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This is a reprint of a previously published work. It deals with what was in 1996 state-of-the-art, community-based, mobile emergency mental health services and treatment--whether in the street, the patient's home, a temporary shelter, the emergency room or a clinic.
An essential history of the recovery movement for people with mental illness, and an inspiring account of how former patients and advocates challenged a flawed system and encouraged mental health activism This definitive people’s history of the recovery movement spans the 1970s to the present day and proves to readers just how essential mental health activism is to every person in this country, whether you have a current psychiatric diagnosis or not. In Fighting for Recovery, professor and mental health advocate Phyllis Vine tells the history of the former psychiatric patients, families, and courageous activists who formed a patients’ liberation movement that challenged medical authority...
This book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?
The twenty-first century has witnessed an explosion in studies on comparative health studies, but mental health remains virtually ignored. Unlike the well researched topic of health policy, there is a gap in the marketplace covering mental health policy and health care policymaking. This book fills that gap; it is a comparative analysis of the implementation of Assertive Community Treatment (ACT), an evidence-based practice employed in two states that promises to empower the well-being of individuals suffering from mental illness. Assertive Community Treatment specifically examines the tension separating the notion of client recovery and evidence-based programs. Johnson challenges the assump...
This volume is the second in a series of succinct, analytical reviews of advances in the psychiatric care of medically ill patients. Medical-Psychiatric Practice, Volume 2 is designed to help psychiatrists who specialize in the care of medical patients integrate psychotherapeutic, psychopharmacological, and behavioral approaches to therapy, while dealing with complex systems of medical care, mental health care, and health care financing. Under the guidance of an eminent editorial advisory board, the second volume includes critical reviews of the latest advances for medically ill patients in psychotherapy, psychopharmacology, neuropsychiatry, medical-legal issues, and special topics such as psychiatric aspects of anesthesia and cardiac diseases.
When social workers draw on experience, theory, or data in order to develop new strategies or enhance existing ones, they are conducting intervention research. This relatively new field involves program design, implementation, and evaluation and requires a theory-based, systematic approach. Intervention Research presents such a framework. The five-step strategy described in this brief but thorough book ushers the reader from an idea's germination through the process of writing a treatment manual, assessing program efficacy and effectiveness, and disseminating findings. Rich with examples drawn from child welfare, school-based prevention, medicine, and juvenile justice, Intervention Research ...
A free ebook version of this title is available through Luminos, University of California Press’s Open Access publishing program. Visit www.luminosoa.org to learn more. Unprecedented numbers of young people are in crisis today, and our health care systems are set up to fail them. Breaking Points explores the stories of a diverse group of American young adults experiencing psychiatric hospitalization for psychotic symptoms for the first time and documents how patients and their families make decisions about treatment after their release. Approximately half of young people refuse mental-health care after their initial hospitalization even though we know that better outcomes depend on early support for youth and families. In attempting to determine why this is the case, Neely Laurenzo Myers identifies what matters most to young people in crisis, passionately arguing that health care providers must attend not only to the medical and material dimensions of care but also to a patient's moral agency.
Originally called mad-doctoring, psychiatry began in the seventeenth century with the establishing of madhouses and the legal empowering of doctors to incarcerate persons denominated as insane. Until the end of the nineteenth century, every relationship between psychiatrist and patient was based on domination and coercion, as between master and slave. Psychiatry, its emblem the state mental hospital, was a part of the public sphere, the sphere of coercion.The advent of private psychotherapy, at the end of the nineteenth century, split psychiatry in two: some patients continued to be the involuntary inmates of state hospitals; others became the voluntary patients of privately practicing psych...