Psychiatric Aftercare

Psychiatric Aftercare

Author: Max Silverstein

Publisher: University of Pennsylvania Press

Published: 2016-11-11

Total Pages: 168

ISBN-13: 1512807052

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Each year about 325,000 persons are admitted as patients to public mental hospitals in the United States. Less than half are first admissions; 175,000 are readmissions. And each year about 310,000 patients leave the public mental hospitals. They undertake the hazards of living again, as ex-patients, in the community. More than half will return, at some time, to hospital. The highest proportion will return within the first year after release. Mental health workers, planners, and administrators hold that many more ex-patients would sustain community tenure if appropriate follow-up aftercare services were available to them. But no one is sure to what extent this is so. This studies aspects of the aftercare problems of over 10,000 patients released from public mental hospitals. It highlights major aftercare service needs of released patients, the availability of aftercare services, the utilization of these services by ex-patients, and the relationship between utilization of services and community tenure. The study provides answers to the following questions: 1. What are the specific aftercare needs of released patients? 2. To what extent are aftercare services available? 3. To what degree do ex-patients utilize aftercare services? 4. Does utilization affect community tenure? This book is divided into two parts. Part I reports major statewide findings and interpretations. Part II focuses on background, methodology, and data specifically applicable to planning regions and service areas within the state. Readers interested primarily in the broad overview of aftercare will find Part I useful in itself. For those interested, in addition, in the planning process technique of assessment, comparative data and analysis, Part II will be a helpful supplement.


Handbook of Recovery in Inpatient Psychiatry

Handbook of Recovery in Inpatient Psychiatry

Author: Nirbhay N. Singh

Publisher: Springer

Published: 2016-09-14

Total Pages: 477

ISBN-13: 3319405373

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This handbook provides a guide for individualized, responsive, and meaningful care to patients with severe mental illness. It begins with an overview of the foundational aspects of recovery – definitions and assessment, recovery principles, recovery research, and applications of recovery principles in in inpatient psychiatry. Subsequent chapters offer in-depth analyses of provider competencies, the patient’s role in personal choices and decision making, and the deeper healing goals of recovery. The handbook also offers detailed treatment modalities, including cognitive remediation, psychological and psychiatric services, nursing and occupational therapy services, peer support, and pharmacological treatment. Featured topics include: Sexuality and sexual health in the inpatient psychiatric setting. The power of stigma and the usage of SAMHSA (Substance Abuse and Mental Health Services Administration) principles to combat stigma. Legal advocacy. Self-advocacy and empowerment. Methods to enhance resilience and sustain recovery in inpatients. Common errors and solutions during the transformation to recovery-oriented systems. The Handbook of Recovery in Inpatient Psychiatry is a must-have resource for researchers, graduate students, clinicians, and related professionals/practitioners in psychology, psychiatry, social work, nursing, rehabilitation therapy, occupational therapy, physical therapy, and allied professionals in related mental health and medical disciplines.


Cognitive Remediation for Successful Employment and Psychiatric Recovery

Cognitive Remediation for Successful Employment and Psychiatric Recovery

Author: Susan R. McGurk

Publisher: Guilford Publications

Published: 2021-04-30

Total Pages: 386

ISBN-13: 146254598X

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"The TSW program is an evidence-based intervention that enhances people's cognitive functioning in order to help them get and keep competitive jobs. This book explains how to provide the TSW program, and includes materials for implementing it, such as educational handouts and assessment tools. In addition, the book contains a wealth of information about overcoming common cognitive obstacles to steady employment that may be useful to the broad range of professionals helping individuals return to work"--


Primary Health Care in the Making

Primary Health Care in the Making

Author: U. Laaser

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 567

ISBN-13: 3642699774

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Since the historieal conference held in Alma Ata in 1978, it has been possible to observe a reorientation of the medical profession. More and more, issues of health enter the stage and curative medicine is not just loosing ground but some interest. 'How effective is health education?' and 'Whose task is primary pre vention?' are questions which stimulate great concern and public debate. It seems also to be the first time since the last decades of the 19th century that the social dimension of health receives adequate consideration. Thus the reeent publication of the so-called Black Report on Inequalities in Health (Penguin 1982) led to a heated discussion in Great Britain, certainly of relevance to many other countries. The 6 years since 1978 are much too short a time to proceed far towards 'Health for All', as the slogan of the World Health Organization puts it, but the concepts are spelled out, vaguely but convincing to many of us. It is the right time to discuss first experiences and to move from philosophy to empiri eal work. This work - as it relates to the process evolving since Alma Ata - is characterized by participation, cooperation and prevention: Participation, because 'disease' concerns only the individual patient, his or her family and immediate social environment, while 'health' concerns everyone and should involve everyone. It is a task of the whole of society rather than the domaine of a single profession or party.


Evidence-Based Practices in Mental Health Care

Evidence-Based Practices in Mental Health Care

Author: American Psychiatric Association

Publisher: American Psychiatric Pub

Published: 2008-05-20

Total Pages: 124

ISBN-13: 1585627321

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As the first attempt to synthesize the movement toward widespread implementation of evidence-based mental health practices, this groundbreaking collection articulates the basic tenets of evidence-based medicine and shows how practices proven effective by clinical services research could improve the lives of many people. Intended to stimulate much-needed public discussion, these remarkable contributions cover both general issues, such as Implementing practices in routine mental health settings, including strategies for disseminating evidence-based practices to staff members Ensuring that efforts to implement such practices are informed by the knowledge and experience of administrators, clinicians, patients, and advocates Integrating evidence-based practices with the recovery model and focusing on guidelines and algorithms for pharmacologic treatment of people with severe mental illness Identifying the policy implications of the movement, particularly in public-sector settings, and describing eight courses of action for addressing the gap between science and practice and specific practices, such as Describing critical components of practices for which substantial evidence exists, such as supported employment, dual diagnosis services, and assertive community treatment Developing an evidence base for particular populations, such as children and adolescents and geriatric patients; and for clinical subgroups, such as patients with severe mental illness and posttraumatic stress disorder-and implementing a range of practices for each population Debate in public forums is critical to explaining the benefits of evidence-based care and allaying the fears of patients, practitioners, administrators, policy makers, and vested interest groups that evidence-based care excludes them from the decision-making process. Patients need to know that their individual characteristics, preferences, and autonomy are highly valued and won't be discounted by rigid adherence to the particular treatments. Practitioners need to know about the credibility of the evidence base and about new techniques and responsibilities and to understand that their favorite practices won't necessarily be excluded during initial attempts to implement evidence-based practices. Administrators and policy makers need to know about financing, organizing, implementing, and sustaining new practices. Finally, vested interest groups need to know that the introduction of evidence-based practices doesn't mean that what they do now is ineffective. This unique and densely informative volume will be welcomed by mental health care professionals and by lawmakers, planners, administrators, and others who are charged with the responsibility of providing effective care to vulnerable populations.


Handbook of Community Psychiatry

Handbook of Community Psychiatry

Author: Hunter L. McQuistion

Publisher: Springer Science & Business Media

Published: 2012-06-05

Total Pages: 620

ISBN-13: 1461431492

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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.


Improving the Quality of Health Care for Mental and Substance-Use Conditions

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-03-29

Total Pages: 528

ISBN-13: 0309133661

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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.