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In Canada, at least 5 percent of the population suffers from a serious, persistent mental illness such as schizophrenia or bipolar disorder. While recent years have seen many changes and improvements in the way we respond to the needs of mentally ill persons, there remain divisions of opinion among stakeholder groups about the way mental health services are delivered. Community Mental Health in Canada offers a timely, critical overview of the provision of public mental health services in Canada, looking at where we have come from, the current situation, and where we may be heading. Concise, yet comprehensive, coverage includes: the prevalence and impact of mental illness in Canada the complementary and conflicting interests of stakeholder groups, such as mental health professionals, clients, families, government, and drug companies current and developing initiatives in treatment, rehabilitation, housing, and criminal justice programs the clinical benefits and costs of particular interventions, among them pharmacotherapy and cognitive-behavioural treatments the recovery model diversity and cultural competence the legal and ethical basis of mental health practice, particularly as it applies to the use of coercion and involuntary treatment Community Mental Health in Canada fills a gap in the literature in its analysis of both clinical mental health practice as well as the structural context within which it is situated. An indispensable resource for students, practitioners, and policymakers, it also is essential reading for all those interested in how services are provided to our most vulnerable citizens.
High-profile legal cases involving individuals with mental health challenges often address complex issues that confront previous decisions of the courts, influence or change existing social policies, and ultimately have a profound impact on the daily practice of mental health professionals and the lives of their patients. Providing in-depth context into milestone cases in forensic mental health, this book addresses issues such as the confidentiality of mental health records, criminal responsibility, fitness to stand trial, the right of individuals to refuse mental health treatment, and the duty of mental health practitioners to warn and protect individuals who may be at risk of harm at the hands of a patient. The authors explore the social and political context in which these cases occurred, incorporating court decisions, contemporaneous media articles, and legal reviews in the analysis. Graham Glancy and Cheryl Regehr, who are experts in the field of forensic psychiatry, draw upon their own practice, in addition to scholarly literature, to describe the impact of the decisions rendered by the courts in the area of mental health and offer practical guidelines for professionals working at the interface of law and mental health.
Accounting for almost two-thirds of the country’s land mass, northern Canada is a vast region, host to rich natural resources and a diverse cultural heritage shared across Indigenous and non-Indigenous residents. In this book, the authors analyse health and health care in northern Canada from a perspective that acknowledges the unique strengths, resilience, and innovation of northerners, while also addressing the challenges aggravated by contemporary manifestations of colonialism. Old and new forms of colonial programs and policies continue to create health and health care disparities in the North. Written by individuals who live in and study the region, Health and Health Care in Northern Canada utilizes case studies, interviews, photographs, and more, to highlight the lived experiences of northerners and the primary health issues that they face. In order to maintain resilience, improve the positive outcomes of health determinants, and diminish negative stereotypes, we must ensure that northerners – and their cultures, values, strengths, and leadership – are at the centre of the ongoing work to achieve social justice and health equity.
Canada has long been recognized as a leader in the field of psychiatric epidemiology, the study of the factors affecting mental health in populations. However, there has never been a book dedicated to the study of mental disorder at a population level in Canada. This collection of essays by leading scholars in the discipline uses data from the country's first national survey of mental disorder, the Canadian Community Health Survey of 2005, to fill that gap. Mental Disorder in Canada explores the history of psychiatric epidemiology, evaluates methodological issues, and analyzes the prevalence of several significant mental disorders in the population. The collection also includes essays on stigma, mental disorder and the criminal justice system, and mental health among women, children, workers, and other demographic groups. Focusing specifically on Canadian scholarship, yet wide-reaching in scope, Mental Disorder in Canada is an important contribution to the dissemination and advancement of knowledge on psychiatric epidemiology.
Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.
At any given time, three million Canadians are living with some kind of mental illness. But despite its prevalence, the public and even some health practitioners are badly misinformed about its causes and treatment. This book is an essential road map to hope and recovery. It tells the reader where to get help and what pitfalls to avoid. It defines the most common forms of mental illness, discusses the advantages and drawbacks of medication, and tackles the ultimate taboo of suicide. It offers coping strategies for consumers, family members, friends, and employers, and demonstrates how they can all contribute to the recovery of a person with a mental illness. Medication and psychotherapy only go so far – housing, meaningful activity, and friendships are as crucial to recovery as any drug. In The Last Taboo, Scott Simmie recounts his own battle with a serious mental disorder, and his partner, Julia Nunes, provides a care-giver and supporter’s perspective on living with a mentally ill loved-one. Throughout they include the real stories of other Canadians, who give their own perspectives on the successes and failures of the health care system. • In any given year, one in five Canadians will experience symptoms of mental disorder • The Last Taboo provides sympathetic advice and practical information on: the causes of mental disorder/mood disorders, including depression and bipolar affective disorder / anxiety disorders / substance abuse / eating disorders / personality disorders / schizophrenia / where to go for help / giving help / medication / psychotherapy / alternative medicine / stigma / suicide • Includes Appendix, Glossary, Useful Books, and Useful Websites
The overwhelming majority of police calls involve individuals with mental health experiences and yet limited resources exist to prepare first responders for these interactions. Police Response to Mental Health in Canada addresses this gap in the field, providing practical guidance to police studies students on how best to respond to mental health-related calls in both critical and non-critical situations.In addition, this book focuses on the mental health of policing professionals by addressing common mental health symptoms and providing strategies to improve the mental health wellness of policing professionals. Aligned with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, (DSM-5) criteria, this text provides in-depth explanations of the mental health conditions commonly encountered in policing, including mood, psychosis, personality, substance abuse, and post-traumatic stress disorders. Written in an accessible style, this book includes pedagogical tools such as scenario-based learning, case studies, reflection questions, group activities, and chapter summaries to reinforce the learning objectives outlined at the start of each chapter. With the increasing demand for law enforcement officials to be better informed and prepared to interact with those experiencing mental health issues, this is a timely resource for students in college and university police studies programs. FEATURES: - Learning objectives, case studies, and discussion questions - Contributions from leaders in fields of health services, psychology, criminology, policing, and corrections - Discussion of Canadian issues that are relevant across the country, including police relations with Indigenous populations and incidents of gang-related violence
This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.
The human suffering associated with mental illness is something that more than one in five Canadians face at some point in their life.