BOOK
Working with Serious Mental Illness E-Book
Catherine Gamble | Geoff Brennan | Catherine Gamble | Geoff Brennan
(2005)
Additional Information
Book Details
Abstract
This title is directed primarily towards health care professionals outside of the United States. In today's mental health services, there is a pressing need for practitioners to place greater emphasis on working with users of services and to use skills that have a sound theoretical basis. This book focuses on evidence-based practice but reflects that, in mental health, the best evidence is the personal experience of the user. Many publications explore theoretical aspects of service delivery or provide an in-depth analysis of specific clinical interventions. However, how practitioners comprehensively amalgamate theory with their practice is often missing. This book fills that gap and seeks to guide, plan and suggest down-to-earth treatment ideas for individuals on a day-to-day basis.
- Mental health practice focused
- Full of practical advice, user-friendly, clearly accessible and well-designed
- Reflects user-input, including a chapter written by a user of mental health services describing their experiences of mental illness
- Leading contributors from practice
- Early intervention
- Supervision
- Implementation and practice development issues
- Meaningful activity and recovery
- Engaging and working with carers
- Relapse prevention
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Working with Serious Mental Illness:\rA manual for clinical practice | iii | ||
| Copyright Page | iv | ||
| Table of Contents | v | ||
| Contributors | vii | ||
| Preface | xi | ||
| Section 1: Promoting understanding of the manifestations of serious mental illness | xii | ||
| Section 2: Engaging, assessing and formulating care | xii | ||
| Section 3: Interventions | xiii | ||
| Section 4: Considerations for effective practice | xiii | ||
| Acknowledgements | xiii | ||
| Section 1:\rPromoting understanding of the manifestations of serious mental illness | 1 | ||
| Chpater 1. Serious mental illness: a view from within | 3 | ||
| Chapter 2. Inside caring in mental health | 11 | ||
| INTRODUCTION TO MENTAL HEALTH CARE: A FAMILY PERSPECTIVE | 11 | ||
| THE IMPACT OF CARING | 14 | ||
| WHERE WE ARE NOW | 15 | ||
| WORKING WITH CARERS – A CARERS’ WORKER PERSPECTIVE | 15 | ||
| References | 21 | ||
| Chapter 3. Social inclusion | 23 | ||
| DISCRIMINATION AND EXCLUSION SPAN ALL AREAS OF LIFE | 25 | ||
| THE ROOTS OF EXCLUSION | 27 | ||
| CHALLENGING DISCRIMINATION AND PROMOTING INCLUSION:WHAT CAN MENTAL HEALTH PRACTITIONERS DO? | 29 | ||
| SOCIAL INCLUSION, ILLNESS AND DISABILITY | 35 | ||
| References | 39 | ||
| Useful websites | 41 | ||
| Annotated further reading | 42 | ||
| Chapter 4. Stress vulnerability model of serious mental illness | 43 | ||
| INTRODUCTION | 43 | ||
| COMPONENTS OF STRESS VULNERABILITY | 45 | ||
| MANIFESTATION OF ILLNESS WITHIN THE STRESS VULNERABILITY MODEL | 49 | ||
| COPING | 50 | ||
| CONCLUSIONS | 52 | ||
| Cross references | 52 | ||
| References | 53 | ||
| Annotated further reading | 53 | ||
| Chapter 5. An introduction to and rationale for psychosocial interventions | 55 | ||
| INTRODUCTION | 55 | ||
| FAMILY INTERVENTIONS | 56 | ||
| COGNITIVE–BEHAVIOURAL THERAPY FOR PSYCHOSIS | 60 | ||
| CONCLUDING REMARKS | 65 | ||
| Cross references | 66 | ||
| References | 66 | ||
| Annotated further reading | 70 | ||
| Section 2:\rEngaging, assessing and\rformulating care | 71 | ||
| Chapter 6. Building relationships: lessons to be learnt | 73 | ||
| ‘SCHIZOPHRENIA INVITED YOU IN – WE DIDN’T’ | 73 | ||
| QUALITIES REQUIRED BY PRACTITIONERS | 74 | ||
| ROGERIAN PRINCIPLES | 74 | ||
| CONCLUSION | 81 | ||
| Cross references | 81 | ||
| References | 82 | ||
| Annotated further reading | 83 | ||
| Chapter 7.Severe mental illness: symptoms, signs and diagnosis | 85 | ||
| INTRODUCTION | 85 | ||
| AN ORGANISATIONAL FRAMEWORK FOR ASSESSMENT | 86 | ||
| DIAGNOSIS:THE ‘TOP-DOWN’ APPROACH: | 97 | ||
| CONCLUSIONS | 107 | ||
| Cross references | 108 | ||
| References | 108 | ||
| Annotated further reading | 109 | ||
| Chapter 8. Assessments: a rationalefor choosing and using | 111 | ||
| INTRODUCTION | 111 | ||
| A RATIONALE FOR UNDERTAKING A SYSTEMATIC ASSESSMENT | 112 | ||
| A PRACTICAL GUIDE TO CHOOSING AND USING STANDARDISED ASSESSMENT TOOLS | 115 | ||
| USE OF THE ASSESSMENT ALGORITHM | 117 | ||
| CARER ASSESSMENT | 117 | ||
| PRACTICAL STRATEGIES TO AID INTERPRETATION AND EFFECTIVE IMPLEMENTATION OF ASSESSMENT DATA | 129 | ||
| CONCLUSION | 130 | ||
| Cross references | 131 | ||
| References | 131 | ||
| Annotated further reading | 131 | ||
| Chapter 9. Consolidating the assessment process: the semi-structured interview | 133 | ||
| INTRODUCTION | 133 | ||
| THE SEMI-STRUCTURED INTERVIEW | 134 | ||
| PROBLEMS AND GOALS | 139 | ||
| References | 144 | ||
| Annotated reading | 144 | ||
| Chapter 10. Assessing risk | 145 | ||
| INTRODUCTION AND BACKGROUND | 145 | ||
| THE NATURE OF RISK | 146 | ||
| PRINCIPLES OF RISK ASSESSMENT | 148 | ||
| ASSESSING RISK IN CLINICAL PRACTICE | 154 | ||
| MANAGING RISK IN CLINICAL PRACTICE | 160 | ||
| CONCLUSIONS | 161 | ||
| Summary of practical strategies identified | 161 | ||
| References | 162 | ||
| Annotated further reading | 164 | ||
| Section 3:\rInterventions | 165 | ||
| Chapter 11. Dealing with voices and strange thoughts | 167 | ||
| INTRODUCTION | 167 | ||
| ADJUSTING THE THERAPEUTIC APPROACH TO SUIT PEOPLE WHO EXPERIENCE PSYCHOSIS | 169 | ||
| UNDERSTANDING AND ADDRESSING THE IMPACT OF SYMPTOMS ON THE THERAPEUTIC RELATIONSHIP | 172 | ||
| UNDERSTANDING VOICES AND STRANGE THOUGHTS IN THE CONTEXT OF THE PERSON’S LIFE HISTORY – WHY ME? WHY NOW? | 174 | ||
| THOROUGH ASSESSMENT AND LIMITED SELF-MONITORING | 177 | ||
| DEVELOPING A SHARED UNDERSTANDING OF THE PROBLEM | 179 | ||
| COPING WITH VOICES AND STRANGE, WORRYING THOUGHTS | 190 | ||
| DEALING WITH STRANGE,WORRYING BELIEFS | 194 | ||
| ADDRESSING BELIEFS ABOUT VOICES –EXPLORING CONTROL OVER VOICES | 198 | ||
| CONCLUSIONS | 202 | ||
| References | 204 | ||
| Annotated further reading | 205 | ||
| Chapter 12. Dealing with blankness and deadness | 207 | ||
| INTRODUCTION | 207 | ||
| AN ILLNESS PERSPECTIVE | 208 | ||
| PROBLEMS WITH THE ILLNESS PRESPECTIVE | 210 | ||
| WITHDRAWING FROM A DANGEROUS OR HOPELESS WORLD | 210 | ||
| DEALING WITH LOSS AND ASSOCIATED DEPRESSION | 212 | ||
| MEDICATION EFFECTS | 212 | ||
| VICIOUS CYCLES OF SOCIAL ISOLATION AND INSTITUTIONALISATION | 213 | ||
| DEVELOPING A SHARED UNDERSTANDING | 214 | ||
| GETTING BACK INTO THE SOCIAL WORLD | 216 | ||
| INCREASING MASTERY AND PLEASURE ACTIVITIES | 217 | ||
| MINDFULNESS MEDITATION AS AN AID TO CONCENTRATION | 218 | ||
| CONCLUSIONS | 222 | ||
| References | 223 | ||
| Annotated further reading | 224 | ||
| Chapter 13. Working with families and informal carers | 225 | ||
| INTRODUCTION | 225 | ||
| WHAT CONSTITUTES A FAMILY? | 226 | ||
| ENGAGEMENT ISSUES | 228 | ||
| ASSESSMENT AND THE RATIONALE FOR IT | 229 | ||
| GETTING STARTED | 234 | ||
| WORKING WITH A FAMILY: EVALUATING THE PROCESS | 240 | ||
| Summary of practical strategies identified | 246 | ||
| References | 247 | ||
| Annotated further reading | 248 | ||
| Chapter 14. Coexistent substance use and psychiatric disorders | 249 | ||
| INTRODUCTION | 249 | ||
| BACKGROUND CONTEXT | 250 | ||
| ASSESSMENT | 253 | ||
| TREATMENT | 258 | ||
| Summary of practical strategies identified | 267 | ||
| References | 268 | ||
| Annotated further reading | 271 | ||
| Chapter 15. Working with people with severe mental illness who are angry | 273 | ||
| INTRODUCTION | 273 | ||
| WHAT IS ANGER? | 275 | ||
| ANGER AND SEVERE MENTAL ILLNESS | 277 | ||
| PRINCIPLES OF HELPING PEOPLE WITH SEVERE MENTAL ILLNESS AND ANGER | 278 | ||
| CONCLUSION | 292 | ||
| References | 293 | ||
| Chapter 16. Working with people with serious mental illness at risk of offending | 295 | ||
| INTRODUCTION | 295 | ||
| PART 1 – CONCEPTUAL AND THEORETICAL VIEWPOINTS: OFFENDING BEHAVIOUR AND SMI | 295 | ||
| PART 2 – ASSESSMENT, INTERVENTION AND RELATED ISSUES | 300 | ||
| CONCLUSIONS | 311 | ||
| Summary of practical strategies identified | 312 | ||
| References | 312 | ||
| Annotated further reading | 315 | ||
| Chapter 17. Managing medication | 317 | ||
| INTRODUCTION | 317 | ||
| INTRODUCTION TO NEUROPHYSIOLOGY | 318 | ||
| SCHIZOPHRENIA AND PHARMACOLOGICAL STUDIES | 320 | ||
| NEUROPHARMACOLOGY:ANTIPSYCHOTICS AND SCHIZOPHRENIA | 321 | ||
| CASE STUDY | 325 | ||
| POLYPHARMACY | 334 | ||
| ENHANCING CONCORDANCE AND OPTIMISING THE MEDICATION REGIME | 335 | ||
| CONCLUSION | 337 | ||
| References | 337 | ||
| Annotated further reading | 339 | ||
| Chapter 18. Integrated approaches to relapse prevention | 341 | ||
| INTRODUCTION | 341 | ||
| EARLY INTERVENTION FOR PSYCHOSIS | 342 | ||
| WIDER IMPLICATIONS | 354 | ||
| Summary | 355 | ||
| Summary of practical strategies identified | 355 | ||
| Cross references | 356 | ||
| References | 356 | ||
| Annotated further reading | 358 | ||
| Chapter 19. Cultural issues | 359 | ||
| INTRODUCTION | 359 | ||
| VARIATION OF ILLNESS ACROSS CULTURES | 360 | ||
| ASSESSMENT OF THE CROSS-CULTURAL CLIENT | 364 | ||
| MANAGEMENT OF THE CROSS-CULTURAL CLIENT | 366 | ||
| CONCLUSIONS | 369 | ||
| References | 370 | ||
| Annotated further reading | 373 | ||
| Section 4:\rConsiderations for effective practice | 375 | ||
| Chapter 20. Ethical considerations | 377 | ||
| ETHICAL THEORY | 378 | ||
| PROFESSIONAL CODES | 380 | ||
| ETHICAL PRINCIPLES IN PRACTICE | 380 | ||
| DEVELOPING PRACTICE | 384 | ||
| CONCLUSIONS | 385 | ||
| References | 386 | ||
| Annotated further reading | 387 | ||
| Chapter 21. The tip of the iceberg | 389 | ||
| INTRODUCTION | 389 | ||
| CONTEXT | 390 | ||
| POWER | 391 | ||
| MODERNISATION OF MENTAL HEALTH SERVICES | 394 | ||
| SUPERVISION AND SUPPORT | 396 | ||
| CONCLUSIONS | 397 | ||
| References | 398 | ||
| Chapter 22. Clinical support | 399 | ||
| PROTECTING CLIENTS FROM PRACTITIONERS AND PRACTITIONERS FROM THEMSELVES | 400 | ||
| CLINICAL SUPPORT STRUCTURES | 400 | ||
| THE STRUCTURING OF CLINICAL SUPERVISION SESSIONS | 404 | ||
| BEYOND ONE TO ONE | 408 | ||
| PEER SUPERVISION | 410 | ||
| CONCLUSIONS | 411 | ||
| References | 411 | ||
| Index | 413 |