuses on the person and not a behaviorally defined diagnostic categoryReflects state-of-the-art knowledge for the treatment of co-occurring disordersIllustrates how Motivational Enhancement Therapy can be an effective treatment strategy
With numerous clinical case studies to illustrate key points and reinforce learning, "Integrated Treatment for Co-Occurring Disorders" encourages a flexible, person-centered treatment approach that focuses on the individual rather than the diagnosis.
Combatting mental health stigma and discrimination has moved from a radical idea in the 1990s to mainstream policy today. However, there are huge questions about how to do it effectively, and the journey to get equal life chances is still a long one. As part of the Foundations of Mental Health Practice series, this book explores these important questions and considers the solutions. It pulls together ground-breaking examples and the latest research evidence to argue for a compelling new theory and agenda for social change to promote equality and citizenship. Accessibly written, it demonstrates how mental health practitioners of all disciplines can stand alongside individuals with lived experience and their organisations to challenge discrimination and participate in all aspects of the community. It also addresses the role of families, friends and those with a policy, campaigning or legal interest. Completely up to date, it draws on new research and interviews, as well as the author's 30 years of experience working in the field. With chapter summaries, further reading and reflective exercises, this book offers support for research and practice, making it an essential and important read for any student or practitioner in the field who advocates equality, and for people with lived experience, families, friends and campaigners.
In the 1960s and 1970s, a popular diagnosis for America's problems was that society was becoming a madhouse. In this intellectual and cultural history, Michael E. Staub examines a time when many believed insanity was a sane reaction to obscene social conditions, psychiatrists were agents of repression, asylums were gulags for society's undesirables, and mental illness was a concept with no medical basis."Madness Is Civilization" explores the general consensus that societal ills--from dysfunctional marriage and family dynamics to the Vietnam War, racism, and sexism--were at the root of mental illness. Staub chronicles the surge in influence of socially attuned psychodynamic theories along with the rise of radical therapy and psychiatric survivors' movements. He shows how the theories of antipsychiatry held unprecedented sway over an enormous range of medical, social, and political debates until a bruising backlash against these theories--part of the reaction to the perceived excesses and self-absorptions of the 1960s--effectively distorted them into caricatures. Throughout, Staub reveals that at stake in these debates of psychiatry and politics was nothing less than how to think about the institution of the family, the nature of the self, and the prospects for, and limits of, social change.
The first study to describe how social diagnostic thinking emerged, "Madness Is Civilization "casts new light on the politics of the postwar era.
This book is part of the highly successful Transforming Social Work Practice series and is written specifically to support students on the social work degree. Full of practical activities, case studies and opportunities for students to critically reflect and explore theory and practice.
Current practice in the field was driven by the government White Paper 'Valuing People' (2001) which declared some radical aims for services with people with learning difficulties. Now somewhat compromised by the local authority austerity measures, the goals set by 'Valuing People' are nevertheless still important. This third edition seeks to confirm and strenghten social work values and priciples so that the progress and successes achieved by 'Valuing People' can continue. Case studies and activities draw out the key points and reinforce learning. Summaries of contemporary research are included, as are suggestions for further reading and coverage of current government guidance and policy documents.
By examining the varied roles that a social worker might undertake in this field, the authors portray a positive picture of working with people with learning difficulties: the achievements and satisfaction, and the learning and understanding that can be gained. They also highlight the need for recognition of vulnerability, the risk of isolation, oppression and abuse, and the continuing political struggle to establish and protect the rights of the individual.
Paul Williams has over 40 years' experience of working with people with learning difficulties. He was a founder member of the organisation 'Values into Action' which campaigned for rights, inclusion and community-based services for people with learning difficulties. He is co-author of books on self-advocacy and anti-oppressive practice. A former lecturer in social work at the University of Reading, he is now retired.
Michelle Evans has 14 years of practice in all areas of sensory need, including Deaf/deafness, visual impairment and Deafblindness. She has a first class honours degree in social work and has worked as a care manager in adult services and a social worker in children's services. She has a particular interest in methods of social research which contribute to raising sensory awareness in social work/ care management. She lectures social work students at London South Bank University and develops and delivers sensory awareness training to practitioners and managers.
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