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A theologically and scientifically engaged exploration of modern mental health care The current model of mental health care doesn't see people: it sees sets of symptoms that need fixing. While modern psychiatry has improved many patients'quality of life, it falls short in addressing their relational and spiritual needs. As a theologian and practicing psychiatrist, Warren Kinghorn shares a Christian vision of accompanying those facing mental health challenges. Kinghorn reviews the successes and limitations of modern mental health care before offering an alternative paradigm of healing. Based in the theology of Thomas Aquinas, this model of personhood affirms four truths: We are known and loved by God. We are creatures made of earth who are formed in community. We are wayfarers on a journey. We are called not to control, but to wonder, love, praise, and rest. Drawing on theological wisdom and scientific evidence, Kinghorn reframes our understanding of mental health care from fixing machines to attending fellow wayfarers on the way to the Lord's feast. With gentle guidance and practical suggestions, Wayfaring is an essential resource for pastors and practitioners as well as for Christians who seek mental health care.

The leading text and go-to practitioner resource on psychiatric rehabilitation is now in a thoroughly revised third edition, bringing readers up to date on current ideas, findings, and evidence-based best practices. The expert authors present the knowledge needed to help adults with psychiatric disabilities develop their strengths and achieve their life goals. The book describes effective ways to assess personal needs and aspirations; integrate medical and psychosocial interventions; implement supportive services in such areas as housing, employment, education, substance use, and physical health; and combat stigma and discrimination.'Personal Examples'throughout the text share the experiences of diverse individuals recovering from serious mental illness. New to This Edition •Increased attention to social determinants of health--for example, the impact of race, ethnicity, gender identity, sexual orientation, poverty, and criminal justice involvement. •Chapter on developing more equitable, culturally competent services. •Expanded coverage of physical health and wellness. •New and expanded discussions of community-based participatory research, peer recovery support providers, and other timely topics.

This book offers fundamental insights into three main fields of education and expertise: phenomenology, neuroscience, and clinical practice. The richness and pluralism of the contributions aim to overcome the reductionist and dualistic approach to mental health and shed new light on clinical practice. Designed as both an education tool for mental health professionals, and a theoretical investigation for philosophers on the use of phenomenology in clinical practice, this book highlights the need for a new direction on mental health, and more general, on human wellbeing. This volume aims to fill the gap between philosophers and mental health professionals on an educational level, in a space unique in its open and transdisciplinary approach. It appeals to students and researchers but also very much to professionals and clinicians in the field.

Integrating cutting-edge neuroscience, clinical research, best practices, mental health systems design, and mental health policy, Gender-Affirming Psychiatric Care is the first textbook in the field to provide an affirming, intersectional, and evidence-informed approach to caring for transgender, non-binary, and/or gender-expansive (TNG) people.Contributors offer an expert view from fields that include psychiatry, psychology, social work, nursing, pharmacy, public health, law, business, community activism, and more. And because each of the 26 chapters features at least one TNG author, wisdom gleaned from lived experience bolsters the professional perspective provided throughout the book.After an introductory discussion of epidemiology, the neuroscience of gender, and psychopharmacological considerations for prescribing with TNG people, the book engages in an in-depth examination of • Intersectional, gender-affirming care for marginalized communities such as Two-Spirit and Indigenous, Black, Asian American, Pacific Islander, disabled, migrant, refugee, and unhoused people• Developmentally appropriate care for TNG people, from childhood and adolescence to older age• Gender identity affirmation in the context of eating disorders, substance use disorders, pregnancy, and serious mental illness• The specific care needs of populations who have experienced the traumas of incarceration and gender identity conversion efforts• The necessity of systems-level change, including collecting gender identity information in electronic health records, building gender-affirming clinical environments, and mental health law and policy considerations Gender Affirming Psychiatric Care is a rigorous—and timely—resource. It is indispensable for mental health and primary care clinicians looking to deliver evidence-informed and affirming care for TNG patients, and it is informative for neuroscientists and clinical researchers seeking to better understand translational frameworks linking scientific research, gender-affirming clinical practice, and mental health policy.

This book addresses mental health treatment for veterans and active military personnel. In addition to examining foundational practices in the sub-field, it contains specifically tailored content concerning the recent collapse of the United States (US) installed Afghanistan government. The book is conscious of the myriad of complex emotions that veterans who fought for the past twenty years may be experiencing. Organized into four parts, the book begins with the foundations of veteran and military mental health culture as patients transition from active duty to veteran status, understand the present stigma and barriers to care and reflect on their deployment experience. Part two delves into the specifics of the healthcare system in which military personnel find themselves at various points in their career, including deployment and returning home. Following this, chapters examine the critically unique conditions found in patients, such as sleep disorders, traumatic brain injury,homelessness, substance abuse, and sexual trauma. The book closes with discussions on veterans and their families that focus on the effects of deployment on a military person's loved ones and their mental state upon returning home. Timely, socially conscious, and comprehensive, the Clinical Manual on Veteran and Military Mental Health is an invaluable resource for mental health professionals receiving new military personnel patients and who have seen a significant shift in their patients due to recent events.

Stepped Care 2.0: A Paradigm Shift in Mental Health, by Dr Peter Cornish, made a compelling argument for why the existing mental health care system has consistently struggled to meet the needs of clients from all walks of life, and laid out key principles and guidelines for how the system could be changed. But what challenges are involved in putting these ideas into practice? Stepped Care 2.0: The Power of Conundrums features essays, interviews, and arguments from a wide range of contributors who have tried to do just that. The Power of Conundrums dives deep into the practical application of the Stepped Care 2.0 model (SC2.0), looking at the ways SC2.0 has succeeded, the difficulties administrators face when implementing it, and how it could be improved. Chapters touch on topics including: the evidence for stepped care, the way SC2.0 can be stymied by the Western cultural values that dominate mental healthcare, implementation science and SC2.0, the riskparadigm and SC2.0, the model's one-at-a-time approach to therapy, what co-design means in an SC2.0 context, a case study on how implementing SC2.0 can go wrong, the understanding of recovery put forward by the model, and how SC2.0 can work for clients experiencing complex, persistent, or chronic mental health issues. Each chapter is followed by a reflection from Cornish, and the book concludes with a roundtable discussion about how SC2.0 can evolve to meet the challenges it faces. This text brings theory and practice together by including an updated version of Stepped Care 2.0: A Paradigm Shift in Mental Health, as well as the full text of Stepped Care 2.0: The Power of Conundrums.

The third edition of this incisive practitioner resource and course text--updated for the DSM-5 Text Revision (DSM-5-TR)--takes the reader step by step through diagnostic decision making in mental health. Guidelines are presented for evaluating information from multiple sources, constructing a wide-ranging differential diagnosis, creating a safety hierarchy, and using decision trees to derive a valid working diagnosis. The book addresses specific issues in diagnosing the conditions most often seen in mental health practice, with an emphasis on how diagnosis informs effective treatment. More than 100 vivid vignettes illustrate the diagnostic process and allow readers to practice their skills. New to This Edition •Revised throughout for DSM-5-TR, including the new diagnosis of prolonged grief disorder. •Chapter on eating and sleeping disorders, including new decision trees. •New and updated vignettes and suggested readings. See also Morrison's DSM-5-TR® Made Easy, which explains DSM diagnoses in clear language, illustrated with vivid case vignettes.

This new volume presents a holistic scenario of the challenges of providing mental health and psychosocial support to areas around the world with the most vulnerable populations during the tragic COVID-19 pandemic. The book synthesizes over 350 interviews with mental health and psychosocial support (MHPSS) professionals on the ground in countries around the world, discussing the lack of services and providing strategies for implementing mental health and psychosocial support in such situations going forward. The book is a first look at MHPSS during the COVID-19 pandemic with the hope that it will inspire and generate action for future worldwide mental health and psychosocial support responses.This essential book is a call to action for cultural, linguistic, and contextual actions that addresses inclusiveness of the most vulnerable and unheard communities and that re-establishes resilience through mental health and psychosocial community-led programs. The volume is an analysis by a seasoned humanitarian worker with over 30 years of direct experience with the most vulnerable communities, with contributions from several colleagues. They help frame COVID-19 as a systemic loss of protective factors, where communities collapsed psychologically, socially, and economically.

Measurement-based care, for many busy clinicians, may sound like just another time-intensive, potentially costly venture. Or worse, they may even see it as an affront to their own clinical judgment.But as this new, supremely practical volume reveals, the systematic collection of data is a critical component for delivering high-quality, high-value care, treatment, and services.Written in a style accessible to professionals across the spectrum of behavioral health care and human services, this guide leverages the authors'advanced training and extensive experience in clinical psychology and program leadership to describe: • The basic definition of measurement-based care• How to choose appropriate measures and design a methodology• How to choose psychometrically sound scales (the volume includes an easily referenced compendium of MBC scales organized by mental health concern)• How to aggregate patient data and analyze the information By breaking measurement-based care down into steps that are easy to both understand and implement, The Clinician's Handbook on Measurement-Based Care underscores not only the benefit to patients—strengthening the therapeutic alliance, reinforcing patient progress, and improving clinical outcomes—but also its potential advantages at the practice level, including improving program fidelity, demonstrating value to third parties, and improving the overall quality and safety of services provided to all individuals serviced by the clinician or the organization.

In this book, the history of the Brazilian Psychiatric Reform is told by one of its main protagonists. In the early 1980s, there were about 80 thousand people admitted to psychiatric hospitals in Brazil, with average lengths of hospital stay of approximately 25 years. The psychiatric reform process that took place in the country was responsible for closing more than 60 thousand beds in mental asylums, most of them characterized by conditions of violence and abandonment.The Brazilian Psychiatric Reform was inspired by the psychosocial care model introduced by psychiatrist Franco Basaglia in Italy and was marked by the broad participation of social movements, such as the anti-asylum movement and other human rights movements. This process gave rise to a model of mental health care based on open-door territorial mental health services, guided by the principle of treatment in liberty, in addition to other strategies of deinstitutionalization. More than a proposal to restructureor modernize the mental health care model, the objective of the Brazilian Psychiatric Reform was the construction of a new social place for the diverse and singular subjective experience of madness. By intending to produce new imaginaries, new social representations and new meanings for these experiences, the Brazilian Psychiatric Reform led to one of the larger experiences of deinstitutionalization in the world and to the large scale implementation of a new model of mental health care in which the old asylum-centric paradigm was replaced by a new democratic psychosocial care model.

The book offers a comprehensive and up-to-date overview of key issues in perinatal mental health. Classic topics such as screening, assessment, pharmacological, psychological and psychosocial interventions of the most common conditions (depression, anxiety disorders, etc.) are combined with lesser known issues, such as mother-infant relationship disorders or thoughts of infant-related harm and aggressive behaviors, sleep disturbances in puerperium, obsessional disorders, fetal death etc., paying particular attention to specific groups of perinatal patients like mothers with cancer, adolescents, fathers, migrants, and preterm babies. The chapters written by health professionals working in hospitals, community services or voluntary agencies alternate with contributions from researchers whose fields of expertise include biology and neuroscience, diagnosis and special needs, treatment and prognosis, etc., striking a balance between scientific investigation and clinical practice.The book offers a valuable tool for a wide range of professionals like psychiatrists, psychologists, gynecologists, midwives, oncologists, pediatricians, and social workers, who want to improve their clinical practice and the effectiveness of their treatment pathways using evidence from perinatal health research.

Telebehavioral Health (TBH), defined as the use of information and telecommunication technologies for remote behavioral health service delivery, has witnessed exponential growth in recent years. The increase in TBH adoption can be attributed to several factors such as: increasing demand for behavioral health services, increasing availability of high-speed internet, decreasing cost of technology, expansion of reimbursement, and growing scientific evidence demonstrating its effectiveness across various patient populations, psychiatric conditions, and clinical settings. The COVID-19 pandemic further catapulted TBH expansion and scaling, as social distancing and lockdown measures left both clinicians and patients with limited alternatives. Essentials of Telebehavioral Health: A Practical Guide comes at a time when TBH's effectiveness is well-established, its position in healthcare systems secure and uncontested, and the conversation around it shifting from “if” to “how” it could be implemented. The success of TBH programs is contingent on the careful planning, meticulous implementation, and continuous monitoring and evaluation of its essential components, with special emphasis on clinical, technical, legal and ethical considerations. While there are existing resources that offer road maps for TBH program implementation, what this book provides is hands-on support and guidance to set up and maintain a TBH practice, focusing on both its programmatic and clinical aspects. Its simple structure, succinctness, and scientific rigor make it suitable for both professional and educational settings. In addition to contributing to the writeup, the editors enlisted several authors with a wealth of practical knowledge and firsthand clinical experience on TBH implementation and delivery. The user experience is enhanced through explanatory figures, synthesis tables, visual aids, end-of-section checklists, and summaries in bullet-point format. Essentials of Telebehavioral Health: A Practical Guide is a concise and evidence-based guide that synthesizes decades'worth of knowledge and experience into key pointers for clinicians, professionals, and interested learners on how to plan, implement, deliver, evaluate, and ensure the sustainability of TBH programs. As the most up-to-date text on TBH, this book serves as a go-to resource for healthcare professionals, clinicians, students and trainees with minimal to no formal education on TBH, to work towards adopting this modality in a synthesised and easy to read format.

The COVID-19 pandemic has had a disproportionate impact on older adults with mental illness, and Geriatric Mental Health Care was conceived in response. This book, with its detailed descriptions of clinical and social innovations to mitigate the impact of the pandemic on a vulnerable population, represents an ongoing effort to address rapidly evolving health care needs. Because the authors worked on this book during the pandemic, the practices they describe have been tested and refined in the real world. Introductory vignettes that serve to illustrate each chapter's salient points, key takeaways that allow for quick reference, and multiple-choice questions that help reinforce learning are the hallmarks of Geriatric Mental Health Care. In addition to offering a historical perspective on the mental health effects of pandemics, the chapter authors delve into modern-day concerns that include inpatient geriatric psychiatry during a pandemic, telehealth models of care, health care staff concerns, and social determinants of health. The authors also explore the pandemic's effects on research and the economy, analyzing the impact of nonclinical factors on the broader clinical care effort.Although important strides have been made in the delivery of mental health care to older adult patients, very real challenges remain more than a year and a half after the pandemic's emergence. Even as the world continues to grapple with the effects of the current pandemic, mental health professionals must prepare themselves to provide care under the trying conditions of what will likely be other pandemics in the future. These considerations make Geriatric Mental Health Care, and its purpose of sharing promising practices that other clinicians and systems can consider emulating, so urgent and necessary.