Περιγραφή
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.
- Addresses a comprehensive range of mental health services and settings
- Directly relevant for teaching, policy and practice
- Authoritative review of the field, combining both traditional, and more recent concepts
- Fully revised new edition, including a new section on global mental health, new chapters on substance abuse disorders, behaviourial health technologies, and more
Περιεχόμενα
Section 1 – Introduction
1:Introduction to community mental health
Section 2 – 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
Section 3 – Needs: perspectives and assessment
5:The application of epidemiology to mental disorders
6:Treated and untreated prevalence of mental disorder
7:Expertise from experience: mental health recovery and wellness
8:Measuring the needs of people with mental illness
9:Mental health, ethnicity and cultural diversity: evidence and challenges
10:Responding to migration and upheaval
Section 4 – Treatment and service components
11:Early intervention for mental health and substance use disorders
12:Organising the range of community mental health services
13:Crisis and emergency services
14:Early intervention for people with psychotic disorders
15:Case management and assertive community treatment
16:Medication treatment
17:Psychiatric outpatient clinics
18:Day hospital and partial hospitalisation programmes
19:In-patient treatment
20:Residential care
21:Individual placement and support: the evidence-based practice of supported employment
22:Programmes to support family members and caregivers
23:Managing co-occurring physical disorders in mental health care
24:Illness self-management programmes
25:Co-occurring substance use disorders
26:Behavioural health technologies including telehealth
27:Forensic community mental health services
Section 5 – Ethical and legal aspects
28:Ethical framework for community mental health
29:International human rights and community mental health
30:Treatment pressures, coercion and compulsion
Section 6 – Stigma and discrimination
31:Public knowledge and awareness about mental illnesses
32:Reducing stigma and discriminatory behaviour
Section 7 – Policies and the funding
33:Shaping national mental health policies
34:Funding mental health services
Section 8 – Assessing the evidence for effectiveness
35:Research designs and evaluating treatment interventions
36:Qualitative research methods in mental health
37:Developing evidence-based mental health practices
Section 9 – Methods for ensuring that effective care is provided
38:Implementing guidelines
Section 10 – Global mental health
39:Global burden of disease and mental disorders
40:Planning mental health care at the national level
41:Contributions of religious, alternative and complementary practitioners
42:Planning and implementing community services for a district
43:Mental health aspects of pandemics
44:‘Mental health’ in low- and middle-income countries
45:Overcoming impediments to community mental health in low and middle income countries
Section 11 – Looking to the future
46:Summing up: community mental health in the future
