Ending Discrimination Against People with Mental and Substance Use Disorders
Ending Discrimination Against People with Mental and Substance Use Disorders

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-09-03

Total Pages: 171

ISBN-13: 0309439124

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Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Substance Abuse in the Mentally and Physically Disabled
Substance Abuse in the Mentally and Physically Disabled

Author: John R. Hubbard

Publisher: CRC Press

Published: 2001-07-27

Total Pages: 320

ISBN-13: 0824744977

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This up-to-the-minute reference explores current trends, disease etiology and associations, novel assessment tools, and modern laboratory tests to promote coordinated treatment of comorbid substance abuse, psychiatric disease, and general medical conditions-recognizing the causal relationship between substance abuse and medical and psychiatric diso

Issues in the Developmental Approach to Mental Retardation
Issues in the Developmental Approach to Mental Retardation

Author: Robert M. Hodapp

Publisher: Cambridge University Press

Published: 1995-01-27

Total Pages: 352

ISBN-13: 9780521467575

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Issues in the Developmental Approach to Mental Retardation is one of the first books exclusively devoted to applying the theories, findings and approaches used in work with nonretarded children to several types of retarded individuals. The editors and contributors define the developmental approach and explore theoretical issues as they relate to retarded populations. Problems involving similar sequences of development, cross-domain relations, the environment, and motivation are all discussed, as is the importance of separating the various etiological groups for research and intervention purposes. The contributors also examine the nature of development in specific etiological groups; types of retardation that are addressed include: cultural-familial retardation, Down syndrome, fragile X syndrome, autism, and children with sensory and motor handicaps. This significant volume demonstrates how data from nonretarded development can inform work with retarded populations and how findings from children with mental retardation enrich developmental theory.

Parenting Matters
Parenting Matters

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-11-21

Total Pages: 525

ISBN-13: 0309388570

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Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Psychiatry of Intellectual Disability
Psychiatry of Intellectual Disability

Author: Julie P. Gentile

Publisher: John Wiley & Sons

Published: 2012-03-22

Total Pages: 404

ISBN-13: 1119940346

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Patients with intellectual disability (ID) can benefit from the full range of mental health services. To ensure that psychiatric assessment, diagnosis and treatment interventions are relevant and effective; individuals with ID should be evaluated and treated within the context of their developmental framework. Behavior should be viewed as a form of communication. Individuals with ID often present with behavioral symptoms complicated by limited expressive language skills and undiagnosed medical conditions. Many training programs do not include focused study of individuals with ID, despite the fact that patients with ID will be seen by virtually every mental health practitioner. In this book, the authors present a framework for competent assessment and treatment of psychiatric disorders in individuals with ID. Psychiatry of Intellectual Disability is a resource guide for psychiatrists, nurse practitioners, and other prescribers treating patients with ID. It is a supplemental text for psychiatry residents, medical students, psychology graduate students, psychotherapists, counselors, social workers, behavior support specialists and nurses. To assist the practicing clinician the book includes: Clinical vignettes Clinical pearls Charts for quick reference Issues concerning medications and poly-pharmacy Altered diagnostic criteria specific for use with individuals with ID There are no evidence-based principles dedicated to psychotropic medication use in ID, but consensus guidelines address the high prevalence of poly-pharmacy. Altered diagnostic criteria have been published which accommodate less self-report and incorporate collateral information; this book reviews the literature on psychotropic medications, consensus guidelines, and population-specific diagnostic criteria sets. Psychiatry of Intellectual Disability also includes: Interviewing techniques and assessment tips for all levels of communicative ability as well as for nonverbal individuals Assessment of aggression to determine etiology and formulate a treatment plan Overview of types of psychotherapy and suggested alterations for each to increase efficacy Relevant legal issues for caregivers and treatment providers The detective work involved in mental health assessment of individuals with ID is challenging yet rewarding. The highest quality mental health treatment limits hospital days, improves quality of life and often allows individuals to live in the least restrictive environments. Psychiatry of Intellectual Disability is a must have resource for clinicians treating the ID population.

Recovery From Disability
Recovery From Disability

Author: Robert P. Liberman

Publisher: American Psychiatric Pub

Published: 2009-02-20

Total Pages: 630

ISBN-13: 1585628883

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The time is right for recovery from serious mental disorders. Mental health professionals and state and local mental health agencies are responding to a national call for action on recovery: from the President's Commission on Mental Health, the Surgeon General, the National Alliance on Mental Illness, and the Substance Abuse and Mental Health Services Administration. But how can recovery from mental disorders become a reality? Recovery From Disability describes the principles and practices of psychiatric rehabilitation to bridge the gap between what is known and what actually can be used to achieve recovery for patients in real-life mental health programs. The book draws on Dr. Robert Paul Liberman's 40 years of designing, testing, and disseminating innovative treatments for persons with mental disabilities. Illuminating up-to-date treatment techniques that reflect a consensus of experts regarding evidence-based practices, Dr. Liberman shows how recovery can be the rule rather than the exception. This practical book addresses day-to-day realities faced by practitioners who must wrestle with the individualized needs and personal goals of each patient while drawing up a rehabilitation roadmap to recovery. Written in a down-to-earth manner with minimal jargon, this clinical manual is intended for everyday use. Brimming with clear advice and ideas for effective services, the book is relevant to the work of all mental health disciplines, administrators, consumer advocates, and clinicians with all levels of experience. Practice-based evidence is highlighted by an abundance of real-life examples and a host of graphic aids. The author addresses the particular needs of Latino patients and takes up the latest developments in rehabilitation, such as illness management, social and independent living skills training, neurocognitive pharmacology, cognitive remediation, and use of computers in rehabilitation. Each chapter contains information, techniques, and treatment methods that enable clinicians to: Help patients select realistic yet personally meaningful goals for enriching their lives Teach patients how to stabilize their symptoms and cognitive impairments Train patients in social and independent living skills for empowerment and autonomy Educate family members and other caregivers to collaborate with mental health professionals in overcoming their loved one's disability Provide access to vocational rehabilitation, including supported employment Facilitate comprehensiveness, continuity, and coordination of competency-based rehabilitation, using personal support specialists, assertive community treatment, and integrated mental health care Dr. Liberman also describes how to customize services that are effective for individuals with more than one disorder, whose disorder is refractory to customary pharmacological and psychosocial treatments, or whose adaptation to community life is marred by aggressive behavior. With its wealth of rich and immediately applicable treatment approaches, Recovery From Disability will help professionals equip mentally disabled patients to reach their personally relevant goals and progress on the road to recovery.

Homelessness, Health, and Human Needs
Homelessness, Health, and Human Needs

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1988-02-01

Total Pages: 257

ISBN-13: 0309038324

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There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.

Psychosocial Aspects of Disability
Psychosocial Aspects of Disability

Author: Irmo Marini, PhD, DSc, CRC, CLCP

Publisher: Springer Publishing Company

Published: 2011-07-27

Total Pages: 517

ISBN-13: 082610603X

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"What a marvelous and amazing textbook. Drs. Marini, Glover-Graf and Millington have done a remarkable job in the design of this highly unique book, that comprehensively and very thoughtfully addresses the psychosocial aspects of the disability experience. These highly respected scholars have produced a major work that will be a central text in rehabilitation education for years to come." From the Foreword by Michael J. Leahy, Ph.D., LPC, CRC Office of Rehabilitation and Disability Studies Michigan State University "This is an excellent book, but the best parts are the stories of the disabled, which give readers insights into their struggles and triumphs." Score: 94, 4 Stars--Doody's Medical Reviews What are the differences between individuals with disabilities who flourish as opposed to those who never really adjust after a trauma? How are those born with a disability different from individuals who acquire one later in life? This is the first textbook about the psychosocial aspects of disability to provide students and practitioners of rehabilitation counseling with vivid insight into the experience of living with a disability. It features the first-person narratives of 16 people living with a variety of disabling conditions, which are integrated with sociological and societal perspectives toward disability, and strategies for counseling persons with disabilities. Using a minority model perspective to address disability, the book focuses on historical perspectives, cultural variants regarding disability, myths and misconceptions, the attitudes of special interest and occupational groups, the psychology of disability with a focus on positive psychology, and adjustments to disability by the individual and family. A wealth of counseling guidelines and useful strategies are geared specifically to individual disabilities. Key Features: Contains narratives of people living with blindness, hearing impairments, spinal cord injuries, muscular dystrophy, polio, mental illness, and other disabilities Provides counseling guidelines and strategies specifically geared toward specific disabilities, including "dos and don'ts" Includes psychological and sociological research relating to individual disabilities Discusses ongoing treatment issues and ethical dilemmas for rehabilitation counselors Presents thought-provoking discussion questions in each chapter Authored by prominent professor and researcher who became disabled as a young adult