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Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
This book is a collection of studies on mental health services in Ireland from the beginning of the nineteenth century to the present day. Essays cover overall trends in patient numbers, an exploration of the development of mental health law in Ireland, and studies on individual hospitals – all of which provide incredible insight into times past and yet speak volumes about mental health in contemporary Irish society. Topics include the famous nursing strike at Monaghan Asylum in 1919, when a red flag was raised over the building; extracts from Speedwell, a hospital newsletter, showing the social and sporting life at Holywell Hospital during the 1960s; an exploration of diseases such as beriberi and tuberculosis at Dundrum and the Richmond in the 1890s; the problems encountered by doctors in Ballinasloe Asylum as they tried to exert their authority over the Governors; and the experiences of Irish emigrants who found themselves in asylums in Australia and New Zealand. The book also includes a discussion of mental health services in Ireland 1959–2010, the first time such a chronology has been published. The editor, Pauline Prior, and the contributors, including Brendan Kelly, Dermot Walsh, Elizabeth Malcolm and E.M. Crawford, are well-known scholars within the disciplines of medicine, sociology and history, coming together for the first time to present an essential book on the history of mental health services in Ireland.
Social services for people with disabilities have undergone substantial changes over time, in particular in the past two decades. Whilst lack of affordable and appropriate housing is a barrier to community living for many people with disabilities, it is only one part of the jigsaw. This book traces some of these changes, in particular related to living situation and support available, in a range of different countries and considers the factors that have influenced these changes. This book considers other aspects of what is needed to bring about real change in the lives of all people with disabilities.
The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.
There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Features a wellspring of seminal research studies critical to understanding the complex issues surrounding mental health care and diversity. Providing a wealth of in-depth research into delivering culturally competent care, this rich anthology examines general issues in multicultural counseling competence training; ethnic minority intervention and treatment research; and sociocultural diversities. Key Features and Benefits Features carefully selected research articles that are accessible to and practical for mental health practitioners and students Provides critical background research that sprang from rigorous research methods and multivariate statistical processes Opens with the key article that details the development of the ground-breaking 21-item California Brief Multicultural Competence Scale
The textbook, Psychiatry and Pedopsychiatry, provides a comprehensive overview of psychiatry. Unlike other textbooks, it also focuses on pedopsychiatry, which is very important in the context of this specialization gaining independence in the Czech Republic. The book systematically covers mental disorders from the perspectives of their clinical record file, epidemiology, etiopathogenesis, examination methods, the course of illnesses and their treatment. It also includes interesting topics which are not commonly treated in textbooks, despite being crucial for clinical practice and important for students’ general knowledge, such as • psychiatry of somatic diseases and psychiatry of consultation, • social rehabilitation, • the structure of the discipline and a proposal for a needed reform, • urgent states in psychiatry. The text also includes an important chapter on the structure of psychiatric care in the Czech Republic and on upcoming changes. The treatment of mental patients should be gradually transferred from large psychiatric hospitals, which are often far away from the patient’s homes, to their natural living and social environment. The scholars also paid special attention to the chapter on various methods used in psychotherapy, a discipline which has been competing poorly in clinical practice against the fast and cheap pharmacotherapy.
Readings in Multicultural Practice features a wellspring of seminal research studies critical to understanding the complex issues surrounding mental health care and diversity. Providing a wealth of in-depth research into delivering culturally competent care, this rich anthology examines general issues in multicultural counseling competence training; ethnic minority intervention and treatment research; and sociocultural diversities.
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 comprehensive, authoritative text provides a state-of-the-art review of current knowledge and best practices for helping adults with psychiatric disabilities move forward in their recovery process. The authors draw on extensive research and clinical expertise to accessibly describe the “whats,” “whys,” and “how-tos” of psychiatric rehabilitation. Coverage includes tools and strategies for assessing clients’ needs and strengths, integrating medical and psychosocial interventions, and implementing supportive services in such areas as housing, employment, social networks, education, and physical health. Detailed case examples in every chapter illustrate both the real-world challenges of severe mental illness and the nuts and bolts of effective interventions.