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During the past decade or more, there has been a rapid evolution of mental health services and treatment technologies, shifting psychiatric epidemiology, changes in public behavioral health policy and increased understanding in medicine regarding approaches to clinical work that focus on patient-centeredness. These contemporary issues need to be articulated in a comprehensive format. The American Association of Community Psychiatrists (AACP), a professional organization internationally recognized as holding the greatest concentration of expertise in the field, has launched a methodical process to create a competency certification in community psychiatry. As a reference for a certification examination, that effort will benefit enormously from a comprehensive handbook on the subject.
Community mental health care has evolved as a discipline over the past 50 years, and within the past 20 years, there have been major developments across the world. The Oxford Textbook of Community Mental Health is the most comprehensive and authoritative review published in the field, written by an international and interdisciplinary team.
Physicians who choose to serve in public-sector mental healthcare settings and physicians-in-training assigned to public-sector mental health clinics may not be fully prepared for the many roles of the public and community psychiatrist. Public and Community Psychiatry is a concise guide for the resident and early-career psychiatrist called upon to serve in the roles of public-sector clinician, team member, advocate, administrator, and academician. Each chapter includes a concise description of these various roles and responsibilities and offers engaging examples of the public psychiatrist at work, as well as case-based problems typical of those faced by the public psychiatrist. Each chapter also features works of art and literature, usually from the public domain, in order to incorporate the core strengths of medical humanities into the dialogue of public-sector mental healthcare. This book aims to provide a level of support to psychiatrists that fosters their desire, individually and collectively, to serve the poor and the marginalized with grit and determination, and to broadly consider their potential to improve not only their patients' well-being, but also these patients' incorporation into their respective communities.
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.
Mental health practices and programs around the world face growing criticism from policymakers, consumers, and service providers for being ineffective, overly reliant on treatment by professionals, and overly focused on symptoms. Many have called for new paradigms of mental health and new practices that can better support recovery, community integration, and adaptive functioning for persons diagnosed with psychiatric disabilities. While there has recently been much discourse about transformation and recovery, there has yet to be a critical and systematic review that unpacks the concept of mental health systems transformation or that examines strategies for how to create transformative change in mental health. Community Psychology and Community Mental Health provides empirical justification and a conceptual foundation for transformative change in mental health, based on community psychology values and principles of ecology, collaboration, empowerment, and social justice. Chapters provide strategies for making changes at the level of society, policy, organizations, community settings, and mental health practices. The editors and authors draw from experience in different countries in recognition of the need to tailor change strategies to different contexts. The common experiences of the international perspectives represented underscore the importance and the need for a new paradigm while demonstrating that there are many alternatives and opportunities for pursuing transformative change. This book will be of interest to community mental health professionals, researchers, and students, as well as policymakers, administrators, and those with lived experience of mental health issues.
The massive depopulation of state mental hospitals in the 1950s (known as "deinstitutionalization") posed special challenges to mental health consumers in need of intensive psychiatric treatment. No longer confined to long-term inpatient psychiatric wards, consumers were thrust into nursinghomes, assisted living centers, and onto the streets. Psychiatric treatment was relocated to the community, and the concept of recovery took on a new meaning.Classics in Community Psychiatry is the first volume to examine the course of the community psychiatry movement over the past fifty years. Starting with deinstitutionalization, the editors chart the progress and setbacks of the movement by presenting carefully selected primary source material fromthe realms of academia, politics, and even literature. For example, a classic journal article explores the relationship between social class and mental health, while excerpts from government documents describe mental health legislation. A novel demonstrates social attitudes toward the mentally ill,while a report from a federally funded task force discusses homelessness and severe mental illness. Each selection pinpoints a specific issue and moment of time during the history of mental health services over the past five decades, and is accompanied by insightful commentary from the volume'seditors. The result is a unique, innovatively conceived book that incorporates many different viewpoints to illustrate the evolution of community psychiatry, as well as the need to devote more resources and planning to mental health services looking ahead. Classic in Community Psychiatry will be avaluable resource for mental health professionals, including psychiatrists, psychologists, social workers, administrators, and policymakers, and for graduate and undergraduate students in community psychology and psychiatry.
The volume evaluates major developments in psychiatry in India from the 1950s, and highlights the areas where Indian psychiatry has contributed to the development of the subject worldwide. The chapters review international as well as Indian developments in psychiatry and its sub-specialities. A wide range of clinical, research and policy-related topics have been covered in the volume, which begins with an overview of the history of psychiatry in India, moving on to developments in various sub-specialities of psychiatry in the last 60 years or so. It then specifically discusses developments in psychology and psychodynamics, general adult and child psychiatry, substance use psychiatry, community psychiatry, liaison psychiatry, and other psychiatric sub-specialities. Developments in treatment, the status of training and service in psychiatry and legal issues related to the practice of psychiatry in India are also included. The contributors to this volume are nationally and internationally recognized experts in different areas of psychiatry. Most of them have had some association, or are currently associated, with the Department of Psychiatry at the Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Community Child and Adolescent Psychiatry addresses questions to consider before assuming a staff or administrative position in a community agency; legal and ethical issues; roles for various disciplines and team members in today's multidisciplinary environment; general principles, tools, and issues; the overall mission of a particular type of agency; and--equally important--the wealth of opportunities to do good work.