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Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
In recent years, there has been a growing awareness of the multiple interrelationships between depression and various physical diseases. The WPA is providing an update of currently available evidence on these interrelationships by the publication of three books, dealing with the comorbidity of depression with diabetes, heart disease and cancer. Depression is a frequent and serious comorbid condition in diabetes, which adversely affects quality of life and the long-term prognosis. Co-occurrent depression presents peculiar clinical challenges, making both conditions harder to manage. Depression and Diabetes is the first book devoted to the interaction between these common disorders. World leaders in diabetes, depression and public health synthesize current evidence, including some previously unpublished data, in a concise, easy-to-read format. They provide an overview of the epidemiology, pathogenesis, medical costs, management, and public health and cultural implications of the comorbidity between depression and diabetes. The book describes how the negative consequences of depression in diabetes could be avoided, given that effective depression treatments for diabetic patients are available. Its practical approach makes the book ideal for all those involved in the management of these patients: psychiatrists, psychologists, diabetologists, general practitioners, diabetes specialist nurses and mental health nurses.
The first book in the new Wiley Series on Geropsychology, Psychotherapy for Depression in Older Adults is a practical resource created by a team of international luminaries in the field. Developed in conjunction with the Gerontology Center of the University of Colorado, this expert guide provides evidence-based treatment approaches for alleviating depression in older adults.
In a world of information that tends toward randomness, therapists and clinicians often need guidance regarding how best to use new technologies and yet not allow the chaos of new media to undermine their practice. Here, a leading provider of online mental health information, Dr. Robert Hsiung, has gathered a group of distinguished contributors to discuss clinical, ethical, and legal issues pertaining to e-therapy. Full of case studies and examples of active programs that deliver mental health information and therapy via new media, E-Therapy offers first-hand accounts of the potential and risks of recent trends in 'distance therapy' and 'telepsychiatry.' Chapters include The Internet 'Expert': Ronald Pies An E-Patient's Story: Martha Ainsworth Chat Room Therapy: Gary S. Stofle Using E-mail to Support Outpatient Treatment: Joel Yager Community Telepsychiatry: Sara F. Gibson An Online Self-Help Group Hosted by a Mental Health Professional: Robert C Hsiung Principles of Professional Ethics: Robert C Hsiung Legal Ethics in On-line Mental Health: Nicholas P. Terry
Major depressive disorder (MDD) is the leading cause of disability globally in both developed and developing nations. The staggering economic costs attributable to MDD are largely a consequence of impairment in role function. Evidence indicates that disturbance in the domain of cognitive function in individuals with MDD is the principal determinant of health outcome. This is the first book to comprehensively explore the domain of cognition in MDD. The literature describing cognitive dysfunction is reviewed with particular focus on clinical determinants, pathophysiology and causative factors. The patient subpopulations most susceptible are defined. A summary of contemporary assessment tools for research and clinical purposes is provided. Multimodality treatments and prevention strategies are described. This book is an invaluable resource for psychiatrists, neuropsychologists and other members of the mental health team, as well as for policy makers, vocation rehabilitation experts, disability providers and other stakeholders interested in improving health outcomes in MDD.
This authoritative, clinically relevant resource offers state-of-the-art discussions on the current status of geriatric psychopharmacology-furnishing an empirically based approach to the treatment of psychiatric disorders in elderly patients and focusing on the management of specific illnesses. Examines the pharmacological treatment of depression in conjunction with other conditions, including heart disease, cancer, Parkinson's disease, and dementia! Written by more than 20 internationally recognized experts representing distinguished institutions in the United States and Europe, Geriatric Psychopharmacology reviews the pharmacokinetics of psychotropic drugs and neurochemistry during the aging process analyzes therapeutic approaches to psychotic depression, major depression, and bereavement-related depression describes anticonvulsant and lithium therapy for bipolar disorder and lithium toxicity in older patients details the treatment of late-life psychosis and psychosis in Parkinson's disease explains therapeutic approaches for anxiety, panic, and obsessive-compulsive disorder as well as the role of sedative-hypnotics addresses the neuroleptic and nonneuroleptic treatment of dementia and more!
With a prevalence of 3% to 5% in the general population, depression is the most common mental disorder. Ranging from the almost universal 'blues' to very severe psychotic states in which a patient suffers delusions, hallucinations and paranoia, depression is consequently managed by a wide variety of health-care groups, including GPs, social workers, psychologists, psychiatrists, nurses and counsellors. This book attempts to produce a synthesis of all relevant facts about this range of affective disorders and to make sense of the many different ways they present and are treated by health-care workers. The aims of this book are to describe the social, psychological and physical treatments of depression; to indicate the strengths, weaknesses and indications for each; and to show how they may be used together in the management of depression as it presents from primary to tertiary care and at different stages.
With growing access to health information, people who suffer from depression are increasingly eager to play an active role in the management of their symptoms. The goal of self-management is to support patients in monitoring and managing their symptoms and provide them with additional resources to promote recovery, enhance quality of life, and prevent relapse. For clinicians, self-management holds promise for improving practice efficiency and efficacy by helping patients maximize their improvement outside of treatment sessions. Self-Management of Depression is written for clinicians who wish to empower their patients to take more active steps to manage depression. Chapters cover care management, self-assessment, exercise, self-help books and computer programs, meditation, and peer-support groups and strategies for how to incorporate self-management into a treatment plan are described. Reproducible handouts to support patients are also available online. This book is relevant to clinical psychologists, psychiatrists, psychiatric nurses, social workers and primary care physicians.
At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.