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 tothe 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 thesehuge 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.
Section 1 - Introduction; Introduction to community mental health; Section 2 - Origins of community psychiatry; Historical changes in mental health practice; Mental health policy in modern America; Recovery as an integrative paradigm in mental health; Section 3 - Needs: perspectives and assessment; The application of epidemiology to mental disorders; Treated and untreated prevalence of mental disorder; Expertise from experience: mental health recovery and wellness; Measuring the needs of people with mental illness; Mental health, ethnicity and cultural diversity: evidence and challenges; Responding to migration and upheaval; Section 4 - Treatment and service components; Early intervention for mental health and substance use disorders; Organising the range of community mental health services; Crisis and emergency services; Early intervention for people with psychotic disorders; Case management and assertive community treatment; Medication treatment; Psychiatric outpatient clinics; Day hospital and partial hospitalisation programmes; In-patient treatment; Residential care; Individual placement and support: the evidence-based practice of supported employment; Programmes to support family members and caregivers; Managing co-occurring physical disorders in mental health care; Illness self-management programmes; Co-occurring substance use disorders; Behavioural health technologies including telehealth; Forensic community mental health services; Section 5 - Ethical and legal aspects; Ethical framework for community mental health; International human rights and community mental health; Treatment pressures, coercion and compulsion; Section 6 - Stigma and discrimination; Public knowledge and awareness about mental illnesses; Reducing stigma and discriminatory behaviour; Section 7 - Policies and the funding; Shaping national mental health policies; Funding mental health services; Section 8 - Assessing the evidence for effectiveness; Research designs and evaluating treatment interventions; Qualitative research methods in mental health; Developing evidence-based mental health practices; Section 9 - Methods for ensuring that effective care is provided; Implementing guidelines; Section 10 - Global mental health; Global burden of disease and mental disorders; Planning mental health care at the national level; Contributions of religious, alternative and complementary practitioners; Planning and implementing community services for a district; Mental health aspects of pandemics; ‘Mental health in low- and middle-income countries; Overcoming impediments to community mental health in low and middle income countries; Section 11 - Looking to the future; Summing up: community mental health in the future;
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