Robert E. Drake - Böcker

Traditional approaches to vocational rehabilitation, such as skills training classes, job clubs, and sheltered employment, have not been successful in helping people with severe mental illness gain competitive employment. Supported employment, in which clients are placed in jobs and then trained by on-site coaches, is a radically new conceptual approach to vocational rehabilitation designed for people with developmental disabilities. The Individual Placement and Support (IPS) method utilizes the supported employment concept, but modifies it for use with the severely mentally ill. It is the only approach that has a strong empirical research base: rates of competitive employment are 40% or more in IPS programs, compared to 15% in traditional mental health programs. The third volume in the Innovations in Practice and Service Delivery with Vulnerable Populations series, this will be extremely useful to students in psychiatric rehabilitation programs and social work classes dealing with the severely mentally ill, as well as to practitioners in the field.

Community mental health has evolved as a field of practice and as a research discipline during the last 50 years. Now newer concepts, such as shared decision-making, the recovery approach, evidence-based practice, implementation science, telemedicine, and mobile device technology, are adding layers of texture to this domain. These developments require an ever more sophisticated understanding of the very latest evidence and experience in community mental health care to respond to the values, goals, needs and preferences of people with lived experience of mental health conditions. This second edition of the Oxford Textbook of Community Mental Health addresses recent changes and achievements, current controversies, and future challenges while emphasizing areas of convergence, where social values, health, medical sciences, and policy formation converge and meet. This edition also features a new section on global mental health, to emphasise what is known about the mental health gap in low- and middle-income countries, and the evidence of how to respond to these huge global challenges.Like community mental health care itself, the authors are multidisciplinary, international, and bring both clinical and scientific perspectives to this volume. This textbook will be an invaluable and authoritative source of reference for all mental health specialists; for people with mental health conditions, for staff in non-governmental and governmental organisations, and indeed for all who are dedicated to creating better mental health services and systems.

Employment is the highest priority for many people with severe mental illness and it is a central aspect of recovery. Over the past two decades, the Individual Placement and Support (IPS) model of supported employment has emerged as the prominent evidence-based approach to vocational rehabilitation. This comprehensive monograph synthesizes the research and experience on IPS supported employment: historical context, core principles, effectiveness, long-term outcomes, non-vocational outcomes, cost-effectiveness, generalizability, fidelity, implementation, policy, and future research. A collaboration of the top researchers in the area, this book will have broad appeal to professionals and researchers working with populations with psychiatric disabilities and in community mental health and social service settings. In tracing the evolution of IPS, readers are equipped with an elegant example of the transition from needs assessment, to model development, to testing, and to dissemination.

As the philosophy, major tenets, and techniques of the movement have evolved, evidence-based medicine has strongly influenced individual health care decision-making, the practices offered in health care programs, and the structure of medical and public health systems. Evidence-based medicine has also begun to influence the field of mental health. As support for evidence-based medicine grows in mental health, the need to clarify its fundamental principles also increases.In dealing with the new era of evidence-based practice, mental health practitioners are now confronted with a sense of obligation to understand these practices and to implement them in order to provide the best available services to consumers. This book explores some of the complex challenges in implementing EBPs, and highlights the meaningful opportunities that are inherent in this paradigm shift. This comprehensive textbook will become an essential primer for all practitioners and students who are grappling with the new age of evidence-based practice.

There are wide inconsistencies between, and even within, countries in how community-orientated care is defined and interpreted. The analysis presented in this book take as a starting point an evidence-based balanced care model in which services are provided in community settings close to the populations served, with hospital stays being reduced as far as possible, usually located in acute wards in general hospitals. The surprising conclusion from the research is that the same problems arise in all countries, regardless of resource status, and thus the recommendations of this book apply to mental health provision everywhere. This book reviews the implementation of community-orientated care using the balanced care model. It summarizes the steps, obstacles and mistakes that have been encountered in the implementation of community mental health care worldwide and presents guidelines on how to avoid them. It proposes realistic and achievable recommendations for the development and implementation of community-orientated mental health care over the next ten years. These guidelines will be of practical use to psychiatrists and other mental health and public health practitioners at all levels worldwide, including policy makers, commissioners, funders, non-governmental organisations, service users and carers. A core message of the book is that the mental health sector will more powerfully advocate for better services in future through strong and unified alliances, especially with powerful representation from consumer/service user and carer groups.Community-orientated care draws on a wide range of practitioners, providers, care and support systems (both professional and non-professional), though particular components may play a larger or lesser role in different settings depending on the local context and the available resources, especially trained staff. Research by a WPA task force has demonstrated that most of the challenges are common and global, but with local variations. The book is therefore relevant to psychiatrists and mental health workers in developed countries who are trying to deliver better health care on reduced budgets and for those in the developing economies who are in the position to modernise their mental health care. It provides clear, concise guidance on policy and practice decisions, learning from what has and has not worked in regions in the world.The book contains many tables documenting the evidence, supported by an essential reference list, and a Key Points summary for each chapter.Highly Commended in the Psychiatry section of the 2012 BMA Book Awards.

This comprehensive clinical handbook provides virtually everything needed to plan, deliver, and evaluate effective treatment for persons with substance abuse problems and persistent mental illness. From authors at the forefront of the dual disorders field, the book is grounded in decades of influential research. Presented are clear guidelines for developing integrated treatment programs, performing state-of-the-art assessments, and implementing a wide range of individual, group, and family interventions. Also addressed are residential and other housing services, involuntary interventions, vocational rehabilitation, and psychopharmacology for dual disorders. Throughout, the emphasis is on workable ways to combine psychiatric and substance abuse services into a cohesive, unitary system of care. In a convenient large-size format, the volume includes reproducible assessment forms, treatment planning materials, and client handouts.