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Exploring the key issues around anti-discriminatory practice for professionals working in mental health services, this book looks at ways to improve the health and social care of older people from minority and excluded communities. The chapters explore the issues involved in working with individuals from a range of minority groups, such as LGBT people, people with learning disabilities, people from black and minority ethnic communities, homeless people and people with dementia. The chapters cover important theory and research into discrimination, ageing and identity. Contributions from experts in the fields of mental health and working with minority groups provide practical insights into developing anti-discriminatory practice.There is also practical advice on culturally appropriate support for carers, cultural competency in end of life care, working with interpreters, and celebrating diversity, accompanied by supporting practical resources. This comprehensive book will provide mental health practitioners and students with an essential understanding of anti-discriminatory practice.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.
Gerontological Social Work in Action introduces "anti-oppression gerontology" (AOG), a critical approach to social work with older adults, their families, and communities. AOG principles are applied to direct and indirect practice and a range of topics of relevance to social work practice in the context of a rapidly aging and increasingly diverse world. Weaving together stories from diverse older adults, theories, research, and practical tools, this unique textbook prompts social workers to think differently and push back against oppressive forces. It pays attention to issues, realities, and contexts that are largely absent in social work education and gerontological practice, including important developments in our understanding of age/ism; theories of aging and social work; sites and sectors of health and social care; managing risk and frailty; moral, ethical and legal questions about aging including medical assistance in dying; caregiving; dementia and citizenship; trauma; and much more. This textbook should be considered essential reading for social work students new to or seeking to specialize in aging, as well as those interested in the application of anti-oppressive principles to working with older adults and researching later life.
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
This is an open access title available under the terms of a CC BY-NC-ND 4.0 International licence. It is free to read at Oxford Scholarship Online and offered as a free PDF download from OUP and selected open access locations. This edited collection brings together world-leading authors writing about a wide range of issues related to responsibility and healthcare, and from a variety of perspectives. Alongside a comprehensive introduction by the editors outlining the scope of the relevant debates, the volume contains 14 chapters, split into four sections. This volume pushes forward a number of important debates on responsibility and its role in contemporary healthcare. The first and second groups of chapters focus, respectively, on (a) the potential justification and (b) nature of 'responsibility-sensitive' policies in healthcare provision; in other words, policies that would hold some patients responsible for their ill health via differences in treatment. These sections include empirically-informed work on public opinion, chapters linking responsibility in healthcare with ongoing debates around criminal responsibility, and new conceptual and theoretical work on the details of responsibility-sensitive policies. The third set of chapters turns in a more detailed way to the issues of whether, and how, we can be responsible for our health, presenting novel challenges and questions for those who would advocate responsibility-sensitive policies in healthcare. Finally, questions of responsibility in medicine do not end with those receiving treatment. The fourth group of chapters broadens the volume's focus to think about responsibility of individuals other than patients, including medical professionals and policymakers, including specific consideration of the role of responsibility during pandemics.
This open access book provides insight on how to interpret capability in ageing – one’s individual ability to perform actions in order to reach goals one has reason to value – from a multidisciplinary approach. With for the first time in history there being more people in the world aged 60 years and over than there are children below the age of 5, the book describes this demographic trends as well as the large global challenges and important societal implications this will have such as a worldwide increase in the number of persons affected with dementia, and in the ratio of retired persons to those still in the labor market. Through contributions from many different research areas, it discussed how capability depends on interactions between the individual (e.g. health, genetics, personality, intellectual capacity), environment (e.g. family, friends, home, work place), and society (e.g. political decisions, ageism, historical period). The final chapter summarizes the differences and similarities in these contributions. As such this book provides an interesting read for students, teachers and researchers at different levels and from different fields interested in capability and multidisciplinary research.
The global population is ageing rapidly yet there is a shortage of skilled professionals able to support the wellbeing of older people in care. Older people can be more vulnerable to mental health issues such as loneliness, anxiety, grief, loss, and cognitive changes, and need therapeutic support that addresses their specific needs and conditions. This supportive guide for psychotherapists, counsellors and other professionals working with older people, addresses the growing demand for mental health services for older adults. It covers a range of issues that arise within this demographic including residential living, the referral process, assessment and engagement, and attitudes towards ageing, while contextualising these issues within larger social and political frameworks. The author describes specific interventions such as Narrative Therapy, Reminiscence Therapy, Acceptance and Commitment Therapy and Cognitive Behavioural Therapy with practical case studies woven in throughout the book.
This exciting new edition provides an overview of the main professional, ethical and research issues that are required knowledge for counsellors, therapists, psychologists and psychiatrists engaging in therapeutic or clinical work. These issues form part of the curriculum and practice requirements of all the major counselling, psychotherapy, psychology and psychiatry professional organisations (including BACP, BPS, HCPC, RCP, UKCP, IACP, IPS and IAHIP). Divided in six clearly defined sections, this book will provide a comprehensive overview of all the major professional practice and ethical issues in one edited volume. The authors are well-known experts in their fields and their work has been brought together with clarity and helpful features, including reflective questions and case vignettes. This new edition has also been updated to include content on social justice, community psychology and professional guidelines, reflecting the latest academic research and clinical developments. This book is unique in the breadth of issues covered and its focus on therapeutic practice. It will be of interest to practitioners and students of psychotherapy, counselling and psychiatry.
Assessment is a core component of social work. Since first publication, Assessment in Social Work has provided students and practitioners with a clear overview of the complex issues they face and a map of the theory they need to draw on in order to conduct thorough, effective and meaningful assessments. New to this Edition: - Updated and revised chapter on Signs of Safety/Strengths in light of recent research and guidance - Coverage of recording and sharing information included throughout the text - Added coverage of confidentiality and inter-agency workingUpdated material in light of the Mental Capacity Act - More material on Cultural differences throughout - Updated legislation and professional guidance throughout Refreshed and updated examples thought-out the text - A more detailed outline of the different national perspectives within the UK