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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.

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.

This book provides a comprehensive analysis of women's experiences within mental health services, demonstrating the need for a radical paradigm shift in how women's distress and experiences are understood. Drawing on extensive fieldwork on coercive mental health treatment, including interviews, participatory action research, arts-based research, and public sociology, the book centres the knowledge, skills, and creativity of psychiatrised women. Informed by intersectional feminism and critical mental health theory, the book explores the interlocking oppressions of psychiatric harm and patriarchal power, alongside women's survivorship and resistances. Areas covered include the pathologisation of women's emotions within mental health services, violence and deprivations in involuntary treatment, the surveillance of mothering, and social exclusions arising from psychiatric diagnoses. The book highlights the ability of collective and creative research processes to move beyond the task of documenting psychiatric harm, towards imagining rich alternatives to biomedical, therapeutic, and carceral practices in mental health. It offers a critique of the notions of ‘benevolence'and ‘expertise', which are commonly used to justify psychiatric coercion. It will appeal to students and scholars working across the fields of critical mental health, sociology, social work, psychiatry, mental health nursing and gender studies. Emma Tseris is senior lecturer in Social Work and Policy Studies at the University of Sydney, Australia, researching feminist and critical mental health theory. She is the author of Trauma, Women's Mental Health and Social Justice: Pitfalls and Possibilities (2019) and co-author of Using Social Research for Social Justice (2023). Scarlett Franks is a survivor researcher from the University of Sydney, Australia, who also serves on the Survivor College of the National Centre for Action on Child Sexual Abuse, the board of directors of the Grace Tame Foundation, and the Advisory Panel of the NSW Office of the Anti-Slavery Commissioner. Eva Bright Hart is a feminist survivor researcher from the University of Sydney, Australia. She is a senior social worker and public health professional from a rural area. Eva is also known as a mother, teacher, gardener, cook, author, activist and artist. As a survivor of psychiatric and gendered violence Eva uses a protective pseudonym so she can contribute without the fear of further discrimination, disablement and involuntary psychiatric treatment for herself and her family. Eva means'living one'.

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.

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.

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.

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.

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 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.

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.

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.

This Handbook outlines in detail the features and challenges of rural and remote mental health service delivery and pragmatic considerations to address these, to ensure people in less populated areas receive an equivalent quality of service to their city-dwelling counterparts. The scope of the book includes general descriptions of the rural and remote context as well as the professional and ethical considerations involved in working in these areas. The book includes information specific to the professions that contribute to effective and efficient mental health services, as well as addressing specific areas of practice that warrant focused attention because of their importance. In order to cover the field comprehensively, the Handbook has four sections. The first section deals with the general context of rural and remote practice including a description of the general features of the setting and the importance of attention to ethical and professional standards. The second section of the Handbook describes different ways of working in rural and remote contexts. Rural and remote contexts provide many opportunities for innovation and creativity but it is imperative that novel approaches do not compromise the quality and integrity of the service. The third section covers individual professions in detail and the fourth section focuses specifically on particular areas of practice that present challenges for rural and remote areas. Academics will find this Handbook a valuable evidence-based resource to enhance their teaching of undergraduate and postgraduate mental health students. Practitioners will find this book an important reference guide to enrich and broaden their rural and remote experiences. They will be informed of the latest research evidence and will be provided with practical advice and strategies to promote advanced clinical practice in this challenging context.

This open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele).The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient'sautonomy and best interest, the physician's commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.

Recent surveys have found that the vast majority of the public believes that mental illness is real and treatable. And yet, fewer than half of people with diagnosable mental illnesses get treatment in any given year, and of those who do, only half adhere to it.What accounts for the disconnect? According to Daniel Morehead, M.D., unchecked critiques of psychiatry -- that it is impossible to define mental illness, that the neurobiology of major mental illnesses is unknown, that patients are overdiagnosed and overmedicated -- has led to a public perception that mental health treatment is profoundly flawed.In Science Over Stigma, Dr. Morehead argues that it is time for a full-throated defense of mental health treatment, and that it falls to everyone, from medical and mental health professionals to the general public, to advocate on its behalf.In accessible terms this book sets forth a definition of mental illness, candidly discussing what is known and what remains unknown, and then describes its prevalence, social and physical consequences, and a range of treatments. Each chapter includes advocacy tips that help readers translate the information they've learned into the means for constructive dialogue.By clearly laying out the science behind mental illness and its treatment and vividly illustrating how common it is -- affecting patients, their friends and family, and mental health professionals themselves -- this volume seeks to turn the recognition of psychiatric illness into practical behavior, destigmatizing both the illness itself and the search for treatment.

Learn to improve your assessment, investigation, and management of physical health conditions in people with severe mental illness The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry offers psychiatric and general practitioners an evidence-based and practical guide for the appropriate assessment, investigation, and management of common physical health conditions seen in people with severe mental illness. Written by a renowned team of respected experts in medicine, surgery, pharmacy, dietetics, physiotherapy, and psychiatry, the book bridges the gap between psychiatric and physical health services for the severely mentally ill. The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry also provides practitioners with expert guidance on making effective referrals to other medical and surgical subspecialties, telling readers what information subspecialties would expect to receive. Its use will improve the quality of clinical care received by mentally ill patients and, by promoting a holistic approach to treatment that considers both body and mind, will enhance the therapeutic relationship between patient and practitioner. The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry covers the following: Guidance on assessment and management of well over a hundred different medical and surgical presentations commonly seen in people with serious mental illness Management of physical health emergencies in a psychiatric setting Evidence-based approaches to management of physical side effects of psychiatric medications Advice on approaches to promote a healthy lifestyle in people with serious mental illness, such as smoking cessation and changes to diet and physical activity Perfect for both psychiatrists and general practitioners who wish to improve the quality of care they provide to people with serious mental illness, The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry will be of use to anyone setting out to navigate the divide between the treatment of psychiatric and physical health conditions.

These volumes make new contributions to the history of psychiatry and society in three ways: First, they propose a theory of values and ideology influencing the evolution of psychiatry and society in recurring cycles, and survey the history of psychiatry in recent centuries in light of this theory. Second, they review the waxing, prominence, and waning of Community Mental Health as an example of a segment of this cyclical history of psychiatry. Third, they provide the first biography of Erich Lindemann, one of the founders of social and community psychiatry, and explore the interaction of the prominent contributor with the historical environment and the influence this has on both. We return to the issue of values and ideologies as influences on psychiatry, whether or not it is accepted as professionally proper. This is intended to stimulate self-reflection and the acceptance of the values sources of ideology, their effect on professional practice, and the effect of values-based ideology on the community in which psychiatry practices. The books will be of interest to psychiatric teachers and practitioners, health planners, and socially responsible citizens.

Mental health-substance use is a complex interrelation, with equally complex implications for individuals and their families, health professionals and society. Although its international recognition as an issue of critical importance is growing, clear guidance for professionals on mental health-substance use and its treatment is hard to find. The Mental Health-Substance Use series addresses this need, concentrating on concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, and the future direction of practice, education, research, services, interventions, and treatment. Having outlined the field and service development in previous books, the third book in the series explores how professionals can best respond to the particular concerns and dilemmas arising from and in mental health-substance use for individuals and their families. It aims to inform, develop and educate these responses by sharing knowledge and enhancing expertise in this fast-developing field by exploring the interrelated psychological, physical, social, legal and spiritual experiences. The volumes in this series are designed to challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care responses, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educators.

This book documents the journey of the Mental Health-General Practitioner (MH-GP) Partnership Programme in Singapore's Institute of Mental Health since its inception in 2003 and how it has developed over the years as a model of successful tertiary-primary care partnership in mental health.The programme provides an Asian perspective and showcases a successful collaboration of an integrated network between tertiary and primary care practitioners in the management of individuals with chronic major psychiatric disorders as well as individuals with minor psychiatric disorders.It can serve as a reference guide for agencies, both public and private in Singapore as well as agencies in the region who plans to develop similar partnerships between tertiary and primary care. This book may interest audiences from various fields, medical, allied health, administration and students in healthcare and education.

This volume studies joint decision making in mental health care contexts through an in-depth examination of the negotiations of power and authority at the level of turn-by-turn sequential unfolding of interaction. Bringing together research at the intersection of mental health, discourse and conversation analysis it examines a wide range of settings including chronic psychiatric visits, rehabilitation meetings, occupational therapy encounters and cognitive behavioral therapy appointments. It presents a series of studies which reveal in close detail the joint decision-making processes in these critical encounters by using naturally occurring video-recorded interactions from a range of health service settings as data. In so doing, it sheds light on the interactional practices of health care workers that may facilitate or discourage client participation in joint decision-making processes. The book will provide important insights for academics and practitioners working in the fields of psychology, psychotherapy, applied linguistics, nursing, social work and rehabilitation; and in particular for those specializing in psychiatry and mental health.

Health indicators in the United States are among the worst in the developed world, even though its health care system is, by a wide margin, the most expensive in the world. It is a disparity that stems from a fragmentation of services and financial arrangements that often prioritize commercial interests over public health.Seeking Value: Balancing Cost and Quality in Psychiatric Care, a comprehensive volume by the Group for the Advancement of Psychiatry's Mental Health Services Committee, examines the myriad factors that have led to the current state of health care in the United States -- starting with an analysis of the meaning and history of value measurement -- but it does not stop there. It offers a holistic vision for health care reform, one in which psychiatric professionals play a pivotal role.A section on system interventions tackles traditional models of financing health care and the role of market forces as it considers broad public health strategies, from elimination of administrative waste to integration of care, that can reduce costs and improve population health, with a special emphasis on the interaction between mental and physical health. Recognizing that these larger-scale interventions require time to bear fruit, the book also explores the ways the psychiatric profession and individual psychiatrists can contribute to a more skill-diverse, collaborative, activist, value-conscious, and visionary specialty.Several chapters also identify public policy issues and cultural constructs that go beyond the typical role of clinicians and health care administrators, but that have the potential to impact population health in significant ways, illustrating how different choices could result in remarkable improvements in social well-being. The incorporation of healthy practices in the workplace, efforts to mitigate the impact of climate change, and the elimination of counterproductive incarceration practices all feature in this discussion.Exhaustive in approach, the book aims to spur thought, conversation, and action to improve value in the services the psychiatric profession provides and the systems in which it operates. Its clear and compelling message will equip readers to develop an advocacy agenda that will resonate with nonmedical stakeholders and the practical strategies needed to see it realized.

This comprehensive book examines the organization, financing, delivery, and outcomes of behavioral health (i.e., alcohol, drug abuse, and mental health) services from both U.S. and global perspectives. Addressing the need for more integrative and collaborative approaches in public health and behavioral health initiatives, the book covers the fundamental issues in behavioral health, including epidemiology, insurance and financing, health inequities, implementation sciences, lifespan issues, cultural responsiveness, and policy.Featuring insightful research from scholars in an interdisciplinary range of academic and professional fields, chapters fall into three distinct sections:Overview: Outlines the defining characteristics of behavioral health services and identifies significant challenges in the fieldAt-Risk Populations: Explores critical issues for at-risk populations in need of behavioralhealth services, including children in school environments, youth in juvenile justice systems, and persons with developmental disabilities, among othersServices Delivery: Presents a rationale for greater integration of health and behavioral health services, and contextualizes this explanation within global trends in behavioral health policy, systems, and servicesAn in-depth textbook for graduate students studying public health, behavioral health, social work policy, and medical sociology, as well as a useful reference for behavioral health professionals and policy makers, Foundations of Behavioral Health provides a global perspective for practice and policy in behavioral health. It promotes better understanding of the importance of integrating population health and behavioral health services, with an eye towards improving and sustaining public health and behavioral health from national, regional, and global perspectives.

Anti-psychiatry'is a movement more sloganized than analysed. Until now it has been associated in the English-speaking world primarily with R.D. Laing and a coterie of his associates, and a radical critique not just of psychiatric hospitalization but of the very premises of psychiatry itself and the basic institutions of society, especially the family. But are these notions accurate, or rather distorted images, created by Laing himself or by the media? In this book, which has emerged out of an Anglo-Dutch conference held in June 1997, the realities of critical psychiatry are explored, using comparisons and contrasts between the British and the Dutch experiences as a probe. There were, it turns out, various distinct anti-psychiatries - indeed, hardly anybody actually used that label about themselves - and they played a role in the reform no less than the rejection of regular psychiatry.

Global Mental Health provides an outline of the field of mental health with a particular focus on Latin America and the Spanish-speaking world. The book details evidence-based approaches being implemented globally and presents ongoing state of the art research on major mental disorders taking place in Latin America, including work being done on understanding Alzheimer's, Bipolar Disorder, Schizophrenia, and other psychoses. While supporting the initiative for building capacity of care in low income countries, the book warns about some of the potential risks related to the abuse of psychiatry, using examples from the past, focusing on early 20th century Spain.

This handbook is the definitive resource for understanding current mental health policy controversies, options, and implementation strategies. It offers a thorough review of major issues in mental health policy to inform the policy-making process, presenting the pros and cons of controversial, significant issues through close analyses of data. Some of the topics covered are the effectiveness of various biomedical and psychosocial interventions, the role of mental illness in violence, and the effectiveness of coercive strategies. The handbook presents cases for conditions in which specialized mental health services are needed and those in which it might be better to deliver mental health treatment in mainstream health and social services settings. It also examines the balance between federal, state, and local authority, and the financing models for delivery of efficient and effective mental health services. It is aimed for an audience of policy-makers, researchers, and informed citizens that can contribute to future policy deliberations.

This book describes a spectrum of possible solutions to providing comprehensive emergency psychiatric care. It discusses in detail all components of emergency psychiatric care, such as triage, security, management of suicide risk, violent patients, interdisciplinary treatment teams, administration, and telepsychiatry. It has been written by and is of interest to psychiatrists, emergency medicine physicians, nurses, social workers, administrators, the police and security staff.

This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. Asa result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.

Regardless of specialty or preferred therapeutic approach, most mental health professionals will eventually have to confront their patients'sexual concerns -- whether directly or in the course of addressing other problems. Yet, despite the fact that the importance of sex to mental health has been recognized for over a century, training in the preclinical and clinical years often skims over the topic.With Psychotherapeutic Approaches to Sexual Problems, senior clinical sexuality specialist Dr. Stephen B. Levine offers both mental health trainees and advanced practitioners a comprehensive introduction to this educationally overlooked arena.In tackling issues that include premature ejaculation, anorgasmia, erectile dysfunction, sexual pain, sexual identity, paraphilia, and betrayal, this guide aims to increase its readers'comfort and confidence in assisting patients with their sexual concerns. The author provides a thoughtful discussion of the nature of love -- as an active, evolving process involving psychological intimacy, intense sexual interest, and commitment -- and shows how sexual problems create barriers to loving.With its personal, supervisory tone, this volume also seeks to stimulate readers'professional interest in the topic, providing a useful perspective on patients'stories. Concise, easily digestible chapters make this a valuable primer for professionals from a range of backgrounds, whether psychiatry, psychology, social work, counseling, marriage and family therapy, nursing, or pastoral counseling.

These volumes make new contributions to the history of psychiatry and society in three ways: First, they propose a theory of values and ideology influencing the evolution of psychiatry and society in recurring cycles, and survey the history of psychiatry in recent centuries in light of this theory. Second, they review the waxing, prominence, and waning of Community Mental Health as an example of a segment of this cyclical history of psychiatry. Third, they provide the first biography of Erich Lindemann, one of the founders of social and community psychiatry, and explore the interaction of the prominent contributor with the historical environment and the influence this has on both. We return to the issue of values and ideologies as influences on psychiatry, whether or not it is accepted as professionally proper. This is intended to stimulate self-reflection and the acceptance of the values sources of ideology, their effect on professional practice, and the effect of values-based ideology on the community in which psychiatry practices. The books will be of interest to psychiatric teachers and practitioners, health planners, and socially responsible citizens.

This book addresses the psychosocial and medical issues of forced migration due to war, major disasters and political as well as climate changes. The topics are discussed in the context of public health and linked to organizational, legal and practical strategies that can offer guidance to professionals, as well as governmental and non-governmental organizations. Both internal and international displacement present substantial challenges that require new solutions and integrated approaches. Issues covered include an overview of current health challenges in the new refugee crises: medicine and mental health in disaster areas, long-term displacement and mental health, integration of legal, medical, social and health economic issues, children and unaccompanied minors, ethical challenges in service provision, short and long-term issues in host countries, models of crises intervention, critical issues, such as suicide prevention, new basic and “minimal” intervention models adapted to limited resources in psychosocial and mental health care, rebuilding of health care in post-disaster/conflict countries, training and burn-out prevention. The book was developed in collaboration with the World Psychiatric Association, and is endorsed by Fabio Grandi (UN High Commissioner for Refugees), Manfred Nowak (former UN Special Rapporteur for Torture), and Jorge Aroche (President of IRCT).

Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.

Novel in its approach and unique in its scope, Black Mental Health: Patients, Providers, and Systems examines the role of African Americans within American psychiatric health care from distinct but interconnected perspectives. The experiences of both black patients and the black mental health professionals who serve them are analyzed against the backdrop of the cultural, societal, and professional forces that have shaped their place in this specialized health care arena.The volume opens with the singular, first-person accounts of five senior black psychiatrists -- including Dr. Altha J. Stewart, president of the American Psychiatric Association -- who describe their individual journeys to the top of their field, not shying away from discussing the racism and discrimination that have challenged their paths to leadership.The book's second part focuses on the complexities of and opportunities for delivering mental health care to various subsets of the African American population, including children, women, elderly patients, and LGBTQ individuals. System design strategies, biological therapies, and church-based mental health promotion initiatives are all considered as methods for reducing racial and ethnic disparities in access to effective treatment.Part III examines the training of black mental health professionals and their representation in psychiatry, particularly in the face of discrimination and implicit bias. A chapter on historically black colleges and universities discusses the importance of their role in the delivery of psychiatric services and research development for African Americans. The fourth part builds on this discussion, addressing research that is relevant to the care of the black population.A concluding chapter highlights the key themes that emerged from each of the previous four parts, providing a holistic view of the place of black patients and providers in American psychiatry.With its blend of scholarship, clinical insight, and training analysis, Black Mental Health is compulsory reading both for trainees -- as care delivery to minority groups is of ever greater importance -- and practicing clinicians, who will glean useful information from the chapters on research advances and treatment modalities. Additionally, policy makers, educators, and historians, among others, will gain a better understanding of the challenges and necessity of developing integrated approaches to the care of nondominant groups.

Eliminating Race-Based Mental Health Disparities offers concrete guidelines and evidence-based best practices for addressing racial inequities and biases in clinical care.Perhaps there is no subject more challenging than the intricacies of race and racism in American culture. More and more, it has become clear that simply teaching facts about cultural differences between racial and ethnic groups is not adequate to achieve cultural competence in clinical care. One must also consider less “visible” constructs—including implicit bias, stereotypes, white privilege, intersectionality, and microaggressions—as potent drivers of behaviors and attitudes.In this edited volume, three leading experts in race, mental health, and contextual behavior science explore the urgent problem of racial inequities and biases, which often prevent people of color from seeking mental health services—leading to poor outcomes if and when they do receive treatment. In this much-needed resource, you'll find evidence-based recommendations for addressing problems at multiple levels, and best practices for compassionately and effectively helping clients across a range of cultural groups and settings.As more and more people gain access to services that have historically been unavailable to them, guidelines for cultural competence in clinical care are needed. Eliminating Race-Based Mental Health Disparities offers a comprehensive road map to help you address racial health disparities and improve treatment outcomes in your practice.

Mental health and wellbeing has become an increasingly important issue that impacts communities in multiple ways. A critical discussion on the understanding and access of mental health services by people from diverse backgrounds is important to improving global healthcare practices in modern society. Mental Health Policy, Practice, and Service Accessibility in Contemporary Society provides innovative insights into contemporary and future issues within the field of mental healthcare. The content within this publication represents the work of medical funding, social inclusion, and social work education. It is a vital reference source for post-graduate students, medical researchers, psychology professionals, sociologists, and academicians seeking coverage on topics centered on improving future practices in mental health and wellbeing.

This book offers a resource to aid in implementing psychosocial screening, assessment, and consequently integrating prevention, care and treatment (i.e. pharmacological, psychosocial rehabilitation and psychotherapeutic) in medicine. It is becoming increasingly recognized that one method of combating spiraling health care costs in developed nations is to integrate psychiatric care into medicine including primary care settings. This volume reviews the main issues relative to the paradigm of a person-centered and recovery-oriented approach that should imbue all medical areas and specialties. It proposes integration methods in screening and assessment, clinimetric approach, dignity conserving care, cross-cultural and ethical aspects, treatment and training as a basic and mandatory need of a whole psychosomatic approach bridging the several specialties in medicine. As such, the book addresses a topic that all physicians,including primary care and psychiatric professionals in a wide variety of mental health settings are currently discussing, planning and preoccupied with, namely the task of integrating mental health into all the medical fields, including primary care, cardiology, psychiatry, oncology and so on.

Psychiatrie is een prachtvak. In 150 jaar is ook eindeloos veel kennis vergaard. En we hebben slimme structuren bedacht voor het optimaliseren van hulpverlening. Maar zijn we inmiddels niet verdwaald in onze goede bedoelingen? Zien we elk afzonderlijk individu met psychische problemen nog wel staan?Dit leerboek heeft een focus. De patiënt.De zestig auteurs die hebben meegewerkt staan natuurlijk op de schouders van de groten uit het psychiatrische vak.Ze hoeven het wiel niet uit te vinden. Maar ze hebben wel even adem gehaald voordat ze hun kennis en ervaring in een didactisch verantwoorde vorm goten.Om de mens met psychische problemen echt centraal te kunnen stellen bleek het noodzakelijk om in eerste instantie veel te schiften. Er is teveel classificatie. Een overmaat aan diagnostische varianten helpt de patiënt meestal niet verder. Het volgen van protocollen vergt veel tijd die ten koste gaat van effectieve therapie.Na bestudering van dit boek zal het vak misschien wat afgeslankt lijken: minder verfijnde diagnostiek, een overzichtelijk aantal syndromen in de plaats van eindeloos veel symptomen. Minder bewegwijzerde zorgpaden.Maar het vak wordt ook verrijkt: met ‘persoonlijke psychiatrie'. Hoe organiseer je persoonlijke aandacht voor elke individuele patiënt? Hoe profiteert de cliënt van het inzicht dat psychische problemen gewoon kleinere of grotere verschuivingen zijn in de verhouding van stressoren en kwetsbaarheden? En vooral: hoe wordt een cliënt praktisch en steeds opnieuw geholpen op de weg naar herstel?Noem het een nieuw paradigma. Noem het ‘nieuwe ggz'. Maar het gaat beslist niet om oude wijn in nieuwe zakken. Deze publicatie maakt bestaande literatuur niet obsoleet. Wel beoogt dit leerboek uitdrukkelijk het, opnieuw, scherp stellen van de (persoonsgerichte) psychiatrische missie.

Student Mental Health: A Guide for Psychiatrists, Psychologists, and Leaders Serving in Higher Education is the result of a sustained and multidisciplinary collaboration of scholars, leaders, clinicians, and educators who are deeply committed to student health and well-being. The needs of young people today are quite different from those of even 5 years ago, and this book pays great attention to the specific issues encountered in caring for today's students who experience distress or develop significant mental health conditions. Such issues, including suicidality, newly emergent psychosis, problems associated with substance misuse, the health risks of eating disorders, and the devastation of sexual assault, can challenge even the most experienced clinician. These topics and others related to safety, respect, conflict, and connection on campus, as well as students'evolving relationships with family, friends, and romantic partners, are covered with sensitivity and skill.The book offers many features that deepen awareness and enhance learning: • Chapters offer student case examples that illustrate the concepts and strategies discussed in the text, allowing readers to readily apply their newly acquired knowledge to real-life scenarios.• The experiences, mental health, and well-being of distinct, vitally important, and often overlooked student populations, such as student athletes, graduate students, students of color, LGBTQ students, students who are the first in their families to attend college, students who are veterans or active military, and medical students, are addressed.• Positive self-care -- for both students and the clinicians who work with them -- is emphasized. For example, activities and habits related to sleep, nutrition, and exercise are outlined in hopes they will become lifelong self-management strategies for students, while effective measures to prevent emotional exhaustion in clinicians are also highlighted in the text. • Chapters incorporate features designed to promote learning: Key points offer quick summaries of chapter content; recommendations serve as reminders for best practices; and discussion questions provide thought-provoking approaches to the material for the reader's further reflection, development, and improvement. At a time when students -- whether in college, graduate school, or professional training -- are experiencing unprecedented levels of stress and distress, the need for guidance that is comprehensive, compassionate, constructive, and culturally sensitive has never been greater. Student Mental Health brings understanding and clinical acumen to bear on the complex problems of this vulnerable group.

This book is a compilation by local mental health experts on the development of mental health services in Singapore after 1993. The year was the end point of an earlier book'Till the Break of Dawn — A History of Mental Health Services in Singapore (1841-1993)'that had been written on the history of psychiatry.

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.

This authoritative and comprehensive title is designed to enhance best clinical practices for all healthcare providers who care for military service personnel and veterans. The book is organized into four sections. The first section covers foundational information on the culture and context of health care for members of the US military and veteran population. The second section focuses on systems of care for mental health needs of military and veteran populations. The third section characterizes best practices as well as ethical issues in clinical care for mental health needs of members of the military and veterans. Guidance in relation to a wide range of clinical topics is provided, such as mood disorders, post-traumatic stress disorder, combat and operational stress, military sexual assault, psychosis, and sleep disorders. The last section is intended to assist readers in reinforcing their learning through a set of clinical cases with accompanying questions for deeper consideration. An invaluable resource for all clinicians, allied health personnel, and administrators concerned with the mental health needs of service members and veterans, Military and Veteran Mental Health: A Comprehensive Guide is a gold-standard addition to the literature on military healthcare.

How do survivors of child abuse, bullying, chronic oppression and discrimination, and other developmental traumas adapt to such unimaginable situations? It is taken for granted that experiences such as hearing voices, altered states of consciousness, dissociative states, lack of trust, and intense emotions are inherently problematic. But what does the evidence actually show? And how much do we still need to learn?

This unique resource offers an in-depth, comprehensive look at different types of mental health needs of transgender and gender diverse youth, how these intersect with gender identity, gender expression, and sexual orientation, and provides practical information on how to ethically, responsibly, and sensitively care for these patients. Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide begins with three introductory chapters which contain practical information regarding assessment, psychological interventions, and the potential medical and surgical interventions that are indicated for youth with gender identity concerns. The remaining chapters are illustrated by multiple cases build around overarching chapter themes. Each case chapter opens with broad questions applicable to clinical practices, while the cases themselves focus on a particular co-occuring mental health condition. The case chapters are structured with intersectionality in mind, including elements of ethnic, racial, and cultural diversity, and the patients range over the full developmental spectrum, from pre-pubertal children to older adolescents. Chapter cases range in complexity as well, to provide readers with the tools they need to evaluate patients, and to assist in the decision of which presenting factors to prioritize in treatment at which time. Ending each chapter are clinical take-home messages, closing with additional practical knowledge that can be applied to other cases providers may see in their own practices. Written by expert clinicians in the field, Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide is an ideal resource not only for child and adolescent psychiatrists, but for clinicians across all mental health disciplines working with gender non-conforming youth, and who are interested in providing informed, affirmative, and intersectional care.

This groundbreaking first volume of the Series has a number of features that set it apart from other books on this subject: Firstly, it focuses on interpersonal, humanistic and ecological views and approaches to P/MH nursing. Secondly, it highlights patient/client-centered approaches and mental-health-service user involvement. Lastly, it is a genuinely European P/MH nursing textbook – the first of its kind – largely written by mental health scholars from Europe, although it also includes contributions from North America and Australia/New Zealand. Focusing on clinical/practical issues, theory and empirical findings, it adopts an evidence-based or evidence-informed approach. Each contribution presents the state-of-the-art of P/MH nursing in Europe so that it can be transferred to and implemented by P/MH nurses and the broader mental health care community around the globe. As such, it will be the first genuinely 21st century European Psychiatric Mental Health Nursingbook.

This handbook incisively explores challenges and opportunities that exist in efforts aimed at addressing inequities in mental health provision across the globe. Drawing on various disciplines across the humanities, psychology, and social sciences it charts the emergence of Global Mental Health as a field of study. It critically reflects on efforts and interventions being made to globalize mental health policies, and discusses key themes relevant for understanding and supporting the mental health needs of people living in diverse socio-economical and cultural environments. Over three rich sections, the handbook critically engages with Global Mental Health discourses. To help guide future efforts to support mental health and wellbeing in different parts of the world, the third section of the handbook consists of case studies of innovative mental health policy and practice, which are presented from a variety of different perspectives. This seminal handbook will appeal to a transnational community of post-graduate students, academics and practitioners, from global health to transcultural psychiatry and medical anthropology. It will be also of interest to researchers and clinical practitioners, policy makers and non-governmental organisations involved in cross-cultural mental health work.

This book discusses how counselling, a profession known for diverse and innovative practices, has recently been influenced by scientific, marketplace, and administrative developments corresponding with a medicalized focus on psychiatric diagnoses and related evidence-based treatments. Tensions associated with this medicalized focus refer to competing logics and accountabilities regarding how to understand and address concerns brought to counselling. Tom Strong reviews such tensions as they relate to counsellors'approaches to practice experienced as incompatible with a medicalized approach. The role of media and technology, therapy culture, and counsellor education, are examined with respect to medicalizing tensions that professionals and clients of counselling increasingly face. The book will interest readers who share concerns regarding the potential for a mental health monoculture grounded in the diagnose and treatment logic of medicalized counselling.

Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success.The book is grounded in the authors'real-world expertise and offers readers practical, accessible information and support: • Often efforts to implement an integrated care program fail because the model is more than just'plug and play.'To address this misconception, the authors explore the successful implementation from every angle -- from leadership, primary care, therapist, psychiatric provider, and policy perspectives.• As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.

This book offers original knowledge, debate, and understanding from frontline fieldwork data and the relations between mental health difficulties, mental healthcare provision, and social theory.Dominant discourse of the last half century has followed a medical perspective. This has marginalised contributions from social science. Furthermore purely medical approaches to mental healthcare have profound shortcomings. Thus, this book draws upon innovative research findings to rejuvenate the relationship between psychiatry and social science. It frames this by reference to certain inevitable and uncertain elements of mental health which characterise this field.Over nine chapters the volume is a unique contribution to several intersecting areas of intellectual enterprise, research, and learning — as well as a source of insight into how mental health practice and policy might be modified and improved. As a result, it appeals to a wide range of audiences including social scientists, mental health practitioners, mental health researchers, social theorists, mental health service users, and policy-makers.

In this widely used course text and practitioner resource, Froma Walsh provides a state-of-the-art framework for understanding resilience in families and how to foster it. Illuminating the complex interplay of biopsychosocial influences in risk and resilience, she identifies key transactional processes that enable struggling families to grow stronger and more resourceful. Case illustrations demonstrate Walsh's collaborative approach with diverse families facing a wide range of crisis situations and chronic multistress challenges. The book features practice principles, tools, and guidelines, as well as programmatic applications. New to This Edition •Incorporates the latest practice advances and resilience research. •Chapter on assessment tools and strategies. •Chapter on disruptive transitions across the family life cycle. •Expanded coverage of war-related and collective trauma.