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.
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 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.
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.
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.
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.
The second edition of the AACP's (American Association for Community Psychiatry) Textbook of Community Psychiatry is a welcome update of this notable work that comprehensively presents the state of the art in this field. Along with continuously evolving scientific advances and principles of clinical care, community psychiatry must respond to shifts in public policy as well as economic climate. The past decade has witnessed significant political and social changes, including climate change, immigration levels, technological advancement, the influence of social media and the rise of political unrest. This new edition reflects these wider changes, incorporating new chapters and enhancing previous ones. It remains the standard text for certification of those working in healthcare and social welfare systems design and delivery of services. Readers will gain knowledge of: Basic pillars of the field Evidence based interventions Telepsychiatry and technological aids Trauma informed services Integrated health systems Social determinants of health Structural discrimination
Yale Textbook of Public Psychiatry is a comprehensive resource on treatment, rehabilitation, recovery, and public health of persons cared for in organized, publically funded systems of care. Edited and authored by experts in public psychiatry at the Yale Department of Psychiatry, this text provides up-to-date information on clinical work in the public sector. This book will be a useful reference for professionals and students of public psychiatry, administrators, and policy makers.
