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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.
In A Refuge of Cure or Care: The Sensory Dimensions of Confinement at the Worcester State Hospital for the Insane, Madeline Kearin Ryan analyzes the therapy model of the nineteenth-century asylum. Because the five senses were believed to provide a direct conduit into a person’s mental condition, the curative force of the hospital was thought to reside in its command over sensory experience. Ryan examines how the institution was designed to target each of the five senses as a mode of therapy, and conversely, how that well-intentioned design materialized in the haphazard realm of institutional practice. In doing so, Ryan seeks to reconcile the disjuncture between the benevolent promise of the asylum model and its ultimate failure in a way that captures the complex power dynamics and heterogeneity of actors within the institution.
This edition of this popular text continues as a comprehensive and balanced introduction to general psychiatry for students and practitioners. Updated features include the latest diagnostic algorithms, new nomenclature from DSM-IV, updated coverage of neuroscience and psychopharmacology. Includes extensive clinical vignettes and case summaries.
Today's physicians are medical scientists, drilled in the basics of physiology, anatomy, genetics, and chemistry. They learn how to crunch data, interpret scans, and see the human form as a set of separate organs and systems in some stage of disease. Missing from their training is a holistic portrait of the patient as a person and as a member of a community. Yet a humanistic passion and desire to help people often are the attributes that compel a student toward a career in medicine. So what happens along the way to tarnish that idealism? Can a new approach to medical education make a difference? Doctors Serving People is just such a prescriptive. While a professor at Rush Medical College in ...
Before the 1940s, children in the United States with severe emotional difficulties would have had few options for care. The first option was usually a child guidance clinic within the community, but they might also have been placed in a state mental hospital or asylum, an institution for the so-called feebleminded, or a training school for delinquent children. Starting in the 1930s, however, more specialized institutions began to open all over the country. Staff members at these residential treatment centers shared a commitment to helping children who could not be managed at home. They adopted an integrated approach to treatment, employing talk therapy, schooling, and other activities in the...
Medicaid is a story worth telling, one rooted in American history and shaped by its culture and institutions. It has dramatic interest, heroes and heroines, triumphs and tragedies. The authors make this story come alive for the reader by providing a strong connected narrative, detailed accounts of important policy changes, and extensive use of interviews with individuals close to events. They emphasize politics and policy along with history. History is important because Medicaid has developed incrementally, layer by layer, so that almost any provision or activity needs a historical gloss to understand it. The Medicaid program has been especially subject to outside political and policy influe...