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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.
Author: Peter Cornish
Publisher: Springer Nature
ISBN: 3030480550
Category : Psychology
Languages : en
Pages : 148
Get Book Here
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.
Author: Peter Cornish
Publisher: Springer Nature
ISBN: 3031452062
Category : Psychology
Languages : en
Pages : 326
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Book Description
Stepped Care 2.0: A Paradigm Shift in Mental Health, by Dr Peter Cornish, made a compelling argument for why the existing mental health care system has consistently struggled to meet the needs of clients from all walks of life, and laid out key principles and guidelines for how the system could be changed. But what challenges are involved in putting these ideas into practice? Stepped Care 2.0: The Power of Conundrums features essays, interviews, and arguments from a wide range of contributors who have tried to do just that. The Power of Conundrums dives deep into the practical application of the Stepped Care 2.0 model (SC2.0), looking at the ways SC2.0 has succeeded, the difficulties administrators face when implementing it, and how it could be improved. Chapters touch on topics including: the evidence for stepped care, the way SC2.0 can be stymied by the Western cultural values that dominate mental healthcare, implementation science and SC2.0, the risk paradigm and SC2.0, the model’s one-at-a-time approach to therapy, what co-design means in an SC2.0 context, a case study on how implementing SC2.0 can go wrong, the understanding of recovery put forward by the model, and how SC2.0 can work for clients experiencing complex, persistent, or chronic mental health issues. Each chapter is followed by a reflection from Cornish, and the book concludes with a roundtable discussion about how SC2.0 can evolve to meet the challenges it faces. This text brings theory and practice together by including an updated version of Stepped Care 2.0: A Paradigm Shift in Mental Health, as well as the full text of Stepped Care 2.0: The Power of Conundrums.
Author: David Goldbloom
Publisher: Simon and Schuster
ISBN: 1501184881
Category : Health & Fitness
Languages : en
Pages : 224
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Book Description
A leading psychiatrist and expert reveals important issues in mental health care today and introduces innovations to revolutionize and improve mental health for everyone. Mental health care systems are falling short and the consequences, for individuals and societies, are dire. In this urgent book, celebrated psychiatrist and mental health care advocate Dr. David Goldbloom outlines proven innovations in medicine and health care delivery that we all could benefit from today. Using fictional—but all too real—examples of people suffering from various mental illnesses, from depression to opioid addiction, and drawn from his real-life experiences in this field, Dr. Goldbloom shows barriers to care and other faults in mental health care systems. He then reveals simple, yet startlingly effective tools for improving access and treatment that can help people now—if we only had the will to share, use, and fund these (and more) brilliant innovations: -Self-referrals for faster access to care -Apps and e-tools for treatment, rehabilitation, and self-monitoring between appointments -Remote coaching for effectively treating common childhood problems -Integrated youth services to improve early intervention -Personalized care to ensure treatments don’t fail patients -Rapid-access housing for the homeless and mentally ill so they can begin a journey of care While technologies such as smart phones and genetic testing play a role, these innovations are about people. They address waiting times to see specialists, the lack of coordination between health care institutions, and the stigma that often comes with seeking help—even stigma among health care providers. They broaden the definition of what mental health care can even be, such as providing housing, or low-intensity training for day-to-day life. Smart, candid, personal, and persuasive, this new book is a timely call for better access to and quality of help—a roadmap to better well-being for everyone.
Author: Michael F. Hoyt
Publisher: Routledge
ISBN: 1000382281
Category : Medical
Languages : en
Pages : 392
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Book Description
Single Session Thinking and Practice teaches readers how to implement single session approaches by encouraging practitioners and clients to collaborate in making the most of every encounter. Single session/one-at-a-time approaches are applicable in a multitude of settings, including clinics, private offices, medical centers, and student counseling services – and can be used both in person and online. Leading international figures and those practicing on the front lines provide guidance for conducting SST in a variety of contexts. Chapters feature descriptions of theoretical underpinnings, pragmatic clinical examples, cross-cultural applications, research findings, service delivery models, and implementation tips. This text will be an instant and essential reference for anyone in the fields of brief therapy, casework, and healthcare, as well as walk-in and by-appointment single session services.
Author: Kim Foster
Publisher: Elsevier Health Sciences
ISBN: 0729599698
Category : Medical
Languages : en
Pages : 434
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Book Description
Holistic overview of mental health for nurses in a practice setting All nurses play an important role in supporting mental health as part of holistic care provision. This book is designed to help students and novice clinicians to develop the knowledge, skills and attitudes they need to care for people across a wide range of specialist and non-specialist practice settings. Written by a highly experienced team of mental health nursing experts, the book covers all the common mental health conditions nurses are likely to encounter in practice. It provides essential information on assessing for and identifying people experiencing mental illness as well as how to provide appropriate responses, support and referral, across the numerous contexts in which nurses work. Fully updated and expanded, the sixth edition includes a wealth of lived experience perspectives designed to provide a critical perspective and a way of thinking about the issues more deeply, building empathy and understanding. - High-quality, evidence-based content developed specifically to meet the learning needs of students and novice clinicians in Australia and New Zealand - Describes the foundational principles and core mental health skills required by all nurses - Covers generalist health settings - content is relevant for nursing students across their curriculum - Focuses on mental health not mental illness - an emphasis on recovery-oriented practice, trauma informed-car, and the value of building therapeutic relationships - Articulates and demonstrates the expert knowledge and skills of mental health nurses and includes information on professional self-care for all nurses - Covers how to assess, manage and treat the major mental health problems people commonly experience - Provides scenarios for mental health screening, assessment, referral and support across a range of clinical settings - Key points, anecdotes, critical thinking exercises, tables and references in every chapter support learning - Online resources for nurses in the workplace, including videos and clinical scenarios - Commentaries by experts by Lived Experience in all chapters – understand what's helpful and what's not. New to this edition - New First Peoples chapters from both New Zealand and Australia – how to provide cultural safety - New chapter on preparing for mental health clinical placements - More content on suicide - More content on the impact of trauma, adverse childhood events on mental health and addictions
Author: Eric Maisel
Publisher: Routledge
ISBN: 1351482440
Category : Medical
Languages : en
Pages : 236
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Book Description
The Future of Mental Health drills to the heart of the current mental health crisis, where hundreds of millions of individuals worldwide receive unwarranted "mental disorder diagnoses." It paints a picture of how mental health providers can improve their practices to better serve individuals in distress and outlines necessary steps for a mental health revolution. Eric Maisel's goal is to inject more human interaction into the therapeutic process.Maisel powerfully deconstructs the "mental disorder" paradigm that is the foundation of current mental health practices. The author presents a revolutionary alternative, a "human experience" paradigm. He sheds a bright light on the differences between so-called "psychiatric medication" and mere chemicals with powerful effects, explains why the DSM-5 is silent on causes, silent on treatment, and wedded to illegitimate "symptom pictures." Maisel describes powerful helping alternatives like communities of care, and explains why one day "human experience specialists" may replace current mental health professionals.An important book for both service providers and service users, The Future of Mental Health brilliantly unmasks current mental health practices and goes an important step further: it describes what we are obliged to do in order to secure better mental health services and better mental health for everyone.
Author: Joel Paris
Publisher: Academic Press
ISBN: 0128114223
Category : Psychology
Languages : en
Pages : 204
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Book Description
Synthesizing the latest research and treatment developments, Stepped Care for Borderline Personality Disorder: Making Treatment Brief, Effective, and Accessible aims to make treatment for borderling personality disorder (BPD) more accessible by providing clinicians with innovative brief and targeted intervention methods. Focusing on integrative treatment models, it offers clinicians a vital guide to the management of patients who are difficult to treat. Acknowleding the early developmental roots of BPD, the book includes sections on BPD in adolescence, childhood precursors of the disorder, and a broad range of etiological factors. It looks at the pitfalls clinicians face when trying to treat BPD, and offers a roadmap to avoiding them. - Brief and targeted methods of integrative treatment for BPD patients - Makes treatment more accessible to a wider range of patients - Provides clinicians and researchers with a review of the current BPD literature - Offers solutions to the problem of treatment access for BPD patients - Addresses questions regarding the complex developmental trajectories of BPD - Presents a model of stepped care treatment of BPD and describes research on its effectiveness
Author: Mariecel Pilapil
Publisher: Springer
ISBN: 3319438271
Category : Medical
Languages : en
Pages : 436
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Book Description
This book addresses the unique healthcare needs of adults with chronic childhood illnesses. It presents a model of primary and secondary prevention for emerging adulthood—primary prevention in which all young adults are screened for high-risk behaviors and health needs and secondary prevention in which young adults with chronic childhood conditions are optimized through coordinated care, connections to community resources and social/family support. This book is organized in five parts. Part I provides a detailed overview of the health care transition from pediatrics to adult medicine from both a policy and practice perspective. In Part II, the concept of emerging adulthood as a developmental period is explored and strategies for providing improved comprehensive care for this age group are discussed. Part III reviews specific chronic childhood conditions, such as attention-deficit/hyperactivity disorder, autism, cystic fibrosis, and diabetes mellitus, and offers clinical cases and summary reports that can be used as a quick guides to each condition. In Part IV, additional clinical considerations that are not necessarily condition-specific but are highly relevant to the care of young adults with chronic childhood conditions are examined. Part V describes the socio-legal issues involved in caring for this population. Care of Adults with Chronic Childhood Conditions provides primary care providers with a new framework for the care of young adults and identifies opportunities to influence patient health outcomes over a life trajectory.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309672236
Category : Medical
Languages : en
Pages : 117
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Book Description
Behavioral health and substance use disorders affect approximately 20 percent of the U.S. population. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. Together, these disorders account for a substantial burden of disability, have been associated with an increased risk of morbidity and mortality from other chronic illnesses, and can be risk factors for incarceration, homelessness, and death by suicide. In addition, they can compromise a person's ability to seek out and afford health care and adhere to treatment recommendations. To explore data, policies, practices, and systems that affect the diagnosis and provision of care for mental health and substance use disorders, the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine created the Forum on Mental Health and Substance Use Disorders. The forum activities are expected to advance the discussion and generate potential ideas on ways to address many of the most persistent problems in delivering mental health and substance use services. The inaugural workshop, held October 15-16, 2019, in Washington, DC, explored the key policy challenges that impede efforts to improve care for those individuals with mental health and substance use disorders. This publication summarizes the presentations and discussion of the workshop.
Author: Jac J.W. Andrews
Publisher: Springer Nature
ISBN: 3030972089
Category : Psychology
Languages : en
Pages : 445
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Book Description
This book presents and integrates innovative ways in which the disciplines of school, clinical, and counseling psychology conceptualize and approach mental health assessment, prevention, and intervention for promoting child and youth well-being. It describes a synthesized model of clinical reasoning across school, clinical, and counseling psychology that demonstrates how decisions are made with respect to assessment, prevention, and intervention across situational contexts to ensure successful outcomes for children and youth. In addition, the volume examines theoretical,empirical, and practical frameworks and methods with respect to addressing the mental health and well-being needs of children and adolescents within and across school, clinical, and counseling psychology disciplines. In addition, the book presents transformative, constructivist, multicultural, innovative, and evidenced-based approaches for working with children and youth as well as their families relative to the identification of mental health concerns, enhanced service system integration, social justice and advocacy. This book is an essential resource for researchers, clinicians, therapists, practitioners, and graduate students in clinical , counselling,and school psychology, social work, educational psychology, child and adolescent psychiatry, developmental psychology, pediatrics and all interrelated disciplines.
