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This book is a challenge to the enduring status and domination of bio-medical approaches in mental health services. Contributors from four continents argue that this domination, along with modernization and multidisciplinary work, will not improve people's lives unless social and psychological perspectives are appreciated and integrated. This implies new forms of relationships and social arrangements. AAMental Health at the Crossroads: the Promise of the Psychosocial Approach AA is a timely analysis of the psychosocial approach as it resonates across the discipline divide, considering the past and future development. It is written from the perspectives of service users and careers, managers, practitioners, educators, researchers and policy makers, illustrated with case studies from Australia, Brazil, Italy, UK and the USA. This book presents an alternative approach to conventional thinking in mental health, providing a fascinating and valuable resource for those seeking new perspectives, grounded in theory with practice examples, in order to influence the current agenda and change practice.
This book presents cutting edge developments in Adult Mental Health through the presentation of creative and innovative applications of systemic theory to practice. The first section deconstructs the medical model with some of the current beliefs and practices shaping services whilst placing adult mental health in a wider social and political context. The second half of the book showcases good practice from the field. At either end of the volume "bookends" invite current clients and staff to write about their experiences with the aim of bringing a powerful personal context into the work. We intend to create a shift from third person objectivity to a first person experience as a political act which flows through the book.
NOTE: Used books, rentals, and purchases made outside of Pearson If purchasing or renting from companies other than Pearson, the access codes for the Enhanced Pearson eText may not be included, may be incorrect, or may be previously redeemed. Check with the seller before completing your purchase. This access code card provides access to the Enhanced Pearson eText Provides a biopsychosocial treatment guide to those suffering from mental illness. Interventions for Severe Mental Disorders: Working with Individuals and their Families prepares the beginning social work practitioner to work with some of the most challenging clients seen at public community mental/behavioral health care services. This title includes how to develop and maintain a therapeutic alliance with individuals with serious mental illness; how to manage and overcome the impact of stigma; how to manage a client's lack of insight and facilitate illness awareness; and how to work with and engage involuntary and resistant clients. Readers will learn how to overcome potential barriers to effective treatment engagement with individuals suffering from severe mental illness (SMI). Mental illnesses addressed include schizophrenia, bipolar disorder, paranoid disorder, severe personality disorders and substance abuse problems. Advancing Core Competencies Series - As part of the Advancing Core Competencies Series, this title is designed to help students apply CSWE's competencies and practice behaviors examples to specialized fields of practice. Readers will gain experience answering licensing-type higher-level thinking questions tied to the competencies. Improve mastery and retention with the Enhanced Pearson eText This access code card provides access to the new Enhanced Pearson eText, a rich, interactive learning environment designed to improve student mastery of content. The Enhanced Pearson eText is: Engaging. The new interactive, multimedia learning features were developed by the authors and other subject-matter experts to deepen and enrich the learning experience. Convenient. Enjoy instant online access from your computer or download the Pearson eText App to read on or offline on your iPad (R) and Android (R) tablet.* Affordable. Experience the advantages of the Enhanced Pearson eText for 40-65% less than a print bound book. *The Pearson eText App is available on Google Play and in the App Store. It requires Android OS 3.1-4, a 7" or 10" tablet, or iPad iOS 5.0 or later.
This book explores an ethical value central to all mental health professions. Although "dignity" appears near the beginning of many codes of ethics, it has been largely unexamined in the professional literature. Potter Stewart famously declared about pornography that we can't define it but we know it when we see it. Likewise with dignity. This book addresses that gap. The book considers the role of dignity as an ethical dimension of practice: in individual psychotherapeutic and psychoanalytic work; in the therapeutic community; and in groups, organizations and nations. It outlines dignity in individual development and families, the role of dignity violations in the understanding and treatment of trauma, and how dignity and its violations can be a powerful force in conflict resolution. The book will also address dignity in relations to specific populations, with chapters on the African-American and the LGBT experiences. Listening, with the question of dignity in mind, offers a fresh non-pathologizing framework for the practitioner.
Use a strengths perspective for working with your younger clients! Mental Health Practice with Children and Youth: A Strengths and Well-Being Model presents new insights into successfully working with children by concentrating on their capabilities and resilience. This book explores the continuum of children's needs and challenges from early childhood through adolescence. This text also supports child-centered and strengths-oriented approaches to intervention with children and introduces specific strategies for maximizing pro-social behaviors, self-concept, learning, and positive peer relationships in children at home, at school, and in the community. Mental Health Practice with Children and Youth shows how children's rights have slowly evolved over many years, from children's status as property in the 1600s to the twentieth-century innovations that give a child a specific legal status with a certain amount of freedom and self-determination. By emphasizing the self-concept and self-esteem guidelines outlined by this book, social workers, mental health specialists, and childcare professionals can help children transition into healthy adults, despite hardships, disabilities, or parent negligence. Chapters highlighting interview and assessment techniques as well as media-directed, creative child therapies will enhance your counseling and intervention practices. Mental Health Practice with Children and Youth provides you with insight on: the relationships between children and family environment from two-parent families to foster families child socialization and peer relationships in school and around the community adolescence gender roles, ethnic and racial diversity, sexual orientation, and adult transitioning educational needs teacher expectations, special education, diversity, home schooling and more! The strengths perspective is not always included in traditional child welfare and children's practice texts, and this textbook fills that gap for working with younger clients. Children in child welfare, educational, mental health, family service, and recreational settings will all benefit from the inclusion of Mental Health Practice with Children and Youth: A Strengths and Well-Being Model in your work. Augmented with case scenarios and studies, empirical findings, and questions for discussion in every chapter, this book will help child service professionals as well as university faculty and students.
Working with people with Learning Disabilities? Training in Learning Disabilities care? You don't have to go it alone! Caring for people with Learning Disabilities is one of the most challenging and rewarding roles in Health and Social Care. But with a range of awards, certificates and pathways available to work-based learners it can be a confusing area. That's why we've put together a one-stop handbook to support your training and continuing professional development in caring for people with learning disabilities. Here in one place is all the topic knowledge, assessment support and practical advice you will need for a range of learning disabilities qualifications. Core topics are linked to the specific learning and assessment objectives you need to cover for up to 22 QCF units. Case studies tie learning into the many different situations and roles across Home Care, Residential Care, NHS and Private Settings. This book is especially useful for candidates taking the: - Level 2 Award in Learning Disabilities - Level 2 Certificate in Learning Disabilities - Level 3 Award in Learning Disabilities - Level 3 Certificate in Learning Disabilities It's also a must have reference for those who want to brush up skills and knowledge from previous qualifications. So whatever your level of specialism, give yourself the tools you need to survive and support your clients with learning disabilities.
For effective assessment and intervention with infants and young children, professionals need to incorporate psychological, medical, and family factors - but too often, infant mental health and early intervention are dealt with separately rather than together. Integration of these two fields is the goal of this urgently needed text, ideal for introducing mental health concepts to supervisors and students in early intervention and teaching mental health professionals more about early intervention. Readers will understand why mental health should be an integral part of early intervention identify specific mental health principles and practices that can be applied to early intervention work, improve relationships with families by dealing sensitively with issues related to loss, grief, culture, class, and diversity, get an integrated model of infant mental health and early intervention practice, and examine implications of the model for policy and program organization, explore professional development options discover, through enlightening interviews, how both mental health and early intervention specialists define their roles and practice, take a candid look at the difficulties professionals have had in the past with integrating the two fields. An ideal textbook and professional development resource for early intervention practitioners - and a useful source of insight for mental health professionals - this comprehensive book fully prepares readers to integrate two interdependent fields and improve practices in both.
Originally published in 1997, this title describes therapeutic applications of simple to complex combinations of medications to treat common psychiatric disorders among adults. Dr Joseph discusses practical, clinical guidelines that both the beginner and experienced practitioner will find useful. The 100 psychopharmacological cases presented in Part 2 illustrate the application of the diagnostic and treatment concepts described in Part 1. The cases are grouped into simple, moderately complex, and complex cases. The clinical cases, besides evoking a "hands-on" feeling which facilitates learning, can be used to compare your current treatment approach to that of an experienced and highly successful practicing psychiatrist. A vital addition to every psychiatrist's library, this guidebook is indispensable to those seeking a better understanding of patients' problems from a psychopharmacological perspective that is both practical and effective. Numerous and varied clinical presentations are reduced to treatable symptoms so that even physicians who lack experience with a specific medication or combination of medications will be able to use these interventions successfully. For each of the 100 clinical cases presented in the book, the clinical history, treatment course, medication doses, and treatment outcome are carefully detailed in a step-by-step analysis. Unique features of this book that will be useful to psychiatrists, primary care physicians, and all mental health clinicians include: its symptom-focused approach; its discussion of modern rational polypharmacy; specific dosing guidelines; office management of severe disorders; treatment of special patients, such as celebrities and other doctors; clinical cases; and sample answers to common questions asked by patients. Psychiatrists, psychiatric residents, psychotherapists, psychiatric nurses, and other physicians will find thorough and clear explanations of treatment strategies and their nuances in this volume. Physicians interested in learning balanced and rational use of various psychotropic medication combinations will find themselves turning to this book again and again as they strive to alleviate psychiatric symptoms in patients and exercise techniques that minimize or avoid inpatient psychiatric hospitalization.
This handbook presents a diverse range of effective treatment approaches for individuals with intellectual and developmental disabilities (IDD). Its triple focus on key concepts, treatment and training modalities, and evidence-based interventions for challenging behaviors of individuals with IDD provides a solid foundation for effective treatment strategies, theory-to-implementation issues, and the philosophical and moral aspects of care. Expert contributions advocate for changes in treating individuals with intellectual and developmental disabilities by emphasizing caregiver support as well as respecting and encouraging client autonomy, self-determination, and choice. With its quality-of-life approach, the handbook details practices that are person-centered and supportive as well as therapeutically sound. Topics featured in the handbook include: Functional and preference assessments for clinical decision making. Treatment modalities from cognitive behavioral therapy and pharmacotherapy to mindfulness, telehealth, and assistive technologies. Self-determination and choice as well as community living skills. Quality-of-life issues for individuals with IDD. Early intensive behavior interventions for autism spectrum disorder. Skills training for parents of children with IDD as well as staff training in positive behavior support. Evidence-based interventions for a wide range of challenging behaviors and issues. The Handbook of Evidence-Based Practices in Intellectual and Developmental Disabilities is a must-have resource for researchers, clinicians, scientist-practitioners, and graduate students in clinical psychology, social work, behavior therapy, and rehabilitation.
During much of the twentieth century, people labelled "feeble-minded," "mentally deficient," and "mentally retarded" were often confined in large, publicly funded, residential institutions located on the edges of small towns and villages some distance from major population centres. At the peak of their development in the late 1960s, these institutions-frequently called "schools" or "homes"-housed 190,000 men, women, and children in the United States. The Girls and Boys of Belchertown offers the first detailed history of an American public institution for intellectually disabled persons. Robert Hornick recounts the story of the Belchertown State School in Belchertown, Massachusetts, from its beginnings in the 1920s to its closure in the 1990s following a scandalous expose and unprecedented court case that put the institution under direct supervision of a federal judge. He draws on personal interviews, private letters, and other unpublished sources as well as local newspapers, long out-of-print materials, and government reports to re-create what it was like to live and work at the school. More broadly, he gauges the impact of changing social attitudes toward intellectual disability and examines the relationship that developed over time between the school and the town where it was located. What emerges is a candid and complex portrait of the Belchertown State School that neither vilifies those in charge nor excuses the injustices perpetrated on its residents, but makes clear that despite the court-ordered reforms of its final decades, the institution needed to be closed.
Research has established the potential direct and indirect impacts of mental illness on parenting, the parent-child relationship, and the child, and the extent to which this poses a public health challenge. Problems with how adult and children's services understand and deliver support to parents with mental health problems and their children have also been identified. In contrast, far less is known about how parents with mental health difficulties and their children can be supported successfully. The primary aim of Parental Mental Health and Child Welfare Work Volume 1: A Pavilion Annual 2016 is to begin to address this gap in research by capturing different perspectives (policy, research, professional and family) about what constitutes success and the contributions that lead to success. The annual will, share this information, tools and resources, in ways that are accessible, useful, and usable by, the broad range of professional groups involved in this complex area of practice. Parental Mental Health and Child Welfare Work Volume 1: A Pavilion Annual 2016 forms the first volume of Pavilion's new Annual series, which act as a yearly update on key research, policy developments and practice innovations, in the UK and elsewhere.
Despite the frequent characterization of Alzheimer's disease as a ""loss of self,"" this enlightening book demonstrates unequivocally that a person's unique self persists throughout the course of the disease. The important message in ""The Enduring Self"" is how much can be done in care settings to support a person's sense of identity, and thereby enrich the lives of people experiencing the many losses associated with dementia.Drawing from a diverse body of research, this book brings together the recommendations of the best thinkers and practitioners in multiple disciplines to illustrate the meaning of self and the importance of providing dementia care that recognizes and supports personhood. The author provides strategies for restructuring the physical and social environment to facilitate person-centered care.""The Enduring Self"" provides a foundation for culture change efforts in community-based and residential care settings, showing administrators and care staff how to reframe communication and interactions to build more meaningful relationships with people with Alzheimer's. To facilitate staff training, a detailed case study is provided, and each chapter includes discussion topics.It is suitable for administrators and care staff in community-based and residential care settings.
Using research funded by the National Institute of Mental Health,
the National Institute on Alcohol Abuse and Alcoholism, and the
Department of Veterans Affairs, Tracy Stecker, Ph.D., applies
cognitive-behavioral therapy to a sixty-minute brief intervention
that has widespread applications in a variety of settings---from
primary care facilities to intake call centers and military outlets
to school counseling departments and parole offices.
The core treatment and continuing care component of the severe mental illness (SMI) line, this comprehensive curriculum is designed to help those with SMI identify personal recovery goals and develop self-management skills through education and training. Illness Management and Recovery helps people with SMI identify personally meaningful goals and work to achieve these goals by addressing smaller, more manageable segments of those goals. Each user-friendly module is centered on a skill or area of information related to illness management. Includes practitioner's manual, session guidelines, CD-ROM with reproducible handouts, and a bonus DVD produced by SAMHSA (Substance Abuse and Mental Health Services Administration).
Psychologists and other mental health professionals rightfully experience significant anxiety regarding their duty to protect when working with potentially dangerous individuals who are at risk of harming others or themselves. In fact, a recent study suggests that 75 per cent are misinformed about their legal duties to such clients. ""The Duty to Protect"" dispels myths and provides clinicians, supervisors, and trainers with a comprehensive resource addressing the situations where a duty to protect may apply. The duty itself is defined and described, as are risk assessment steps and interventions to reduce risk.The chapters are written by leading scientist - practitioners to promote best practices in some of the most ethically and legally challenging areas encountered by practitioners. They discuss the legal and ethical foundations of the duty to protect and the duty to warn; professional ethics codes in the U.S. and internationally; and, risk assessment to others in cases involving threats of homicide, intimate partner violence, stalking, the transfer of communicable diseases, and impairment while operating heavy machinery or motor vehicles. Threats of harm to the self are also discussed in chapters that address suicide, self-injury, and end-of-life issues.This book is a comprehensive resource that will assist readers in understanding their options and obligations and therefore improve the care they provide in some of the most stressful and potentially dangerous situations faced by mental health providers.
This is the first book to present the leading contemporary theories and research regarding the behavioral processes that underlie major mental illnesses, including schizophrenia, bipolar disorder, anxiety disorders, eating disorders, and alcohol/drug disorders. It provides a survey of the most important and current behavioral research. It offers a counterpoint to theories which are not based on studies of behavior. It leads readers to consider treatment strategies based on research findings.
The national public asylum system in Ireland was established during the early nineteenth century and continued to operate up to the close of the twentieth century. These asylums / mental hospitals were a significant physical and social feature of Irish communities. They were used intensively and provided a convenient form of institutional intervention to manage a host of social problems. Irish Insanity identifies the long-term trends in institutional residency through the development of a detailed empirical data set, based on an analysis of original copies of the reports of Inspector of Asylums/Mental Hospitals in Ireland. Damien Brennan explores core social and historical features linked to this data including: the political context governance and social policy the relationship between church and state changing economic structures and social deprivation professionalization legislation and systems of admission and discharge categorisation and diagnostic criteria international developments family dynamics This book demonstrates that the actual rate of asylum utilisation in Ireland was the highest by international standards, but challenges the idea that an "epidemic of Irish insanity" actually existed. Offering a historical and sociological insight into an institutional legacy that is unusual within the international context, this book will be of particular relevance and interest to scholars within the fields of sociology, criminology, law, history, Irish studies, social policy, anthropology, nursing and medicine.
Discusses the relationship between depression and medical illness and the diagnosis and management of depression in the medically ill. Covers methodological issues related to assessment and diagnosis of depression and analyzes psychological, social and biological factors associated with depression.
Most people fear the idea of living in a long-term care facility. Yet, there is potential for joy and meaning in these settings.This book highlights expanded roles and services that mental health professionals can provide in long-term care for older adults, offering the potential to improve the quality of care for residents.Beyond assessments and individual therapy, the authors make a case for mental health providers to help improve the long-term care environment for both residents and staff, thus having a greater impact on systems, culture, and ultimately, patient well-being.Readers who wish to add or expand their services for older adults will find helpful guidance, including detailed instruction on Medicare policies and reimbursement practices.The authors also present an innovative model of wrap-around care that involves the array of staff and family members who are present to the individual all day, every day. This comprehensive approach, called the Eldercare Method, positions the mental health professional to serve in the roles of teacher, consultant, role model, advocate, and clinician.With numerous case examples to illustrate common scenarios and ethical dilemmas, this practical resource will help readers envision new ways to apply their skills in the rapidly growing field of long-term care for older adults.
Ronald T. Potter-Efron consciously connects anger management and domestic violence, two long separated fields, and addresses treatment options and intervention methods that meet the needs of individual clients, couples, families, and groups. Therapists, counselors, social workers, and other treatment specialists will find this book a useful overview and reference for anger and anger management techniques as well as domestic violence approaches. This new edition is split into four distinct sections: * A description of anger and domestic violence focused upon helping clients use the principles of neuroplasticity to dramatically alter their behavior * Assessment for anger problems and/or domestic violence * Group treatment for individuals with anger problems and/or domestic violence * Individual, couples, and family treatment of these concerns. Woven through this book is a fair and balanced treatment of gender issues, reflected in the diversity of case examples that address jealousy, chronic anger, behavioral problems, group and individual counseling, and more. Readers are also shown how anger develops and can lead to verbal and physical outbursts, the five types of rage reactions, and how to treat anger turned inward. Potter-Efron also details four different approaches to treating anger: behavioral, cognitive, affective, and existential/spiritual. Mental health professionals are provided numerous questionnaires and worksheets to utilize with their clients. Handbook of Anger Management and Domestic Violence Offender Treatment is an essential guidebook that illustrates effective theory and practice.
This book focuses on the social and societal context of women's mental health. Drawing from multidisciplinary perspectives and scholarship, it pays particular attention to how women's mental health is experienced at the personal level, yet it is influenced by their relationships and interacts with the larger societal context (such as prevailing gender equality policies, income distribution, role burden, peace and security). Specific attention is given to the positive aspects of women's mental health (such as agency, resilience) and how women's personal relations across diverse domains (such as family, work, neighbourhoods) are constructed and influenced by, and in turn influence, broader societal structures/ policies/ opportunities. A unique feature of this book is that, at the end of each chapter, there is a Response section written by a non-academic such as a community member, practitioner or policy maker in which the invited authors respond to the chapter texts in the form of narrative, poetry, and/or prose, according to their various backgrounds, interests, and experiences.
DIRT is a unique new evidence-based treatment program designed to specifically reduce expectancies of danger or threat in OCD washers. Unlike many traditional OCD treatments, DIRT is based on the rationale that the therapist should provide as much factual information as possible to decrease the expectancy of illness or disease and thus reduce the high dropout rate seen in conventional OCD exposure and response prevention programs. DIRT consists of six discrete treatment components aimed at reducing the number of intrusive thoughts experienced and concurrently allowing the client to successfully change the remaining thoughts and beliefs related to illness and contamination. The treatment includes attentional focussing, cognitive restructuring, corrective information, microbiological experiments, filmed interviews, and a probability of catastrophe task. The book includes a resource CD with patient handouts and a DVD of interviews.DIRT has been shown to be a highly successful treatment package for OCD, able to shift even the most intractable of cases. Randomised control studies have established that DIRT represents a viable alternative to the standard behavioural approach. In addition, DIRT appears to have several potential advantages over behavioural and pharmacological treatments:- Unlike in an Exposure and Response Prevention (ERP) program, clients who undergo the DIRT regime are not asked to confront anxiety-provoking (feared) stimuli. This is particularly important since many sufferers either refuse exposure treatment or drop out before completion because of its anxiety-provoking effects.- Unlike medication used in the treatment of OCD, DIRT achieves its success without the complication of physical side effects.- DIRT is a highly structured treatment package involving films, information sheets and worksheets which are relatively inexpensive to package and administer.- DIRT appears to require relatively few sessions for its therapeutic effect. Substantial reductions in OCD symptomatology have been achieved in as few as six clinical hours.- DIRT may prove beneficial for intractable patients who have failed with standard treatments, and for those who exhibit poor insight.
During the past several decades, interest in children's psychological disorders has grown steadily within the research community, resulting in a burgeoning knowledge base. The majority of the attention and funding, not surprisingly, has focused on the more prevalent and well-known conditions. Although this raises the odds that young people with more well-known disorders such as ADHD, autism, and learning disorders will receive much-needed professional assessment and intervention, children with less frequently encountered disorders may experience a higher risk of misdiagnosis and inappropriate treatment.
Useful data has been scattered throughout the literature for severe-but-less-frequent childhood psychological disorders, including: fire setting; gender identity disorder; impulse control disorders (i.e., kleptomania, trichotillomania, intermittent explosive disorder); selective mutism; Munchausen by proxy; childhood schizophrenia; gang involvement; sexual offending; self-injurious behavior; and feral children. This concise volume offers up-to-date information on these conditions, which, though relatively rare, may have profound effect not only on the children themselves but also their families, friends, and the community at large. Coverage of each disorder is presented in an accessible format covering:
Overview and history.Description and diagnostic classification, with proposed changes to the DSM-V.Etiology and theory.Assessment tools and interview protocols.Commonly used psychological and pharmacological treatment options.Current research issues and directions for future investigation.
"Assessing and Treating Low Incidence/High Severity Psychological Disorders of Childhood" is a must-have reference for researchers, clinicians, practitioners, and graduate students in clinical child and school psychology, pediatrics, psychiatry, social work, school counseling, education, and public policy.
Psychiatry is increasingly dominated by the reductionist claim that
mental illness is caused by neurobiological abnormalities such as
chemical imbalances in the brain. Critical psychiatry does not
believe that this is the whole story and proposes a more ethical
foundation for practice. This book describes an original framework
for renewing mental health services in alliance with people with
mental health problems. It is an advance over the polarization
created by the "anti-psychiatry" of the past.
RD Laing remains one of the most famous psychiatrists of the last
50 years. In the 1960s he enjoyed enormous popularity and received
much publicity for his controversial views challenging the
psychiatric orthodoxy. He championed the rights of the patient, and
challenged the often inhumane methods of treating the mentally ill.
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