What is the best way to provide mental health care within the community? How can these services be provided in a way that is easy to access and offer treatments that really work? Community mental health care has evolved as a discipline over the past 50 years, and within the past 20 years, there have been major developments across the world. The Oxford Textbook of Community Mental Health is the most comprehensive and authoritative review published in the field. It looks at how the field has evolved, the current approaches, and combines more established concepts, such as community-based interventions and an epidemiological perspective, with newer concepts, such the recovery approach, evidence-based practices, and implementation science, which are the most powerful ideas shaping this field. . Like community mental health care itself, the book is multidisciplinary and pluralistic. Thoughout, it addresses controversies and also emphasizes areas of convergence, where social values, medical science, and policy show increasing synergy. The book will be an essential reference source for both trainee and qualified psychologists, psychiatrists, nurses, social workers and occupational therapist involved in providing community mental health care, as well as other related healthcare professionals and students, mental health service planners and commissioners, and service user and carer groups.
INTRODUCTION
1. Introduction to community mental health?
ORIGINS OF 'COMMUNITY PSYCHIATRY'
2. Historical changes in mental health practice
3. Mental health policy in modern America
4. Recovery as an integrative paradigm in mental health
NEEDS: PERSPECTIVES AND ASSESSMENT
5. Mental illnesses at the population level
6. Treated and untreated prevalence of mental disorder
7. The global burden of mental disorder
8. Expertise from experience: mental health recovery and wellness
9. Measuring the needs of people with mental illness
10. Mental health, ethnicity and cultural diversity: evidence and challenges
11. Responding to migration and upheaval
SERVICE COMPONENTS
12. Organising the range of community mental health services
13. Crisis and emergency services
14. Early interventions for people with psychotic disorders
15. Case management and assertive community treatment
16. Psychiatric out-patient clinics
17. Day hospital and partial hospitalisation programmes
18. Individual placement and support: the evidence-based practice of supported employment
19. In-patient treatment
20. Residential care
21. Programmes to support family members and caregivers
22. Medication management
23. Managing co-occurring physical disorders in mental heath care
24. Self-management programmes
ETHICAL AND LEGAL ASPECTS
25. Ethical framework for community mental health
26. International human rights and community mental health
27. Treatment pressures, coercion and compulsion
STIGMA AND DISCRIMINATION
28. Public knowledge and awareness about mental illnesses
29. Public attitudes towards people with mental illness
30. Reducing stigma and discriminatory behaviour
POLICIES AND THE FUNDING
31. Shaping national mental health policies
32. Using information and evidence to improve mental health care
33. Funding mental health services
ASSESSING THE EVIDENCE FOR EFFECTIVENESS
34. Research designs and evaluating treatment interventions
35. Qualitative research methods in mental health
36. Understanding and using systematic literature reviews
37. Developing Evidence-Based Mental Health Practices
38. Mental health services in low and middle income countries
METHODS FOR INSURING THAT EFFECTIVE CARE IS PROVIDED
39. Producing guidelines, protocols and toolkits
40. Implementing guidelines
41. Overcoming impediments to community mental health in low and middle income countries
42. The challenge of integrated care at the programme level
LOOKING TO THE FUTURE
43. Summing up: community mental health in the future
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