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Cover -- Half Title -- Title Page -- Copyright Page -- Contents -- Dedication -- Preface -- List of contributors -- Acknowledgements -- Introduction -- 1 Honesty without discrimination -- 2 Community teams: outreach and intervention -- 3 Homelessness and disorder: the challenge of the antisocial and the societal response -- 4 Moving on from the National Service Framework for Mental Health: the social inclusion agenda -- 5 A GP's view: interview with Dr Helen Pelendrides -- 6 Dual diagnosis -- 7 Advocacy: does it really work? -- 8 Prejudice and progress -- 9 Clients as colleagues: part of the path to recovery? -- 10 A personal account: from my life -- 11 Working with young people: 24 hours in the life of The Highfield Family and Adolescent Unit, Oxford -- 12 Creating a small community -- 13 A space for creativity and healing: Artists in Mind and the mental health system -- 14 Enhancing the healing environment -- 15 The Retreat: an alternative perspective from the independent sector -- Index
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.
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.
This is a vital resource for anyone looking to better support people with psychosis and serious mental illnesses.
How can professionals maintain or improve the quality of care they provide when pressured by payers to reduce the cost of care? Clinicians today face the challenge of providing optimal care in an environment where costs drive clinical practice. But high quality, not cost, remains the goal of professionals. By arming themselves with measurable results, clinicians can improve the processes of delivering mental health care and translate those improvements into better outcomes for patients and their families. In this timely guide, the editors have gathered the work of 49 distinguished contributors and crafted a valuable resource for overcoming the extraordinary challenge of delivering high quality mental health care. This groundbreaking book is divided into three sections: The challenges today's clinicians face in providing optimal mental health care -- Beginning with a review of the report to then-President Clinton from the Advisory Commission on Consumer Protection and Quality in the Health Care Industry, subsequent chapters discuss professional ethics and managed care, how Wall Street investors are changing the practice of medicine, problems faced by managed care, and changes needed in medical education to ensure that physicians are well prepared to practice medicine in the 21st century. Proven techniques for quality measurement -- Measuring quality of care presents significant conceptual and methodological problems. These chapters review quality measurement methods and describe support by the federal government to improve these methods. Also addressed are how consumers are joining the quality of care measurement movement and how one large urban county mental health program is advancing quality measurement. Fourteen case reports of quality improvement projects -- These chapters detail principles and techniques that can be replicated or tailored to fulfill the requirements of a variety of clinical settings, ranging from the national health service in Great Britain to a small geriatric unit in a large hospital. The work showcased here was done by clinicians or administrators who, concerned about the quality of care in their own settings, used data to test for themselves whether their interventions resulted in improved care. Even if managed care disappeared, we would still need to question, examine, and improve the quality of patient care -- with clinicians taking the lead, because only they can appreciate the subtle nuances that maintain or improve quality standards, and only they can make substantive changes in their clinical settings. As both a broad conceptual framework for considering the quality of mental health care and as a practical field guide to real-life techniques for measuring the quality of care, this volume will prove exceptionally valuable for mental health care professionals, administrators, and policymakers as well as for consumers and consumer advocates, researchers, students, and public health professionals.
A bold, expert, and actionable map for the re-invention of America’s broken mental health care system. “Healing is truly one of the best books ever written about mental illness, and I think I’ve read them all." —Pete Earley, author of Crazy As director of the National Institute of Mental Health, Dr. Thomas Insel was giving a presentation when the father of a boy with schizophrenia yelled from the back of the room, “Our house is on fire and you’re telling me about the chemistry of the paint! What are you doing to put out the fire?” Dr. Insel knew in his heart that the answer was not nearly enough. The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken—and what a better path to mental health might look like. In the United States, we have treatments that work, but our system fails at every stage to deliver care well. Even before COVID, mental illness was claiming a life every eleven minutes by suicide. Quality of care varies widely, and much of the field lacks accountability. We focus on drug therapies for symptom reduction rather than on plans for long-term recovery. Care is often unaffordable and unavailable, particularly for those who need it most and are homeless or incarcerated. Where was the justice for the millions of Americans suffering from mental illness? Who was helping their families? But Dr. Insel also found that we do have approaches that work, both in the U.S. and globally. Mental illnesses are medical problems, but he discovers that the cures for the crisis are not just medical, but social. This path to healing, built upon what he calls the three Ps (people, place, and purpose), is more straightforward than we might imagine. Dr. Insel offers a comprehensive plan for our failing system and for families trying to discern the way forward. The fruit of a lifetime of expertise and a global quest for answers, Healing is a hopeful, actionable account and achievable vision for us all in this time of mental health crisis.
Build a broad fundamental knowledge of mental health concepts and disorders with Foundations of Mental Health Care, 6th Edition — perfect for students, nurses, and other health care providers. This market-leading text features new psychotropic drug content and concise explanations of adaptive and maladaptive behaviors, as well as descriptions of the most current therapeutic interventions and treatments for mental health conditions. It helps you work comfortably with clients who exhibit a wide range of maladaptive human behaviors, and apply the concepts of holistic care when assisting clients in developing more effective attitudes and behaviors. Sample Client Care Plans address how members of the health care team work collaboratively to meet client needs. Realistic case studies illustrate chapter concepts, strengthen critical thinking, and ensure you consider psychosocial aspects of therapeutic care. Critical Thinking boxes include practice scenarios and contain thought-provoking client issues and questions that stimulate critical thinking. Cultural Consideration boxes highlight cultural issues and encourage you to attend to the mental health needs of culturally diverse clients. Drug Alert boxes focus attention on medication issues and identify the risks and possible adverse reactions of psychotherapeutic medications. Key terms with phonetic pronunciations, text page references, and a comprehensive glossary strengthen your understanding of mental health terminology. Numbered chapter objectives provide a framework for the chapter content and the accompanying TEACH Lesson Plans. NEW! Content on the impact of the Affordable Care Act on mental health coverage and treatment informs you of the most current treatment options. NEW! Up-to-date coverage of the latest psychotropic medications emphasizes the most recent findings in safe pharmaceutical treatment in mental health care. EXPANDED and NEW! Increased coverage of mental health surrounding mass violence keeps you up to date on the latest issues and approaches to treatment. UPDATED! Current content on mental health issues and returning war veterans highlights mental health disorders affecting this population. NEW! Discusses emerging mental health issues surrounding usage of electronic devices and the Internet, such as addiction. NEW! Addresses updated DSM 5 diagnoses within appropriate chapters to ensure you have the latest information on new mental health diagnoses recognized by the American Psychiatric Association.
This title is directed primarily towards health care professionals outside of the United States. It provides a comprehensive outline of the essentials of work in community mental health care. Written in an accessible and engaging style, it provides an indespensible blueprint for the profession in the twenty first century. It summarises the history of community care; its why, when, what and who; the skills required to work with psychiatric patients; the practical 'rules of the game' in terms of the care programme approach, the mental health act and treatments (psychological, social and physical, including medications). This provocative and ground-breaking book will encourage debate and challenge community mental health workers to provide a modern and practical approach to the holistic care of the patient.