front cover of Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
Ryan Andrew Brown
RAND Corporation, 2015
Concerns about access to behavioral health care for military service members and their dependents living in geographically remote locations prompted research into how many in this population are remote and the effects of this distance on their use of behavioral health care. The authors conducted geospatial and longitudinal analyses to answer these questions and reviewed current policies and programs to determine barriers and possible solutions.
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Clifford W. Beers
Advocate for the Insane
Norman Dain
University of Pittsburgh Press, 1980
Norman Dain offers a compelling biography of Clifford W. Beers, whose lifelong battle against his own mental illness inspired him to become a champion for mental health. Beers' autobiography, A Mind That Found Itself, created a public outcry in 1908, as it chronicled Beers' experiences during his three-year confinement in an asylum. Despite his disability, Beers went on to found the National Committee for Mental Hygiene (now the National Association for Mental Health), the American Foundation for Mental Hygiene, and the International Committee for Mental Hygiene.
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front cover of Developing a Research Strategy for Suicide Prevention in the Department of Defense
Developing a Research Strategy for Suicide Prevention in the Department of Defense
Status of Current Research, Prioritizing Areas of Need, and Recommendations for Moving Forward
Rajeev Ramchand
RAND Corporation, 2014
To support U.S. Department of Defense (DoD) efforts to create a unified, comprehensive strategic plan for suicide prevention research, a RAND study cataloged studies funded by DoD and other entities, examined whether current research maps to DoD’s strategic research needs, and provided recommendations to encourage better alignment and narrow the research-practice gap when it comes to disseminating findings to programs serving military personnel.
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front cover of The Dilemma of Federal Mental Health Policy
The Dilemma of Federal Mental Health Policy
Radical Reform or Incremental Change?
Grob, Gerald N
Rutgers University Press, 2006
Severe and persistent mental illnesses are among the most pressing health and social problems in contemporary America. Recent estimates suggest that more than three million people in the U.S. have disabling mental disorders. The direct and indirect costs of their care exceed 180 billion dollars nationwide each year. Effective treatments and services exist, but many such individuals do not have access to these services because of limitations in mental health and social policies.

For nearly two centuries Americans have grappled with the question of how to serve individuals with severe disorders. During the second half of the twentieth century, mental health policy advocates reacted against institutional care, claiming that community care and treatment would improve the lives of people with mental disorders. Once the exclusive province of state governments, the federal government moved into this policy arena after World War II. Policies ranged from those focused on mental disorders, to those that focused more broadly on health and social welfare.

In this book, Gerald N. Grob and Howard H. Goldman trace how an ever-changing coalition of mental health experts, patients' rights activists, and politicians envisioned this community-based system of psychiatric services. The authors show how policies shifted emphasis from radical reform to incremental change. Many have benefited from this shift, but many are left without the care they require.

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front cover of Double Jeopardy
Double Jeopardy
Adolescent Offenders with Mental Disorders
Thomas Grisso
University of Chicago Press, 2004
In the twenty-first-century world of juvenile justice policy and practice, nearly everyone agrees that one of the most pressing issues facing the nation's juvenile courts is their proper response to delinquent youths with mental disorders. Recent research indicates that about two-thirds of adolescent offenders in juvenile justice facilities meet the criteria for one or more mental disorders. What are the obligations of our juvenile justice system, then, as the caretaker for delinquent youth with such disabilities? How do issues of adolescent development create special challenges in determining the court's proper response to delinquents with special mental health needs? Thomas Grisso considers these questions while offering new information to assist the juvenile justice system in its responses to the needs of our children.

Double Jeopardy considers the newest data on the nature of youths' mental disorders—their relationships to delinquency, the values and limits of methods to treat them, and the common patterns of adolescent offending. That information is used to chart a rational course for fulfilling the juvenile justice system's duty—as a custodian of children in need of health care, as a legal system promoting fairness in youth adjudication, and as a protector of public safety—to respond to delinquent youths' mental disorders. Moreover, Double Jeopardy provides a scientific yet practical foundation for lawmakers, judges, attorneys, and mental health care professionals, as well as researchers who must fill the knowledge gaps that limit the juvenile justice system's abilities to meet youths' mental health needs.
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front cover of Ethics in Mental Health and Deafness
Ethics in Mental Health and Deafness
Virginia Gutman
Gallaudet University Press, 2002

This volume explores ethical issues specific to working with deaf clients, particularly matters of confidentiality, managing multiple relationships, and the clinician’s competency to provide services, particularly in communicating with and understanding deaf people. Led by editor Virginia Gutman, a unique assembly of respected mental health professionals share their experiences and knowledge in working with deaf clients.

       Irene Leigh commences Ethics in Mental Health and Deafness with her varied experiences as a deaf mental health practitioner, and Gutman follows with insights on ethics in the “small world” of the Deaf community. William McCrone discusses the law and ethics, and Patrick Brice considers ethical issues regarding deaf children, adolescents, and their families. In contrast, Janet Pray addresses concerns about deaf and hard of hearing older clients.

       Minority deaf populations pose additional ethical aspects, which are detailed by Carolyn Corbett. Kathleen Peoples explores the challenges of training professionals in mental health services specifically for deaf clients. Closely related to these topics is the influence of interpreters with deaf clients in mental health settings, which Lynnette Taylor thoroughly treats. Ethics and Mental Health in Deafness also features a chapter on genetic counseling and testing for deafness by Kathleen Arnos. The final section, written by Robert Pollard, examines ethical conduct in research with deaf people, a fitting conclusion to a volume that will become required reading for all professionals and students in this discipline.

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front cover of Global Mental Health
Global Mental Health
Latin America and Spanish-Speaking Populations
Javier I Escobar
Rutgers University Press, 2020
Global Mental Health provides an outline of the field of mental health with a particular focus on Latin America and the Spanish-speaking world. The book details evidence-based approaches being implemented globally and presents ongoing state of the art research on major mental disorders taking place in Latin America, including work being done on understanding Alzheimer’s, Bipolar Disorder, Schizophrenia, and other psychoses. While supporting the initiative for building capacity of care in low income countries, the book warns about some of the potential risks related to the abuse of psychiatry, using examples from the past, focusing on early 20th century Spain.
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front cover of Hidden Heroes
Hidden Heroes
America's Military Caregivers
Rajeev Ramchand
RAND Corporation, 2014
Little has been reported about “military caregivers”—the population of those who care for wounded, ill, and injured military personnel and veterans. This report summarizes the results of a study designed to describe the magnitude of military caregiving in the United States today, as well as to identify gaps in the array of programs, policies, and initiatives designed to support military caregivers.
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The Invention of Madness
State, Society, and the Insane in Modern China
Emily Baum
University of Chicago Press, 2018
Throughout most of history, in China the insane were kept within the home and treated by healers who claimed no specialized knowledge of their condition. In the first decade of the twentieth century, however, psychiatric ideas and institutions began to influence longstanding beliefs about the proper treatment for the mentally ill. In The Invention of Madness, Emily Baum traces a genealogy of insanity from the turn of the century to the onset of war with Japan in 1937, revealing the complex and convoluted ways in which “madness” was transformed in the Chinese imagination into “mental illness.”

Focusing on typically marginalized historical actors, including municipal functionaries and the urban poor, The Invention of Madness shifts our attention from the elite desire for modern medical care to the ways in which psychiatric discourses were implemented and redeployed in the midst of everyday life. New meanings and practices of madness, Baum argues, were not just imposed on the Beijing public but continuously invented by a range of people in ways that reflected their own needs and interests. Exhaustively researched and theoretically informed, The Invention of Madness is an innovative contribution to medical history, urban studies, and the social history of twentieth-century China.
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front cover of Managing Madness
Managing Madness
Weyburn Mental Hospital and the Transformation of Psychiatric Care in Canada
Erika Dyck
University of Manitoba Press, 2017

front cover of Measuring the Quality of Care for Psychological Health Conditions in the Military Health System
Measuring the Quality of Care for Psychological Health Conditions in the Military Health System
Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder
Kimberly A. Hepner
RAND Corporation, 2015
To inform improvements to the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder, researchers developed a framework and identified, developed, and described a candidate set of measures for monitoring, assessing, and improving the quality of care. This document describes their research approach and the measure sets that they identified.
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front cover of Mental Health Racism And Sexism
Mental Health Racism And Sexism
Charles V. Willie
University of Pittsburgh Press, 1995

The essays in this volume discuss racism and sexism as they affect mental health. In particular, they focus on training, diagnosis, treatment, and research, emphasizing the power relationships between individuals and groups that cause unequal access to mental health care. They offer perspectives on issues and their distinct effects on mental health: interracial adoptions, teenage motherhood, gender bias in mental health diagnosis and therapy, prisons used as substitutes for hospitals, homeless families, and increasing violence- in the home, on college campuses, and in the streets.

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The Occupied Clinic
Militarism and Care in Kashmir
Saiba Varma
Duke University Press, 2020
In The Occupied Clinic, Saiba Varma explores the psychological, ontological, and political entanglements between medicine and violence in Indian-controlled Kashmir—the world's most densely militarized place. Into a long history of occupations, insurgencies, suppressions, natural disasters, and a crisis of public health infrastructure come interventions in human distress, especially those of doctors and humanitarians, who struggle against an epidemic: more than sixty percent of the civilian population suffers from depression, anxiety, PTSD, or acute stress. Drawing on encounters between medical providers and patients in an array of settings, Varma reveals how colonization is embodied and how overlapping state practices of care and violence create disorienting worlds for doctors and patients alike. Varma shows how occupation creates worlds of disrupted meaning in which clinical life is connected to political disorder, subverting biomedical neutrality, ethics, and processes of care in profound ways. By highlighting the imbrications between humanitarianism and militarism and between care and violence, Varma theorizes care not as a redemptive practice, but as a fraught sphere of action that is never quite what it seems.
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front cover of Of Others Inside
Of Others Inside
Insanity, Addiction And Belonging in America
Darin Weinberg, foreword by Bryan S. Turner
Temple University Press, 2005
There is little doubt among scientists and the general public that homelessness, mental illness, and addiction are inter-related. In Of Others Inside, Darin Weinberg examines how these inter-relations have taken form in the United States. He links the establishment of these connections to the movement of mental health and addiction treatment from redemptive processes to punitive ones and back again, and explores the connection between social welfare, rehabilitation, and the criminal justice system.

Seeking to offer a new sociological understanding of the relationship between social exclusion and mental disability, Of Others Inside considers the general social conditions of homelessness, poverty, and social marginality in the U.S. Weinberg also explores questions about American perceptions of these conditions, and examines in great detail the social reality of mental disability and drug addiction without reducing people's suffering to simple notions of biological fate or social disorder.
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front cover of Pre-Deployment Stress, Mental Health, and Help-Seeking Behaviors Among Marines
Pre-Deployment Stress, Mental Health, and Help-Seeking Behaviors Among Marines
Carrie M. Farmer
RAND Corporation, 2014
As part of an evaluation of the Marine Corps Operational Stress Control and Readiness (OSCAR) program, this report describes the methods and findings of a large survey of marines who were preparing for a deployment to Iraq or Afghanistan in 2010 or 2011. The results are among the first to shed light on the pre-deployment mental health status of marines, as well as the social resources they draw on when coping with stress and their attitudes about seeking help for stress-related problems.
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Psychiatric Encounters
Madness and Modernity in Yucatan, Mexico
Reyes-Foster, Beatriz M.
Rutgers University Press, 2019
Psychiatric Encounters presents an intimate portrait of a public inpatient psychiatric facility in the Southeastern state of Yucatan, Mexico. The book explores the experiences of patients and psychiatrists as they navigate the challenges of public psychiatric care in Mexico. While international reports condemning conditions in Mexican psychiatric institutions abound, Psychiatric Encounters considers the large- and small-scale obstacles to quality care encountered by doctors and patients alike as they struggle to live and act like human beings under inhumane conditions. Beatriz Mireya Reyes-Foster closely examines the impact of the Mexican state’s neoliberal health reforms on how patients access care and doctors perform their duties. Engaging with madness, modernity, and identity, Psychiatric Encounters considers the enduring role of colonialism in the context of Mexico's troubled contemporary mental health care institutions.  
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front cover of Recommended Standards for Delivering High-Quality Care to Veterans with Invisible Wounds
Recommended Standards for Delivering High-Quality Care to Veterans with Invisible Wounds
Carrie M. Farmer
RAND Corporation, 2022
The authors identified ten standards for the delivery of high-quality care for veterans with posttraumatic stress disorder, depression, substance use disorders, and mild traumatic brain injury. They also provide considerations for implementing and disseminating these standards as a first step to improve access to high-quality care for veterans with invisible wounds.
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front cover of Sons, Daughters, and Sidewalk Psychotics
Sons, Daughters, and Sidewalk Psychotics
Mental Illness and Homelessness in Los Angeles
Neil Gong
University of Chicago Press, 2024
Sociologist Neil Gong explains why mental health treatment in Los Angeles rarely succeeds, for the rich, the poor, and everyone in between.
 
In 2022, Los Angeles became the US county with the largest population of unhoused people, drawing a stark contrast with the wealth on display in its opulent neighborhoods. In Sons, Daughters, and Sidewalk Psychotics, sociologist Neil Gong traces the divide between the haves and have-nots in the psychiatric treatment systems that shape the life trajectories of people living with serious mental illness. In the decades since the United States closed its mental hospitals in favor of non-institutional treatment, two drastically different forms of community psychiatric services have developed: public safety-net clinics focused on keeping patients housed and out of jail, and elite private care trying to push clients toward respectable futures.

In Downtown Los Angeles, many people in psychiatric crisis only receive help after experiencing homelessness or arrests. Public providers engage in guerrilla social work to secure them housing and safety, but these programs are rarely able to deliver true rehabilitation for psychological distress and addiction. Patients are free to refuse treatment or use illegal drugs—so long as they do so away from public view.

Across town in West LA or Malibu, wealthy people diagnosed with serious mental illness attend luxurious treatment centers. Programs may offer yoga and organic meals alongside personalized therapeutic treatments, but patients can feel trapped, as their families pay exorbitantly to surveil and “fix” them. Meanwhile, middle-class families—stymied by private insurers, unable to afford elite providers, and yet not poor enough to qualify for social services—struggle to find care at all.

Gong’s findings raise uncomfortable questions about urban policy, family dynamics, and what it means to respect individual freedom. His comparative approach reminds us that every “sidewalk psychotic” is also a beloved relative and that the kinds of policies we support likely depend on whether we see those with mental illness as a public social problem or as somebody’s kin. At a time when many voters merely want streets cleared of “problem people,” Gong’s book helps us imagine a fundamentally different psychiatric system—one that will meet the needs of patients, families, and society at large. 
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front cover of Suicide Postvention in the Department of Defense
Suicide Postvention in the Department of Defense
Evidence, Policies and Procedures, and Perspectives of Loss Survivors
Rajeev Ramchand
RAND Corporation, 2015
A review of the scientific evidence on suicide postvention (organizational responses to prevent additional suicides and help loss survivors cope), guidance for other types of organizations, and the perspectives of the family and friends of service members who have died by suicide provide insights that may help the U.S. Department of Defense formulate its own policies and programs in a practical and efficient way.
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front cover of Therapy Tech
Therapy Tech
The Digital Transformation of Mental Healthcare
Emma Bedor Hiland
University of Minnesota Press, 2021

A pointed look at the state of tech-based mental healthcare and what we must do to change it
 

Proponents of technology trumpet it as the solution to the massive increase in the mental distress that confronts our nation. They herald the arrival of algorithms, intelligent chatbots, smartphone applications, telemental healthcare services, and more—but are these technological fixes really as good as they seem? In Therapy Tech, Emma Bedor Hiland presents the first comprehensive study of how technology has transformed mental healthcare, showing that this revolution can’t deliver what it promises.

Far from providing a solution, technological mental healthcare perpetuates preexisting disparities while relying on the same failed focus on personal responsibility that has let us down before. Through vivid, in-depth case studies, Therapy Tech reveals these problems, covering issues including psychosurveillance on websites like Facebook and 7 Cups of Tea, shortcomings of popular AI “doctors on demand” like Woebot, Wysa, and Joy, and even how therapists are being conscripted into the gig economy.

Featuring a vital coda that brings Therapy Tech up to date for the COVID era, this book is the first to give readers a large-scale analysis of mental health technologies and the cultural changes they have enabled. Both a sobering dissection of the current state of mental health and a necessary warning of where things are headed, Therapy Tech makes an important assertion about how to help those in need of mental health services today.

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front cover of Transgender Care
Transgender Care
Recom Guidelines, Practical Info
Gianna Israel
Temple University Press, 2001
By empowering clients to be well informed medical consumers and by delivering care providers from the straitjacket of inadequate diagnostic standards and stereotypes, this book sets out to transform the nature of transgender care. In an accessible style, Gianna Israel and Donald Tarver discuss the key mental health issues, with much attention to the vexed relationship between professionals and clients. They propose a new professional role, that of the "Gender Specialist." The authors have also provided useful listings of organizations, centers, and World Wide Web sites.

Transgender Care has been reviewed by a national committee of professionals and consumers, some of whose members contributed essays in the second part of the book.
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front cover of With the Wind and the Waves
With the Wind and the Waves
A Guide to Mental Health Practices in Alaska Native Communities
Ray M. Droby
University of Alaska Press, 2020
In With the Wind and the Waves, psychologist Ray M. Droby tells a story of treatment and learning, drawing on experiences ranging from an ocean journey he took on the Bering Sea while serving in a Alaska Native community to his clinical work as a psychologist in rural Alaska. Like negotiating an ocean, Droby moves “with the wind and the waves” while working with substance abuse disorders and mental health issues superimposed on intergenerational trauma and internalized oppression. He captures positive momentum in work aimed at facilitating self-determination with Alaska Natives and their communities while discouraging historical dependency and colonizing patterns of thinking and doing for mental health workers. Sensitive to the history of non-Native outsiders imposing their own culture on Native land, Droby presents here principles, combined with cultural and therapy considerations, that are designed to help people avoid replicating this history of harm. Recognizing the strengths of Alaska Natives and their communities, and the stages of change human individuals and communities undergo, Droby shows how to exercise a nonjudgmental presence as a mental health worker in rural Alaska.
 
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