Mental Health Services Today and Tomorrow

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Author :
Publisher : CRC Press
ISBN 13 : 1315347105
Total Pages : 190 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Mental Health Services Today and Tomorrow by : Charles Kaye

Download or read book Mental Health Services Today and Tomorrow written by Charles Kaye and published by CRC Press. This book was released on 2018-04-19 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work traces and anticipates past, present and future changes in mental health services to assess the impact both of developments in care, and of the implications of new organisational change. It includes contributions and perspectives of those involved in services at all levels, including service users, to draw upon their experience to give a fuller picture of today and help sketch in tomorrow. It balances academic scrutiny with personal involvement, to reflect both national trends and local initiatives. Overall this work is in two volumes, each of which can stand alone: this Part 1 focuses on the realities of offering and receiving care at a practical and local level; it concentrates on personal experiences within mental health services as user, carer, provider and professional.The companion book Part 2 reviews policy and practice from national and international perspectives. Together these books provide essential information and views on mental health services for professionals throughout health and social care, managers, policy planners and policy shapers including those in the third sector and patient groups, academics and the media.

Mental Health Services Today and Tomorrow: Experiences of providing and receiving care

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Author :
Publisher : Radcliffe Publishing
ISBN 13 : 1846191858
Total Pages : 208 pages
Book Rating : 4.8/5 (461 download)

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Book Synopsis Mental Health Services Today and Tomorrow: Experiences of providing and receiving care by : Charles Kaye

Download or read book Mental Health Services Today and Tomorrow: Experiences of providing and receiving care written by Charles Kaye and published by Radcliffe Publishing. This book was released on 2008 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cover -- Half Title -- Title Page -- Copyright Page -- Contents -- Dedication -- Preface -- List of contributors -- Acknowledgements -- Introduction -- 1 Honesty without discrimination -- 2 Community teams: outreach and intervention -- 3 Homelessness and disorder: the challenge of the antisocial and the societal response -- 4 Moving on from the National Service Framework for Mental Health: the social inclusion agenda -- 5 A GP's view: interview with Dr Helen Pelendrides -- 6 Dual diagnosis -- 7 Advocacy: does it really work? -- 8 Prejudice and progress -- 9 Clients as colleagues: part of the path to recovery? -- 10 A personal account: from my life -- 11 Working with young people: 24 hours in the life of The Highfield Family and Adolescent Unit, Oxford -- 12 Creating a small community -- 13 A space for creativity and healing: Artists in Mind and the mental health system -- 14 Enhancing the healing environment -- 15 The Retreat: an alternative perspective from the independent sector -- Index

Common Mental Health Disorders

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Publisher : RCPsych Publications
ISBN 13 : 9781908020314
Total Pages : 316 pages
Book Rating : 4.0/5 (23 download)

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Book Synopsis Common Mental Health Disorders by : National Collaborating Centre for Mental Health (Great Britain)

Download or read book Common Mental Health Disorders written by National Collaborating Centre for Mental Health (Great Britain) and published by RCPsych Publications. This book was released on 2011 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Mental Health Services Today and Tomorrow

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Author :
Publisher : CRC Press
ISBN 13 : 1315346834
Total Pages : 172 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Mental Health Services Today and Tomorrow by : Charles Kaye

Download or read book Mental Health Services Today and Tomorrow written by Charles Kaye and published by CRC Press. This book was released on 2018-04-19 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work traces and anticipates past, present and future changes in mental health services to assess the impact both of developments in care, and of the implications of new organisational change. It includes contributions and perspectives of those involved in services at all levels, including service users, to draw upon their experience to give a fuller picture of today and help sketch in tomorrow. It balances academic scrutiny with personal involvement, to reflect both national trends and local initiatives.Overall this work is in two volumes, each of which can stand alone: the companion book Part 1 focuses on the realities of offering and receiving care at a practical and local level; this Part 2 reviews policy and practice from national and international perspectives. Together these books provide essential information and views on mental health services for professionals throughout health and social care, managers, policy planners and policy shapers including those in the third sector and patient groups, academics and the media.

Primary Care

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Publisher : National Academies Press
ISBN 13 : 0309175690
Total Pages : 411 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Primary Care by : Institute of Medicine

Download or read book Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1996-09-05 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

Experiences of Mental Health In-patient Care

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Author :
Publisher : Routledge
ISBN 13 : 113412869X
Total Pages : 250 pages
Book Rating : 4.1/5 (341 download)

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Book Synopsis Experiences of Mental Health In-patient Care by : Mark Hardcastle

Download or read book Experiences of Mental Health In-patient Care written by Mark Hardcastle and published by Routledge. This book was released on 2012-10-12 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Commended in the Mental Health category of the 2008 BMA Medical Book Competition. This book offers an insight into the experience of psychiatric in-patient care, from both a professional and a user perspective. The editors highlight the problems in creating therapeutic environments within settings which are often poorly resourced, crisis driven and risk aversive. The contributors argue that for change to occur there needs first of all to be a genuine appreciation of the experiences of those involved in the unpredictable, anxiety-arousing and sometimes threatening environment of the psychiatric ward. Each chapter comprises a personal account of in-patient care by those in the front line: people who have been admitted to a psychiatric ward; their relatives; or those that provide the care. These accounts are followed by two commentaries written from different perspectives, suggesting lessons that can be learnt to improve the quality of care. Experiences of Mental Health In-patient Care will be useful for all mental health professionals, including mental health nurses, psychiatrists, clinical psychologists, occupational therapists, arts therapists, social workers and trainees, as well as service users and carers organisations.

Assertive Outreach in Mental Healthcare

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Publisher : John Wiley & Sons
ISBN 13 : 1444393308
Total Pages : 257 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Assertive Outreach in Mental Healthcare by : Caroline Williams

Download or read book Assertive Outreach in Mental Healthcare written by Caroline Williams and published by John Wiley & Sons. This book was released on 2011-02-08 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Assertive Outreach in Mental Healthcare: Current Perspectives explores experiences, successes, interventions, and service user stories as well as lessons learned from the implementation experience surrounding assertive intervention. It provides a synthesis of expert experience in the field as well as experiences of grass roots team practitioners. This book makes a valuable contribution to the field by addressing in depth a wide range of topics critical to the delivery of assertive outreach services and providing practitioners with a manual into which they can feed lessons learned from other teams for continuous service improvement. This book is an essential reference for anyone with an interest in assertive outreach and community treatment approaches in mental health. Special features: Provides a contemporary analysis of current service developments in the area Written by experts in the field Covers cross-cutting issues relevant to all areas of community mental health care Includes multiple perspectives: service user, researcher, service manager, commissioner, clinician and carer Covers both service delivery and therapeutic interventions Explores how the assertive outreach model is applied in the UK and Europe

Interprofessional Perspectives Of Mental Health Crisis: For Nurses, Health, and the Helping Professions

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Author :
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335250505
Total Pages : 182 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Interprofessional Perspectives Of Mental Health Crisis: For Nurses, Health, and the Helping Professions by : Kris Deering

Download or read book Interprofessional Perspectives Of Mental Health Crisis: For Nurses, Health, and the Helping Professions written by Kris Deering and published by McGraw-Hill Education (UK). This book was released on 2022-03-04 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: “There is plenty in this book to get your teeth into and help us think about how we work with people in mental health crises and how we might best make a difference.” Alan Simpson, Professor of Mental Health Nursing, Health Service and Population Research, King’s College London, UK “Any one of us could experience a mental health crisis. However, a high-quality interdisciplinary response can be lifesaving and life changing. This book is an important contribution to the literature as it has examples of good practice for all professionals – both on the frontline and in service development.” Dr Adrian James, President, Royal College of Psychiatrists, UK “This publication is a valuable and timely resource given the increasing recognition of the impact of mental health needs in a range of different professional settings.” Victoria Sweetmore, Acting Discipline Lead for Mental Health and Learning Disability Nursing, University of Derby, UK Interprofessional Perspectives of Mental Health Crisis improves the care of those experiencing a mental health-related crisis by providing insight into the roles different UK statutory services have and the need for collaborative mental health care. For those studying and working in the field of mental health crisis, this vital work will bridge your understanding by offering a cross-discipline perspective of the different services, their role in aiding service users and, the ways we can work more collaboratively together to meet the mental health needs of those requiring care. Throughout, the book: • Promotes understanding of the various roles each of the key services play within the crucial first 24-hours of a mental health crisis and the challenges they face • Fosters interprofessional collaboration to create a whole-system approach to crisis care • Helps professionals to understand good practice and the challenges of other services when aiding a person in crisis • Critically evaluates service provision and ways to improve crisis care • Explores recovery and collaboration with service users experiencing a crisis and their significant others The book is timely and essential in its promotion of high-quality interdisciplinary response and emphasis on integration and collaboration between service providers. Kris Deering is Senior Lecturer in Mental Health Nursing and the module lead of Working with a Person Experiencing a Mental Health Crisis at UWE Bristol, UK. Including working as a senior practitioner for a mental health crisis team, Kris has over 15 years of mental health nursing experience. Jo Williams is Senior Lecturer in Mental Health Nursing at UWE Bristol, UK. Her clinical practice experience includes civilian and military nursing, supporting people living with co-existing mental health and substance misuse issues.

Introduction to Health Care Services: Foundations and Challenges

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118407938
Total Pages : 476 pages
Book Rating : 4.1/5 (184 download)

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Book Synopsis Introduction to Health Care Services: Foundations and Challenges by : Bernard J. Healey

Download or read book Introduction to Health Care Services: Foundations and Challenges written by Bernard J. Healey and published by John Wiley & Sons. This book was released on 2014-12-31 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to the structure, synergy, and challenges in U.S. health care delivery Introduction to Health Care Services: Foundations and Challenges offers new insights into the most important sectors of the United States' health care industry and the many challenges the future holds. Designed to provide a comprehensive and up-to-date understanding of the system, this textbook covers the many facets of health care delivery and details the interaction of health, environments, organizations, populations, and the health professions. Written by authors with decades of experience teaching and working in health care administration and management, the book examines the current state and changing face of health care delivery in the United States. Each chapter includes learning objectives and discussion questions that help guide and engage deeper consideration of the issues at hand, providing a comprehensive approach for students. Cases studies demonstrating innovations in the delivery of health care services are also presented. Health care administration requires a thorough understanding of the multiple systems that define and shape the delivery of health care in the United States. At the same time, it is important for students to gain an appreciation of the dilemma confronting policy makers, providers, and patients in the struggle to balance cost, quality, and access. Introduction to Health Care Services: Foundations and Challenges is an in-depth examination of the major health care issues and policy changes that have had an impact on the U.S. health care delivery system. Includes information on U.S. health care delivery, from care to cost, and the forces of change Focuses on major industry players, including providers, insurers, and facilities Highlights challenges facing health care delivery in the future, including physician shortages, quality care, and the chronic disease epidemic The U.S. health care system is undergoing major reform, and the effects will ripple across every sector of the industry. Introduction to Health Care Services: Foundations and Challenges gives students a complete introduction to understanding the issues and ramifications.

Community Mental Health

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Publisher : John Wiley & Sons
ISBN 13 : 111995214X
Total Pages : 233 pages
Book Rating : 4.1/5 (199 download)

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Book Synopsis Community Mental Health by : Graham Thornicroft

Download or read book Community Mental Health written by Graham Thornicroft and published by John Wiley & Sons. This book was released on 2011-09-09 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Key Policy Challenges and Opportunities to Improve Care for People with Mental Health and Substance Use Disorders

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Author :
Publisher : National Academies Press
ISBN 13 : 0309672201
Total Pages : 117 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Key Policy Challenges and Opportunities to Improve Care for People with Mental Health and Substance Use Disorders by : National Academies of Sciences, Engineering, and Medicine

Download or read book Key Policy Challenges and Opportunities to Improve Care for People with Mental Health and Substance Use Disorders written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-08-14 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

The Challenges of Mental Health Caregiving

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Publisher : Springer Science & Business Media
ISBN 13 : 1461487919
Total Pages : 234 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis The Challenges of Mental Health Caregiving by : Ronda C. Talley

Download or read book The Challenges of Mental Health Caregiving written by Ronda C. Talley and published by Springer Science & Business Media. This book was released on 2013-11-18 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: Caring for the ill, disabled, very old, or very young requires a labor-intensive commitment that is not only essential to the well-being of individuals and to society as a whole, but also fraught with physical, financial, and psychological risks. And despite the critical nature of their job, caregivers rarely have avenues of support. The Challenges of Mental Health Caregiving addresses the complexities of the situation with uncommon depth and breadth. Suited to researchers, scientist-practitioners and clinicians, and students seeking a rounded understanding of the field, it examines how caregiving affects the lives, work, and mental health of family and professional caregivers. Chapters explore developmental, cultural, and spiritual contexts of care, addressing ongoing concerns about care in relation to larger health systems and emphasizing the need for care to be viewed as a community, rather than an individual or family experience. Further, the book's conclusion strongly advocates for more effective and efficient uses for available funds and resources while offering workable proposals for service improvements at the policy level. Key areas of coverage: The impact of caregiving on physical and mental health. Integrating mental health and primary care. The promotion of positive mental health outcomes in children and youth. Mid-life concerns and caregiver experience. Loss, grief, bereavement and the implications for mental health caregiving. Policy issues in caregiving and mental health. The Challenges of Mental Health Caregiving is a clear-sighted reference for researchers, clinicians and scientist-practitioners, and graduate students in the caregiving fields, including clinical psychology, social work, public health/medicine, geriatrics/gerontology, public policy, and educational policy.

Mental Health in Asia and the Pacific

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Author :
Publisher : Springer
ISBN 13 : 1489979999
Total Pages : 327 pages
Book Rating : 4.4/5 (899 download)

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Book Synopsis Mental Health in Asia and the Pacific by : Harry Minas

Download or read book Mental Health in Asia and the Pacific written by Harry Minas and published by Springer. This book was released on 2017-02-23 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: This far-reaching volume analyzes the social, cultural, political, and economic factors contributing to mental health issues and shaping treatment options in the Asian and Pacific world. Multiple lenses examine complex experiences and needs in this vast region, identifying not only cultural issues at the individual and collective levels, but also the impacts of colonial history, effects of war and disasters, and the current climate of globalization on mental illness and its care. These concerns are located in the larger context of physical health and its determinants, worldwide goals such as reducing global poverty, and the evolving mental health response to meet rising challenges affecting the diverse populations of the region. Chapters focus on countries in East, Southeast, and South Asia plus Oceania and Australia, describing: · National history of psychiatry and its acceptance. · Present-day mental health practice and services. · Mental/physical health impact of recent social change. · Disparities in accessibility, service delivery, and quality of care. · Collaborations with indigenous and community approaches to healing. · Current mental health resources, the state of policy, and areas for intervention. A welcome addition to the global health literature, Mental Health in Asia and the Pacific brings historical depth and present-day insight to practitioners providing services in this diverse area of the world as well as researchers and policymakers studying the region.

Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings

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Author :
Publisher : National Academies Press
ISBN 13 : 0309682681
Total Pages : 123 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings by : National Academies of Sciences, Engineering, and Medicine

Download or read book Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-30 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.

Mental Health Services in General Health Care

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Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (18 download)

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Book Synopsis Mental Health Services in General Health Care by :

Download or read book Mental Health Services in General Health Care written by and published by . This book was released on 1979 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Experience in Mental Health

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Author :
Publisher : Sage Publications (CA)
ISBN 13 :
Total Pages : 180 pages
Book Rating : 4.3/5 (97 download)

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Book Synopsis Experience in Mental Health by : Kathleen Jones

Download or read book Experience in Mental Health written by Kathleen Jones and published by Sage Publications (CA). This book was released on 1988 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Lived Experience in Mental Health

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Author :
Publisher : CRC Press
ISBN 13 : 1482245426
Total Pages : 272 pages
Book Rating : 4.4/5 (822 download)

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Book Synopsis The Lived Experience in Mental Health by : Gary Morris

Download or read book The Lived Experience in Mental Health written by Gary Morris and published by CRC Press. This book was released on 2016-09-15 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of recognising the knowledge and the needs of service users and engaging them more proactively within the care process is now widely acknowledged, but it is not always clear how this can come about. The Lived Experience of Mental Health highlights individuals’ own lived and felt mental health experience in order to share their expertise about mental health problems and the care offered. This text begins by exploring the importance of engaging with the internal world of those living with various mental health problems and reflecting upon personal narratives as means of expressing and sharing experience, as well as the status of these narratives as 'evidence'. The central section of the book looks at five commonly experienced mental health states: anxiety problems, depression, mood extremes, states of altered reality (linked, for example, with psychosis and schizophrenia) and impaired cognition (linked, for example, with dementia). The chapters look at how the mental state in question is experienced, including the experience of it in the context of the wider world, where health and social care services and the responses of other people play a part. Drawing on personal narratives from a wide range of sources, this text foregrounds the voices of experts by experience and relates them to the academic literature. The narratives collectively convey a breadth of experience including both concepts of struggling and living well with mental health issues. The book ends by outlining resources where a range of first-person narratives can be accessed, from online forums to films, and providing a strategy for teaching and learning associated with the exploration of lived experience narratives. Designed for health professionals working with people experiencing mental health problems, this illuminating text uses personal narratives to emphasise the importance of person-centred care and participation by services users in their own care. It will also be an interesting read for experts by experiences themselves as well as their families and friends.