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At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.
Discusses the place and position of the professional in society today. Wilbert E. Moore attempts to define the characteristics of the professional and to describe the attributes that give professionals the basis for status and esteem. Dr. Moore maintains that the modern scale of professionalism demands a full-time occupation, commitment to a calling, authenticated membership in a formalized organization, advanced education, service orientation, and autonomy restrained by responsibility. The author discusses the professional's interaction on various levels—with his clients, his peers, his employers, his fellows in complementary occupations, and society at large.
The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
William Schofield presents a classic analysis of mental illness, of professional psychotherapists and their training, and of the elements of psychotherapy. He asserts the need for more rigorous selection of candidates for therapy and for a properly focused training of a new professional specialist: the psychotherapist. In his new introduction to this important critique, Schofield shows why his pleas for a rational training program are still appropriate. Psychotherapy is a pioneering critique of modern psychiatric practices. Far too many people see psychotherapy as a cure for every ill from tormenting self-doubt to lack of zest of life. Through failure to attend to careful assessment of the presenting problem, and the nature (and neglect) of the applicant's social resources, the psychotherapist can fall unwittingly into the role of moral counselor or morale coach, and can be seduced into the chronic role of "best friend." Schofield argues that today's overburdened experts psychiatrists, clinical psychologists, and psychiatric social workers are not specifically trained to administer therapy through conversation. This book, first published in 1964, is an urgent call for a new specialist, a psychotherapist trained as a specialist in therapeutic conversation. This book is also a call for a more realistic public attitude toward mental disorder one which distinguishes emotional illness from unhappiness and discontent. Everyone interested in the growth, clarification, and evaluation of psychotherapy and counseling will be challenged by Schofield's arguments.
In the 1960s and 1970s, a popular diagnosis for America’s problems was that society was becoming a madhouse. In this intellectual and cultural history, Michael E. Staub examines a time when many believed insanity was a sane reaction to obscene social conditions, psychiatrists were agents of repression, asylums were gulags for society’s undesirables, and mental illness was a concept with no medical basis. Madness Is Civilization explores the general consensus that societal ills—from dysfunctional marriage and family dynamics to the Vietnam War, racism, and sexism—were at the root of mental illness. Staub chronicles the surge in influence of socially attuned psychodynamic theories along with the rise of radical therapy and psychiatric survivors' movements. He shows how the theories of antipsychiatry held unprecedented sway over an enormous range of medical, social, and political debates until a bruising backlash against these theories—part of the reaction to the perceived excesses and self-absorptions of the 1960s—effectively distorted them into caricatures. Throughout, Staub reveals that at stake in these debates of psychiatry and politics was nothing less than how to think about the institution of the family, the nature of the self, and the prospects for, and limits of, social change. The first study to describe how social diagnostic thinking emerged, Madness Is Civilization casts new light on the politics of the postwar era.
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Hearings

United States. Congress. House. Committee on Interstate and Foreign Commerce

Published: 1963

Total Pages: 1100


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