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This book considers how rurality interacts with the mental health and wellbeing of individuals and communities in different regional settings. Through the use of international and comparative case studies, the book offers insight into the spatiality of mental health diagnoses, experiences, services provision and services access between and within rural areas. It is the first book to specifically address rural mental health geographies from an international perspective, and will be of interest to researchers and policymakers in rural studies, regional studies, health geography and rural mental health.
Through a series of case studies this book brings to the fore the voices, lives, and capacities of people with mental health problems as well as the difficulties they face. It effectively demonstrates the ways people with mental health problems are active in re-scripting versions of social recovery through their use of very different community spaces. Offers a 'hopeful epistemology' not typically found in mental health-related research Interrogates neo-liberal dogma that defines people with mental health problems as active social citizens wholly responsible for their own recoveries and acceptance Brings to the fore the voices of, lives, capacities and difficulties facing people with mental health problems Imaginatively differentiates rural, urban, interest and technological communities, disrupting familiar and conventional accounts of social inclusion and 'the local' Demonstrates how people with mental health problems are active in re-scripting their own social recoveries through their use and understanding of different social spaces
'This is a unique interpretation of rural issues that will become essential reference for students, scholars, politicians, developers and rural activists...' - Imre Kovach, President, European Society for Rural Sociology, Research director, Institute for Political Sciences, Budapest
A comprehensive single-source book about rural mental health and substance abuse. Provides the latest information and results from research concerning these two topics. Covers: mental disorders in rural areas; alcohol and other drug abuse in rural areas: a review of epidemiologic evidence; mental health service delivery in rural areas: organizational and clinical issues; human resource issues for rural mental health; the future of mental health and rural America; and a comprehensive annotated resource guide to rural mental health-related information.
There is a strong case today for a specific focus on mental public health and its relation to social and physical environments. From a public health perspective, we now appreciate the enormous significance of mental distress and illness as causes of disability and impairment. Stress and anxiety, and other mental illnesses are linked to risks in the environment. This book questions how and why the social and physical environment matters for mental health and psychological wellbeing in human populations. While putting forward a number of different points of view, there is a particular emphasis on ideas and research from health geography, which conceptualises space and place in ways that provide a distinctive focus on the interactions between people and their social and physical environment. The book begins with an overview of a rich body of theory and research from sociology, psychology, social epidemiology, social psychiatry and neuroscience, considering arguments concerning 'mind-body dualism', and presenting a conceptual framework for studying how attributes of 'space' and 'place' are associated with human mental wellbeing. It goes on to look in detail at how our mental health is associated with material, or physical, aspects of our environment (such as 'natural' and built landscapes), with social environments (involving social relationships in communities), and with symbolic and imagined spaces (representing the personal, cultural and spiritual meanings of places). These relationships are shown to be complex, with potential to be beneficial or hazardous for mental health. The final chapters of the book consider spaces of care and the implications of space and place for public mental health policy, offering a broader view of how mental health might be improved at the population level. With boxed case studies of specific research ideas and methods, chapter summaries and suggestions for introductory reading, this book offers a comprehensive introduction which will be valuable for students of health geography, public health, sociology and anthropology of health and illness. It also provides an interdisciplinary review of the literature, by the author and by other writers, to frame a discussion of issues that challenge more advanced researchers in these fields.
Bringing together well-established interdisciplinary scholars - including geographers Phil Hubbard, Chris Philo and Hester Parr, and sociologists Jenny Hockey, Mike Hepworth and John Urry - and a new generation of researchers, this volume presents a wide range of innovative studies of fundamentally important questions of emotion. Following an overarching introduction, three interlinked sections elaborate key intersections between emotions and spatial concepts, on which each chapter offers a particular take informed by substantive research. At the heart of the collection lies a commitment to convey how emotions always spill over from one domain to another, as well as to illuminate the multiplicity of spaces that produce and are produced by emotional life. The book demonstrates the richness that an interdisciplinary engagement with the emotionality of socio-spatial life generates.
This book brings together Indigenous and allied experts addressing mental health among Indigenous peoples across the traditional territories commonly known as the Americas (e.g. Canada, US, Caribbean Islands, Mexico, Bolivia, Venezuela, Ecuador and Brazil), Asia (e.g. China, Korea, Japan, Taiwan and Indonesia), Africa (e.g. South Africa, Central and West Africa) and Oceania (New Guinea and Australia) to exchange knowledge, perspectives and methods for mental health research and service delivery. Around the world, Indigenous peoples have experienced marginalization, rapid culture change and absorption into a global economy with little regard for their needs or autonomy. This cultural discontinuity has been linked to high rates of depression, substance abuse, suicide, and violence in many communities, with the most dramatic impact on youth. Nevertheless, Indigenous knowledge, tradition and practice have remained central to wellbeing, resilience and mental health in these populations. Such is the focus of this book.
Anxious Geographies offers a unique perspective on social anxiety, framing it as both a social and spatial phenomenon. Through a meticulous exploration using online questionnaires and interviews, the book provides a crucial examination of the intricacies of anxious lives. This book presents a critical intervention in the experience of mental health in 21st-century society and provides a compelling geographical account of the underpinnings of the anxious experience. The book pivots on the in-depth perspectives of people with social anxiety, diagnosed or “sub-clinical”, but with an academic commentary that relates their experience to the medicalisation of a disrupted relational life, offering lessons for all of us in modern societies. Each chapter considers a unique aspect of social anxiety accounting for the social, spatial, temporal, relational and embodied dynamics, a geographical approach that enriches our understanding of the contexts and conditions that exacerbate and sustain anxious distress. The phenomenological descriptions herein, capture how social anxiety can profoundly alter a person’s coherent, habitual and embodied sense of being in and navigating through their social and spatial worlds. Through the experiential accounts of anxious distress and by considering the social contexts in which they emerge, this book provides readers with crucial insights into the hidden lives of those living with social anxiety. This book will be of appeal to academics, researchers and postgraduate students in the fields of human geography and across the social sciences and humanities. It will also provide useful insights for academics and health professionals in social psychiatry, social psychology, counselling studies and therapeutic practice.
Over the course of the last decade, political and mental entities at large have embraced global mental health: the idea that psychiatric health is vital to improved quality of life. Physicians globally have implemented guidelines recommended by the National Institute of Mental Health (NIMH) in 2007, thereby breaking down barriers to care and improving quality of life in areas where these practices have been implemented. Programs for training and education have expanded as a result. Clinicians benefit more from both local resources in some regions as well as in international collaboration and technological advancements. Even amidst all of these positive outcomes, clinicians still face some stumbling blocks. With worldwide statistics estimating that 450 million people struggle with mental, neuropsychiatric, and neurological disorders—25 percent of the world’s non-communicable disease burden—rising to these challenges prove to be no small feat, even in wealthy Western nations. Various articles and books have been published on global mental health, but few of them thoroughly cover the clinical, research, innovative, and social implications as they pertain to psychiatry; often, only one of these aspects is covered. A comprehensive text that can keep pace with the rapidly evolving literature grows more and more valuable each day as clinicians struggle to piece together the changes around the world that leave open the possibility for improved outcomes in care. This book seeks to boldly rectify this situation by identifying innovative models of service delivery, training, education, research funding, and payment systems that have proven to be exemplary in implementation and scalability or have potential for scalability. Chapters describe specific barriers and challenges, illuminating effective strategies for improved outcomes. This text is the first peer-reviewed resource to gather prestigious physicians in global mental health from around the world and disseminate their expertise in the medical community at large in a format that is updateable, making it a truly cutting-edge resource in a world constantly changed by medical, scientific, and technological advances. Innovations in Global Mental Health is the ultimate resource for psychiatrists, psychologists, primary care physicians, hospitalists, policy makers, and all medical professionals at the forefront of global mental health and its implications for the future.