Returning Home from Iraq and Afghanistan

Returning Home from Iraq and Afghanistan PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309152852
Category : Medical
Languages : en
Pages : 193

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Book Description
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.

Returning Home from Iraq and Afghanistan

Returning Home from Iraq and Afghanistan PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309152852
Category : Medical
Languages : en
Pages : 193

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Book Description
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.

Reducing Suicide

Reducing Suicide PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309169437
Category : Medical
Languages : en
Pages : 512

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Book Description
Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.

Stepped Care 2.0: A Paradigm Shift in Mental Health

Stepped Care 2.0: A Paradigm Shift in Mental Health PDF Author: Peter Cornish
Publisher: Springer Nature
ISBN: 3030480550
Category : Psychology
Languages : en
Pages : 148

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Book Description
This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.

Primary Care

Primary Care PDF Author: Barbara Starfield
Publisher: Oxford University Press, USA
ISBN:
Category : Medical
Languages : en
Pages : 284

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Book Description
This comprehensive work provides a lucid examination of the difficult problems that arise with the implementation of effective primary care. The book has four purposes: to help practitioners of primary care understand what they do and why; to provide a basis for the training of primary care practitioners; to stimulate research that will provide a more substantive basis for improvements in primary care; and to help policy makers understand the difficulties and challenges of primary care and its importance. In addition to discussing systems of primary care and alternative ways of evaluating them, the author addresses important issues such as practitioner-patient communication, information systems and medical records, referral processes, personnel, managed care, financing, quality assessment and community orientation. This unique volume provides a clear and valuable assessment of the basic concepts, issues and challenges in this increasingly important field.

Mental Health

Mental Health PDF Author:
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 28

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Book Description


Care Without Coverage

Care Without Coverage PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213

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Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Unmet Need in Psychiatry

Unmet Need in Psychiatry PDF Author: Gavin Andrews
Publisher: Cambridge University Press
ISBN: 1139429760
Category : Medical
Languages : en
Pages : 464

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Book Description
This book considers ways to resolve the imbalance between the demand and supply of mental health services. Treatment services in most countries reach only a minority of people identified as suffering from a mental disorder. Few countries can provide adequate health services for all the mentally ill, yet none has developed a rational system to decide who should be treated. The questions are clear. Could we develop a staged treatment process to reach all in need? If not, how do we decide who to treat? What should the criteria be for deployment of scarce treatment resources? How do we determine such criteria? What are the ethical implications of applying such criteria? In this pioneering work, an international team of eminent psychiatrists, epidemiologists, health administrators, economists and health planners examine these questions. The result will inform and encourage all concerned with the equitable provision of mental health care.

Mental Health

Mental Health PDF Author:
Publisher:
ISBN:
Category : Mental health
Languages : en
Pages : 28

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Book Description


Mental Health Policy And Practice Across Europe

Mental Health Policy And Practice Across Europe PDF Author: Knapp, Martin
Publisher: McGraw-Hill Education (UK)
ISBN: 0335214673
Category : Medical
Languages : en
Pages : 483

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Book Description
This book maps the current state of policy, service provision and funding for mental health care across Europe, taking into account the differing historical contexts that have shaped both the development and the delivery of services.

Living with Mental Illness in a Globalised World

Living with Mental Illness in a Globalised World PDF Author: Ugo Ikwuka
Publisher: Routledge
ISBN: 1000382885
Category : Medical
Languages : en
Pages : 211

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Book Description
Living with Mental Illness in a Globalised World systematically examines the manifold contributions to the burdens of living with mental illness in a developing and globalised world. It explores the stigma of mental illness, the burden of which compares to the symptoms of and is sometimes considered more disabling than the illness itself. The book starts by reviewing the socio-psychological and cultural processes that contribute to stigma and providing evidence-based interventions to combat it. Chapters critically investigate the ideological and instrumental barriers to mental healthcare and establish that determining the conceptualisations of mental illness helps to unravel the reasons for the underutilisation of mental health services. A compelling case is made for a complementary healthcare model and bottom-up approach that is sensitive to the spiritual and cultural needs of the people. The text’s specific examination of mental healthcare in African countries makes it a timely piece for assisting mental health professionals in understanding the inequities in care that Black Asian and Minority Ethnic groups face and how to improve mental healthcare and delivery to these groups.