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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.
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.
Severe and persistent mental illnesses are among the most pressing health and social problems in contemporary America. Recent estimates suggest that more than three million people in the U.S. have disabling mental disorders. The direct and indirect costs of their care exceed 180 billion dollars nationwide each year. Effective treatments and services exist, but many such individuals do not have access to these services because of limitations in mental health and social policies. For nearly two centuries Americans have grappled with the question of how to serve individuals with severe disorders. During the second half of the twentieth century, mental health policy advocates reacted against ins...
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 ebook is a selective guide designed to help scholars and students of social work find reliable sources of information by directing them to the best available scholarly materials in whatever form or format they appear from books, chapters, and journal articles to online archives, electronic data sets, and blogs. Written by a leading international authority on the subject, the ebook provides bibliographic information supported by direct recommendations about which sources to consult and editorial commentary to make it clear how the cited sources are interrelated related. A reader will discover, for instance, the most reliable introductions and overviews to the topic, and the most importan...
While mental illness and mental health care are increasingly recognized and accepted in today’s society, awareness of the most severely mentally ill—as well as those who care for them—is still dominated by stereotypes. Managing Madness in the Community dispels the myth. Readers will see how treatment options often depend on the social status, race, and gender of both clients and carers; how ideas in the field of mental health care—conflicting priorities and approaches—actually affect what happens on the ground; and how, amid the competing demands of clients and families, government agencies, bureaucrats and advocates, the fragmented American mental health system really works—or d...
The topic of chronic mental illness has been much discussed, but there is still no widely accepted strategy of intervention for patients suffering from disorders of this kind. These patients have received little attention until recently, because they are difficult to treat effectively. Although methods of patient care are changing rapidly, the application of new techniques has been slow. Services for chronically disabled patients have been poorly funded. Government support has decreased while deinstitutionalization has increased the demand for community services. This volume focuses on emerging trends and developments in the field and offers comprehensive coverage of state-of-the-art methods...