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
Assertive Outreach is the treatment of choice for the severely mentally ill in the community. It involves taking services to the patients rather than requiring them to attend hospitals and clinics. The model is one of a high staff-to-patient ratio offering comprehensive health and socialcare. Assertive Outreach is a targeted and refined application of the existing practice of community mental health teams - an evolution of community policy rather than a revolutionary change. Research evidence and outcome data suggests it results in reduced hospitalizations, promotes effectiveengagement with difficult patients and improves patient wellbeing. As a policy, it has been implemented successfully in Australia, the USA and Europe, and it is now being adopted nationally in the UK. This book will equip all members of the multidisplinary Assertive Outreach team with a clear understanding of the essential processes and interventions involved. Tom Burns and Mike Firn are pioneers in this field and have been running an Assertive Outreach team for seven years. They have been awarded Beacon status by the UK Department of Health to reflect their excellence, and are heavily involved in teaching others setting out on the same path.
Outreach in the community is the treatment of choice for the severely mentally ill in the community. It involves taking services directly to patients rather than requiring them to attend clinics and hospitals. This approach is a significant addition to routine mental health care practice andaddresses the needs of marginalized communities and those that struggle to attend appointments.Outreach in Community Mental Health Care: A Manual for Practitioners has been fully updated since the last edition, providing readers with an in-depth, practical guide to mental health care in the community setting today. It addresses the significant changes in mental health service organizationsover the years, including the various new teams devised and the importance of central planning and targets. The authors Tom Burns and Mike Firn are pioneers in this field of research and are active in community outreach as practitioners, researchers, and supervisors. In 29 chapters they cover key discussions in conceptual issues, health and social care practice, management and development, which providesreaders with an insight into the reality of community outreach work.
An introduction to mental health practice ideal for non-psychologists Learning About Mental Health Practice covers the key areas of contemporary mental health practice and is ideal for those in the early stages of their mental health training. The text is organized into three parts. Part I (Foundations) covers the Ten Shared Capabilities, a framework that has been developed by the Sainsbury Centre for Mental Health as a framework for the whole of the mental health workforce. Part II (Issues) includes chapters on socially inclusive practice, service user involvement, interdisciplinary team working, and working with families. Finally, Part III (Approaches) includes chapters on psychological approaches, medication management, holistic approaches, and spirituality and mental health. A student text to accompany Teaching Mental Health (978-0-470-03029-5) Focuses on the 'Ten Essential Shared Capabilities': Working in Partnership; Respecting Diversity; Practicing Ethically; Challenging Inequality; Promoting Recovery; Identifying People's Needs and Strengths; Providing Service User Centred Care; Making a Difference; Promoting Safety and Positive Risk Taking; Personal Development and Learning Much-needed: in 2006 Professor Lord Layard, Professor of Health Economics at the LSE, made a seminal speech in which he outlined an initiative to scale up therapy for people suffering from depression and anxiety by training an additional 10,000 clinical psychologists and therapists
This handbook brings together authoritative contributions from leading mental health researchers, educators and practitioners to provide a comprehensive text for community mental health nurses in training and practice. In thirty-three chapters it covers a wide range of topics, from the history of the profession to current approaches to specific client groups, organised around three linked themes: professional context practice issues education and research. Each chapter includes a summary of key points and suggestions for further reading, and also includes useful appendices listing key professional and voluntary organisations, journals, Internet and mailing lists. The handbook reflects the diversity and scope of the role of the CMHN and recognizes the multidisciplinary and service user context in which nurses work. It is an essential text for CMHNs and mental health nurse educators, and offers a useful source of reference for allied professionals.
The use of coercion is one of the defining issues of mental health care. Since the earliest attempts to contain and treat the mentally ill, power imbalances have been evident and a cause of controversy. There has always been a delicate balance between respecting autonomy and ensuring that those who most need treatment and support are provided with it. Coercion in Community Mental Health Care: International Perspectives is an essential guide to the current coercive practices worldwide, both those founded in law and those 'informal' processes whose coerciveness remains contested. It does so from a variety of perspectives, drawing on diverse disciplines such as history, law, sociology, anthropology and medicine to provide a comprehensive summary of the current debates in the field. Edited by leading researchers in the field, Coercion in Community Mental Health Care: International Perspectives provides a unique discussion of this prominent issue in mental health. Divided into five sections covering origins and extent, evidence, experiences, context and international perspectives this is ideal for mental health practitioners, social scientists, ethicists and legal professionals wishing to expand their knowledge of the subject area.
Many refugees and asylum seekers have left their country due to persecution, war, or appalling violations of their human rights. They therefore often have specific mental health needs.This book presents both the theory and practice behind understanding and treating the mental health needs of refugees and asylum seekers.
Assertive outreach is a means of helping people with serious and persistent mental health difficulties who have not engaged with conventional mental health services. Reaching Out examines the application of psychological approaches in assertive outreach – a process which involves forming new relationships and offering hope to people who have been alienated from traditional methods. Reaching Out begins with a discussion of topics including: engagement the team approach assessments team case formulation managing stress and burnout for staff. The second half of the book focuses on the task of delivering psychological therapies and considers a range of models including psychodynamic therapy, family therapy, cognitive behaviour therapy and community approaches. Reaching Out: The Psychology of Assertive Outreach demonstrates that the relationship between staff and service users is essential to the process of recovery and personal growth. The approach will apply not only to assertive outreach teams, but also to clinical psychologists, counsellors and other mental health professionals who are interested in psychological approaches to outreach work.
Hospital, Intensive Community and Home-Based Services
Author: Tim McDougall
"A comprehensive range of services for young people requiring more intensive mental health services is being developed and this book explores what works in Child and Adolescent Mental Health (CAMHS) at this level.Specialist Mental Healthcare for Children and Young People looks at intensive outpatient and community services; assertive outreach teams; inpatient residential and secure provision; or other highly specialised assessment, consultation and intervention services. Based on the best available evidence, each chapter provides research summaries and an overview of available treatments. It outlines emerging good practice guidance, service models, assessment, and training and workforce development requirements. Case studies and the views of children, young people and their families or carers are incorporated throughout. This accessible text is essential reading for professionals including psychiatrists, psychologists, nurses, therapists, social workers and teachers working in specialist CAMHS services, as well as all those studying for qualifications in child and adolescent mental health"--Provided by publisher.
"In Mental Health: From Policy to Practice, the editors and contributors use their extensive experience and knowledge of mental health services to analyse the effectiveness of developments. They reflect on how policy has developed, what policy means for practice, to what extent policy has been implemented, and where the challenges lie." --Book Jacket.
An Independent Service User Evaluation of a Model of Assertive Outreach Practice
Author: Roberta Graley-Wetherell
Category: Community mental health services
This report details a user evaluation of an assertive outreach project in Norwich, which works with adults who have difficulty engaging with services. Service users and members of the team describe their experiences of using and working in the service. The personal voice of users penetrates this report.
Psychiatric-mental health nursing promotes mental health through the assessment, diagnosis, and treatment of human responses to mental health problems and psychiatric disorders. A core mental health profession, it is a specialty that employs a purposeful use of self as its art along with a wide range of nursing, psychosocial, and neurobiological theories and research evidence as its science. Its areas of focus emerge based on current and anticipated societal needs, including disparities in mental health and its care and treatment among the diverse populations.
Advancing Occupational Therapy in Mental Health Practice looks at the contribution that occupational therapists make to the lives of clients living with mental illness. It examines current practice developments and the innovative research that is shaping occupational therapy within the mental health arena, nationally and internationally. The book employs a distinctive and engaging narrative approach, bringing to life key issues in practice and research. It introduces the reader to the mental health context, opening with a historical overview and then exploration of the current developments in occupational therapy before moving on to discuss the cultural context and the need for cultural sensitivity in practice. Service users and expert clinicians offer their narratives, through which the clinical utility and cultural appropriateness of existing occupational therapy concepts, assessments and outcome measures are discussed and the associated implications for practice highlighted. Advancing Occupational Therapy in Mental Health Practice introduces and explores a variety of specialised work contexts from practicing in acute inpatient settings to crisis intervention, home treatment, forensic mental health settings and the specialist role of occupational therapy in community mental health and social services. Chapters are enriched with case stories, personal narratives and guided reflection.