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Mental Health: A Person-centred Approach aligns leading research with the human connections that can be made in mental health care.
Many people with serious mental illnesses opt to not seek mental health services, or drop out of interventions early. As a result, their condition may become more disabling. In the past, mental health professionals considered this behaviour to be a failure to comply with or adhere to treatment. Such adherence plans are, however, at odds with emerging empirical research and modern philosophies of recovery and personal empowerment. Using the latest outcomes research, authors in this volume show that having control over one's life goals and treatment plan is essential to clients' recovery. They also demonstrate how person-centered care can take place across various contexts, including mandated treatment, psychotherapy, medication management, supported employment, family education, complementary medicine, and peer support. Readers will familiarize themselves with practices that enhance self-determination among people with serious mental illness. These include collaborative goal setting, motivational interviewing, and creating psychiatric advance directives. Also reviewed here are cognitive behavioural and rehabilitative interventions that help people with information processing difficulties to better understand their health options. In the new person-centered care environment, recently codified in the Affordable Care Act, people are seen as consumers of mental health services rather than patients who must comply with doctor's orders. The ideas presented in this volume are the future of care for the seriously mentally ill.
Practical and evidence-based, this unique book is the first comprehensive text focused on person-centered approaches to people with serious mental illness such as schizophrenia and bipolar disorder. It reflects a range of views and findings regarding assessment, treatment, rehabilitation, self-help, policy-making, education and research. It is highly recommended for all healthcare professionals, students, researchers and educators involved in general practice, psychiatry, nursing, social work, clinical psychology and therapy. Healthcare service providers, and policy makers and shapers, will find the book's wide-ranging, multi-professional approach enlightening. 'Serious Mental Illness reflects a continued distancing from the outmoded and unsubstantiated belief that people with severe mental illnesses could not recover, and that they would respond positively only to goals and treatment plans chosen, designed and implemented by providers in order to prevent their further deterioration. Anyone with an interest in the concept of person-centered approaches will discover new ideas in this book. Indeed, anyone with an interest in person-centered approaches has to read this book. Not only is it the first such book on person-centered approaches, but it will serve as the gold standard in this topic area for years to come.' William A Anthony, in the Foreword
Clients with mental health conditions are often diagnosed and treated using a strictly medical model of diagnosis, with little input from the client themselves.This reference manual takes a person-centered, holistic approach to diagnosis and treatment, seeing the client as the unrecognized expert on their condition and encouraging their collaboration. Designed to complement the DSM-IV, the manual covers several different conditions including ADHD, depression, bulimia, and OCD, as well as mental health 'patterns' such as abuse, bullying, violence and loss. In each case, the client is involved in the diagnosis and treatment plan. the book features extended case studies, sample questions and treatment plans throughout.This will be an essential reference book for all those involved in mental health diagnosis and treatment, including psychologists, psychiatrists, mental health counselors, clinical social workers, school counselors and therapists.
Requirements for treatment planning in the mental health and addictions fields are long standing and embedded in the treatment system. However, most clinicians find it a challenge to develop an effective, person-centered treatment plan. Such a plan is required for reimbursement, regulatory, accreditation and managed care purposes. Without a thoughtful assessment and well-written plan, programs and private clinicians are subject to financial penalties, poor licensing/accreditation reviews, less than stellar audits, etc. In addition, research is beginning to demonstrate that a well-developed person-centered care plan can lead to better outcomes for persons served.* Enhance the reader's understanding of the value and role of treatment planning in responding to the needs of adults, children and families with mental health and substance abuse treatment needs* Build the skills necessary to provide quality, person-centered, culturally competent and recovery / resiliency-orientated care in a changing service delivery system* Provide readers with sample documents, examples of how to write a plan, etc.* Provide a text and educational tool for course work and training as well as a reference for established practioners* Assist mental health and addictive disorders providers / programs in meeting external requirements, improve the quality of services and outcomes, and maintain optimum reimbursement
A valuable resource for psychiatrists and other mental health service providers wanting to use person-centered approachesHolistic approach to mental health carePractical tools for service users and providersIllustrated with case examplesFull of printable handoutsPerson-centered mental health care is essential for keeping service users at the center of care. This handbook uses practical examples across clinical care, research, education, and healthcare administration to illustrate how to implement person-centered approaches for clients with serious mental health challenges. Looking at the different service points that this growing population of clients encounter enables service providers to see how to implement holistic person-centered care in an effective manner.Each chapter follows a concrete case example exploring different techniques, tools, and resources that can be used by service users and service providers. An appendix provides the handouts in printable form. Written by experts in person-centered care with diverse experiences with mental health-related practices and policies, this comprehensive handbook is a valuable resource for psychiatrists and other mental health practitioners, researchers, educators, and policy makers who work with people with serious mental health challenges as well as for service users themselves.
This book presents an authoritative overview of the emerging field of person-centered psychiatry. This perspective, articulating science and humanism, arose within the World Psychiatric Association and aims to shift the focus of psychiatry from organ and disease to the whole person within their individual context. It is part of a broader person-centered perspective in medicine that is being advanced by the International College of Person-Centered Medicine through the annual Geneva Conferences held since 2008 in collaboration with the World Medical Association, the World Health Organization, the International Council of Nurses, the International Federation of Social Workers, and the International Alliance of Patients’ Organizations, among 30 other international health institutions. In this book, experts in the field cover all aspects of person-centered psychiatry, the conceptual keystones of which include ethical commitment; a holistic approach; a relationship focus; cultural sensitivity; individualized care; establishment of common ground among clinicians, patients, and families for joint diagnostic understanding and shared clinical decision-making; people-centered organization of services; and person-centered health education and research.
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Applying Person-centred Care in Mental Health focuses on the environment of inpatient mental health units. Here, a patient's actions are often understood through reference to their illness; if they disagree with staff they lack insight or are aggressive, if they seek independence they are uncooperative and non-compliant, if they wish to be alone they are seen as withdrawn. Imagine being this patient, faced with situations where you are told your reality is not right, that you are a different person to who you think you are and that you have a mental disorder and need treatment, even though you do not think so. Imagine the impact this clash of values could have on you, where your values are routinely undermined, ignored, or subsumed within a medical paradigm. This contemporary and unique guide will be valuable for all staff working with people with a mental illness. Its focus is on inpatient units, however it also applies to staff working in the community. The guide provides a broad understanding of values-based practice and how to work with people's values from a person-centred perspective. Developed by K.W.M. Fulford, values-based practice ensures that the person, as a patient, has their perspective acknowledged and considered in any decisions or actions taken. This book utilises a 10 principle decision-making framework to guide and enable clinicians to reflect on their engagement and clinical decisions. Using exercises and practice scenarios, values used in clinical practice, how they present in different situations and how they influence decision making are examined. It will assist you to critique and monitor your practice in order to maintain best care according to the patient's perspective.
“Both timely and critical for recovery-oriented practice, this book provides practitioners with the focused, essential knowledge and skills to be truly person-centered and recovery-oriented when supporting an individual’s recovery journey. Dulmus and Nisbet have provided the field with an overdue practical resource. Making the recovery planner’s best practice individual recovery plan format available on Website is brilliant, and every agency will want to incorporate it into its EMR.” —Linda Rosenberg, President/CEO National Council for Community Behavioral Healthcare, Washington, D.C. “This is a practical and useful tool for case managers and community support workers who are assisting people with serious mental illness toward recovery. Working in a person-centered fashion is what our consumers want and expect, but to date, there have been few published tools with practical value for frontline staff. This resource is timely and relevant.” —Michael F. Hogan, PhD Hogan Health Solutions, Delmar, New York; former NYS Commissioner of Mental Health and Chair of the President’s New Freedom Commission on Mental Health, 2002–2003 Proven guidance for creating effective person-centered plans that facilitate the recovery process for individuals with serious mental illness Recent national and international mental health policy is promoting service delivery models that incorporate person-centered and recovery-oriented approaches, in which individuals are in the lead role, defining their own goals for their individualized recovery plans. Person-Centered Recovery Planner for Adults with Serious Mental Illness provides mental health practitioners with a useful resource to implement person-centered planning within a recovery framework when working with individuals with a serious mental illness. Providing a succinct overview of the historical roots, philosophy, and practice of person-centered recovery, Person-Centered Recovery Planner for Adults with Serious Mental Illness is organized around the three stages of recovery—Beginnings, Moving Forward, and Leaving Your Practitioner Behind—yet still allows both the individual and practitioner to revisit any of the three stages during the ebb and flow of an individual’s recovery journey. Sample recovery plans are included, covering the individual’s status, personal priorities, short-term objectives, and recovery steps, and are organized around common recovery goals including: Self-advocacy Family relationships Health and wellness Community involvement Stress management Relapse prevention Personal crisis planning Transportation Social relationships Meaningful activities Life skills A companion Website provides all of the plans found in the book in an easily customizable word-processing format. Person-Centered Recovery Planner for Adults with Serious Mental Illness assists practitioners in becoming effective person-centered facilitators and advocates for recovery that meaningfully supports individuals in achieving their hopes and dreams.