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Child Sexual Abuse
The inspiration for much of my writing comes from my direct work with abused children and their families. However, I was prompted to write this book by my experiences as a lecturer in child protection training for a variety of pro fessional workers. I realized from the anxious questions asked and feelings expressed that, despite the fact that many professionals are unlikely to encounter a high incidence of child sexual abuse cases in the course of their careers, the subject is one that provokes considerable concern, confusion and distress. While front-line investigative personnet -such as child care social workers, specialist police officers, police surgeons and paediatricians -have a number...
Community Mental Health
The client group referred to as the long-term mentally ill, the persistently severely mentally distressed, the chronically psychotic ill, or people with long-term mental health problems have generally received a poor deal from the traditional psychiatric services. Help has largely rested on custodial and medical treatments. The main focus of rehabilitative ap proaches has often been dictated by predetermined expecta tions which are usually set quite low. The assumption is often made that people in this client group are 'treatment resistant' and unlikely to make good use of opportunities to develop personal skills towards restructuring their lives. Though the emphasis of treatment has often f...
Working with the Mentally Disordered Offender in the Community
In the past forensic psychiatry has been a sub-speciality of general psychiatry without its own, separate identity. However, since the mid-1980s there has been a growing in terest in the application of community care principles to mentally disordered offenders. A new set of attitudes have developed which have enabled the mentally disordered offender to emerge from relative institutional obscurity to a much higher profile in the community. Although numerically small in relation to the general psychiatric population, forensic patients tend to attract the public' s attention by virtue of their greater propensity for troublesome behaviour. Such a group needs expert community support in order to ...
Management in Occupational Therapy
My aim in writing this book was to provide a guide to management for student occupational therapists and practitioners in the field. It is not intended to provide an answer to every conceivable management situation. The organization and delivery of health and social services is being subjected to relentless scrutiny and change. Hardly has one proposal been implemented before another one is introduced. In view of this, the thrust of this book is to highlight key points to be addressed when looking at the delivery of occupational therapy services. For this reason, the book starts from the viewpoint of one who is in the early stages of an occupational therapy career through to the position of h...
Community Occupational Therapy with Mentally Handicapped Adults
The philosophy of normalization and promotion of the plight of children and adults with mental handicaps has drawn more public attention in recent years. Governments in a number of countries have embarked upon policies involving the dosure of institutions, move ment of people with mental handicaps back into the community, and development of community-orientated programmes, although their reasons for this may be economically, rather than ideologically, motivated. Occupational therapists have moved into the community, along with other health professionals, in order to set up community services for people with mental handicaps. My own experience of working in a multidisciplinary team in Central...
Occupational Therapy for Stroke Rehabilitation
This book is both an introductory text to the rehabilitation of stroke for student therapists and a reference text for qualified therapists. The layout of the book reflects these needs with Chapters 1-4 assuming a minimal level of understanding of the material. These chapters provide an introduction to the condition of stroke itself, the problern therapists face in assessing and treating stroke patients and therapeutic approaches in occu pational therapy. Prognosis of stroke is also discussed which is an issue taken up in later chapters concemed with expert systems. The use of microcomputers in occupational therapy is discussed throughout the book with particular reference to their direct role during therapy. Chapters 5-7 assume a higher level of understand ing from the reader although students will find the material useful as an insight into the work of the modern-day therapist. Chapter 5 addresses the work carried out in the area of biofeedback; Chapter 6 introduces the concept and uses of databases, and Chapter 7 discusses the versatility of microcomputers, especially in the provision of expert systems for the prognosis of stroke.
Writing for Health Professionals
I try to leave out the parts that people skip. Elmore Leonard This book is all about writing: it is both a practical and a personal account. When you write a book like this you put yourself on the line: you run the risk of people reading what you have written and saying 'he's saying one thing and doing another'. You stand to break the rules that you set up - quite badly. That is probably not such a terrible thing; besides, that should be part of the process of using this book. As you read it, notice when rules are broken. Check the phrasing, the sentence and paragraph construction, and see whether or not I have stuck to the rules. Then see whether or not the rules would have improved the pas...
Practical Physiotherapy with Older People
Contrary to popular belief, practice of physiotherapy with elderly patients is no easy option. In addition to grappling with the effects of multipathology it presents problems of accommodating to the patients' altering physiological state and the accumulating life events of older age. There are challenges of ethics in decision making. In therapeutic management it is sometimes hard to know where to begin, what to try, and when to stop or offer something eise. The work offers both satisfaction and despair, frustration and enormous interest. Despite the existence of many specialist textbooks on medicine and physiotherapy, it is widely feit there is a place for a basic guide to physiotherapy with elderly people. This book aims to provide guidance and insights based on the writers' experience, as weil as from the current literature. Good practice must be holistic in its breadth of knowledge and attitude to the individual, but meticulous in attention to detail in examination and treatment as for a patient of any age.
