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Modern society is increasingly preoccupied with fears for the future and the idea of preventing 'the worst'. The result is a focus on attempting to calculate the probabilities of adverse events occurring – in other words, on measuring risk. Since the 1990s, the idea of risk has come to dominate policy and practice in mental health across the USA, Australasia and Europe. In this timely new text, a group of international experts examines the ways in which the narrow focus on specific kinds of risk, such as violence towards others, perpetuates the social disadvantages experienced by mental health service users whilst, at the same time, ignoring the vast array of risks experienced by the service users themselves. Benefitting from the authors' extensive practice experience, the book considers how the dominance of the risk paradigm generates dilemmas for mental health organizations, as well as within leadership and direct practice roles, and offers practical resolutions to these dilemmas that both satisfy professional ethics and improve the experience of the service user. Combining examination of key theories and concepts with insights from front line practice, this latest addition to Palgrave's Beyond the Risk Paradigm series provides an important new dimension to debates on mental health provision.
Modern society is increasingly preoccupied with fears for the future and the idea of preventing 'the worst'. The result is a focus on attempting to calculate the probabilities of adverse events occurring – in other words, on measuring risk. Since the 1990s, the idea of risk has come to dominate policy and practice in mental health across the USA, Australasia and Europe. In this timely new text, a group of international experts examines the ways in which the narrow focus on specific kinds of risk, such as violence towards others, perpetuates the social disadvantages experienced by mental health service users whilst, at the same time, ignoring the vast array of risks experienced by the service users themselves. Benefitting from the authors' extensive practice experience, the book considers how the dominance of the risk paradigm generates dilemmas for mental health organizations, as well as within leadership and direct practice roles, and offers practical resolutions to these dilemmas that both satisfy professional ethics and improve the experience of the service user. Combining examination of key theories and concepts with insights from front line practice, this latest addition to Palgrave's Beyond the Risk Paradigm series provides an important new dimension to debates on mental health provision.
This book argues that the concept of care is a political and a moral concept. As such, it enables us to examine moral and political life through a radically different lens. The editors and contributors to the book argue that care has the potential to interrogate relationships of power and to be a tool for radical political analysis for an emerging critical social work that is concerned with human rights and social justice. The book brings a critical ethics of care into the realm of theory and practice in social work. Informed by critical theory, feminism, intersectionality and post-colonialism, the book interrogates the concept of care in a wide range of social work settings. It examines care in the context of social neglect, interdisciplinary perspectives, the responsibilisation agenda in social work and the ongoing debate about care and justice. It situates care in the settings of mental health, homelessness, elder care, child protection, asylum seekers and humanitarian aid. It further demonstrates what can be learnt about care from the post-colonial margins, Aboriginal societies, LGBTI communities and disability politics. It demonstrates ways of transforming the politics and practices of care through the work of feminist mothers, caring practices by men, meditations on love, rethinking self-care, extending care to the natural environment and the principles informing cross-species care. The book will be invaluable to social workers, human service practitioners and managers who are involved in the practice of delivering care, and it will assist them to challenge the punitive and hurtful strategies of neoliberal rationalisation. The critical theoretical focus of the book has significance beyond social work, including nursing, psychology, medicine, allied health and criminal justice.
This timely analysis sets out the full impacts of policy reform, austerity and marketisation on our country's mental health services.
The Routledge Handbook of Social Work Theory provides an interdisciplinary and international introduction to social work theory. It presents an analytical review of the wide array of theoretical ideas that influence social work on a global scale. It sets the agenda for future trends within social work theory. Separated into four parts, this handbook examines important themes within the discourses on social work theory, as well as offering a critical evaluation of how theoretical ideas influence social work as a profession and in practice. It includes a diverse range of interdisciplinary topics, covering the aims and nature of social work, social work values and ethics, social work practice theories and the use of theory in different fields of practice. The contributors show how and why theory is so important to social work and analyze the impact these concepts have made on social intervention. Bringing together an international team of leading academics within the social work field and newer contributors close to practice, this handbook is essential reading for all those studying social work, as well as practitioners, policymakers and those involved in the associated fields of health and social care.
Designed to support training and CPD in compulsory mental health work, this book looks at assessment, detention, compulsion and coercion in a variety of mental health settings. It focuses on decision making in a variety of professional roles with people from a diversity of backgrounds including contributions from people with lived experience of mental health services. With emphasis on theory into practice, the book is essential reading for those looking to develop their reflexive and critical analytical skills. Essential reading for all professionals making decisions under mental health legislation and those developing, teaching and supporting practitioners in the workplace, it includes: • critical reflection techniques; • introductory and concluding chapters, summarising the key themes and outlining the future.
Suicide is a leading cause of death globally and the second biggest cause of death in young people. Over 800,000 people commit suicide annually. While many approaches to suicide prevention have been proposed, the only ones to show even limited success are those at the grassroots level; involving everyone, from parents to teachers, health care providers and the community as a whole. This book explores both current and outdated perceptions of suicide and presents a number of novel approaches and tools to prevent suicide.
The SAGE Handbook on Decision Making, Assessment and Risk in Social Work provides a comprehensive overview of key strands of research and theoretical concepts in this increasingly important field. With 49 chapters and four section summaries, this Handbook describes the ‘state of the art’; discuss key debates and issues; and gives pointers on future directions for practice, research, teaching, management of services, and development of theoretical understandings. A key aim of this Handbook is to support the development of sound, applied knowledge and values to underpin reasoned professional judgement and decision making by social workers in practice and those in management and regulatory roles. With contributions from a global interdisciplinary body of leading and emerging scholars from a wide variety of roles, this handbook has been designed to be internationally generalisable and applicable to all major areas of social work. This Handbook provides a field-defining account of decision making, assessment and risk in social work which is unrivalled for its diversity and strength of coverage, and will be of value to social work researchers, teachers and practitioners, as well as to those in allied fields such as health care. Section 1: Professional Judgement Section 2: Assessment, Risk and Decision Processes Section 3: Assessment Tools and Approaches Section 4: Developing and Managing Practice Section 5: Concluding Section / Afterword
This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.
This book explores how digital media can extend care practices among friends and peers, researching young people’s negotiations of sexual health, mental health, gender/sexuality, and dating apps, and highlighting the need for a multifocal approach that centres young people’s expertise. Taking an "everyday practice" approach to digital and social media, Digital Media, Friendship and Cultures of Care emphasises that digital media are not novel but integrated into daily life. The book introduces the concept of "digital cultures of care" as a new framework through which to consider digital practices of friendship and peer support, and how these play out across a range of platforms and networks. Challenging common public and academic concerns about peer and friendship influences on young people, these terms are unpacked and reconsidered through attention to digital media, drawing on qualitative research findings to argue that digital and social media have created important new opportunities for emotional support, particularly for young people and LGBTQ+ people who are often excluded from formal healthcare and social support. This book and its comprehensive focus on friendship will be of interest to a range of readers, including academics, students, health promoters, educators, policymakers, and advocacy groups for either young people, LGBTQ+ communities, or digital citizenship. Academics most interested in this book will be working in digital media studies, health sociology, critical public health, health communication, sexualities, cultural studies, sex education, and gender studies.