Download or read book Mental Hospitals in Focus written by and published by . This book was released on 1989 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Asylums written by Erving Goffman and published by Routledge. This book was released on 2017-09-08 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: A total institution is defined by Goffman as a place of residence and work where a large number of like-situated, individuals, cut off from the wider society for an appreciable period of time, together lead an enclosed, formally administered round of life. Prisons serve as a clear example, providing we appreciate that what is prison-like about prisons is found in institutions whose members have broken no laws. This volume deals with total institutions in general and, mental hospitals, in particular. The main focus is, on the world of the inmate, not the world of the staff. A chief concern is to develop a sociological version of the structure of the self. Each of the essays in this book were intended to focus on the same issue--the inmate's situation in an institutional context. Each chapter approaches the central issue from a different vantage point, each introduction drawing upon a different source in sociology and having little direct relation to the other chapters. This method of presenting material may be irksome, but it allows the reader to pursue the main theme of each paper analytically and comparatively past the point that would be allowable in chapters of an integrated book. If sociological concepts are to be treated with affection, each must be traced back to where it best applies, followed from there wherever it seems to lead, and pressed to disclose the rest of its family.
Download or read book The Psychiatric Hospital and the Family written by H.T. Harbin and published by Springer. This book was released on 2012-05-18 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1977 there were an estimated 1,846,090 patient care episodes in psychiatric hospitals across the United States. The number of patient care episodes in inpatient facilities continues to increase from that measured in 1955 despite the national emphasis on "deinstitutionalization." Yet the nature and focus of psychiatric hospitals, both public and private, have changed dramatically in the past fifty years. No longer are all mentally ill patients placed in distant hospitals that encourage separation from family and community. Many hospitals now work to include the patient's natural support system, and families are increasingly vocal about their right to stay involved with their hospitalized family member. As hospital stays have become briefer, the need to incorporate the family in the treatment process has been recognized. We are witnessing the development of new roles for families with the psychiatric hospital and novel treatment strategies offered by inpatient staff to families. These exciting changes have led to an alteration in the attitudes of mental health professionals as well as an expansion of our knowledge and skills regarding the family of the hospitalized psychiatric patient. This book brings together the works of many of those professionals who have developed innovative and pragmatic clinical and research strategies for these families.
Download or read book Textbook of Hospital Psychiatry Second Edition written by Edited by Harsh K. Trivedi, M.D., M.B.A. and published by American Psychiatric Pub. This book was released on 2022-10-03 with total page 706 pages. Available in PDF, EPUB and Kindle. Book excerpt: "When it was originally published in 2009, the Textbook of Hospital Psychiatry was the first comprehensive guide to hit the market in more than a decade. This updated edition includes new material in each of the 30 chapters, with a focus on treatment, staffing, and quality of care changes, and includes new, forward-looking chapters on consumer and family perspectives, collaborative care, measurement-based care, safety, and more. Providers and policymakers agree that integrating behavioral treatments into regular courses of patient care helps address post-discharge needs, including safe housing, reliable transportation, and nutrition. Behavioral wellness is currently benefitting from increased public attention, but disparities in access continue. There is a significant need for dedicated psychiatric hospitals and dedicated units in general hospitals to meet America's mental health needs. Progress is happening, but many familiar challenges remain. Inadequate healthcare coverage and reimbursement for services has left both patients and medical providers desperate for reform. Staffing shortages are worsening as practitioners in the baby boomer generation retire and those roles go unfilled by new graduates. Despite these challenges, psychiatric hospitals continue to evolve and discover new solutions to provide transformative care for patients. This updated textbook contains valuable knowledge and novel insights for clinicians regarding treatment, staffing, and care, and features new chapters on family involvement and safety, federal and local financing, and information on collaborative care and LEAN. Forward-looking chapters focus on the integration of treatment across settings and providers and examine new strategies such as telemedicine to extend the reach of clinicians. Together, and with expert guidance, readers of this must-have resource will find a roadmap for clinical, administrative, and financial steps to help providers take advantage of these unprecedented times to develop services and advance hospital psychiatry in the United States"--
Download or read book Mental Hospital written by Alfred H. Stanton and published by . This book was released on 1954-01-21 with total page 522 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is both disturbing and encouraging: disturbing because it highlights so many of the imperfections of current hospital practices, and encouraging because it indicates how change and improvement may be brought about. It is a serious inquiry into the social setting in which hospital administration occurs, and it concerns itself primarily with the frequently unrecognized forces which influence patient and staff behavior. The book is, and necessarily must be, a composite of observations and opinions, data and inference. It is, therefore, a rather accurate mirror of the stresses and strains encountered in a hospital when existing practice is under scrutiny and when change is proposed. The rigorous examination of clinical administrative procedure at Chestnut Lodge marks a significant stage in the development of our hospital. The study here reported was made during the stage of development at Chestnut Lodge when there was still a separate administrator for each floor and should be viewed as reflecting the state of affairs during that period. It was at this point that Drs. Stanton and Schwartz undertook to examine our procedures and to identify what actually took place. This planned examination, of course, brought into focus the existence of many stereotypes which had grown up about the way the hospital worked and which had at times been uncritically accepted. It was in part due to findings made in the present study that our step to a single administrator for each service was made. As differences of opinion between therapists, administrators, and nurses were investigated, it became clear that many times administrative, therapeutic or nursing procedures reflected personal needs of those involved rather than reality needs of the patients. Although their conclusions have been derived from work on a small ward of a small hospital, Drs. Stanton and Schwartz have developed principles which are applicable in large settings and in different types of hospital organizations. Such applications are possible if there are present both a desire to determine the actual situation in a given hospital and a willingness to accept change without fear. (PsycINFO Database Record (c) 2005 APA, all rights reserved).
Download or read book Focus on Mental Health New Role for Hospitals Search for the Right Funding Mix written by Sophia Schlette and published by . This book was released on 2008 with total page 135 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Common Mental Health Disorders written by National Collaborating Centre for Mental Health (Great Britain) and published by RCPsych Publications. This book was released on 2011 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.
Download or read book Deinstitutionalisation and After written by Despo Kritsotaki and published by Springer. This book was released on 2016-11-29 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book relates the history of post-war psychiatry, focusing on deinstitutionalisation, namely the shift from asylum to community in the second part of the twentieth century. After the Second World War, psychiatry and mental health care were reshaped by deinstitutionalisation. But what exactly was involved in this process? What were the origins of deinstitutionalisation and what did it mean to those who experienced it? What were the ramifications, both positive and negative, of such a fundamental shift in psychiatric care? Post-War Psychiatry in the Western World: Deinstitutionalisation and After seeks to answer these questions by exploring this momentous change in mental health care from 1945 to the present in a wide range of geographical settings. The book articulates a nuanced account of the history of deinstitutionalisation, highlighting the constraints and inconsistencies inherent in treating the mentally ill outside of the asylum, while seeking to inform current debates about how to help the most vulnerable members of society.
Download or read book Transforming Mental Healthcare written by Sunil Khushalani and published by CRC Press. This book was released on 2021-12-10 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: One in five U.S. adults experiences a mental illness within a given year. With more than 550,000 people working to support this underserved community, the mental healthcare system has grappled with inadequacies and shortcomings in safety, quality, and care delivery. There is a wide range of problems, from access-to-care issues and errors, to complications stemming from poor care. Our country is also on an unsustainable path as our healthcare expenditure keeps growing. To add to all of this, we are facing a rampant epidemic of burnout among healthcare workers. Modern advancements introduced with many promises—such as electronic medical records, newer medications, or advanced treatments—have created unique challenges when ushered into a highly regulated healthcare system. What does it take to provide patients with everything they need—the right quality of care, at the right time, and at the right cost—to keep them healthy? Which process steps add value? Which steps are wasteful? A widely accepted fact is that a conservative 30-50% of every step in the mental healthcare process does not help patients feel better or stay better. When considering delays in care, workarounds, excessive documentation, and an overuse of auditing, the care system has moved highly skilled clinicians away from providing value, as administrative tasks continue to encroach on their time. There is a clear need to rethink and redesign the system of care. This book is a primer for understanding the current state of the mental health system and the performance improvement skills and leadership acumen needed to address existing challenges. Sheppard Pratt, the award-winning, leading institution for mental healthcare in America, provided the focus on mental healthcare and became the laboratory for this body of work over the course of eight years. It hired a seasoned systems thinker with improvement expertise to work with mental health professionals and solve some of their most complex and chronic problems. The book is a result of the collaboration between a practicing psychiatrist in a leadership role and the systems engineer. Working together, they demonstrate how to think about redesigning care and redefining the nature of work to enhance value for both the people served and the healthcare workforce. They crafted a multi-pronged approach towards culture change at Sheppard Pratt, including implementing a course on "Learning to Improve," which introduced staff to a performance improvement methodology. There are several vignettes interwoven throughout the book that describe the complexities and constraints of the system. Solving some of these challenges creates a new paradigm of work while minimizing waste and enhancing value.
Download or read book The Transfer of Care written by Phil Brown and published by Routledge & Kegan Paul Books. This book was released on 1985 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Phil Brown provides a comprehensive analysis of recent mental health policy and practice by focusing on three main themes: political-economic structures, the pitfalls of professionalism, and institutional obstacles to adequate care.
Download or read book Design for Mental and Behavioral Health written by Mardelle McCuskey Shepley and published by Taylor & Francis. This book was released on 2017-05-18 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: Studies confirm that the physical environment influences health outcomes, emotional state, preference, satisfaction and orientation, but very little research has focused on mental and behavioural health settings. This book summarizes design principles and design research for individuals who are intending to design new mental and behavioural health facilities and those wishing to evaluate the quality of their existing facilities. The authors discuss mental and behavioural health systems, design guidelines, design research and existing standards, and provide examples of best practice. As behavioural and mental health populations vary in their needs, the primary focus is limited to environments that support acute care, outpatient and emergency care, residential care, veterans, pediatric patients, and the treatment of chemical dependency.
Download or read book Dynamics of Institutional Change written by Milton Greenblatt and published by Beard Books. This book was released on 2003-02 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a reprint of a previously published work. It deals wirh leadership and organizational change in large institutions such as hospitals schools, and prisons, focusing on the strategies and tactics of decentralizing a large bureaucratic organization.
Download or read book Evaluating Treatment Environments written by Rudolf H. Moos and published by Routledge. This book was released on 2018-01-18 with total page 439 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evaluating Treatment Environments describes how to assess the quality of psychiatric and substance abuse programs and how to use that information to monitor and improve these programs. Its aim is to identify environments that promote opportunities for personal growth, simultaneously enhancing both physical and psychological well-being. Although treatment programs are diverse, Moos asserts that a common conceptual framework can be used to evaluate them, and more emphasis should be placed on the process of matching personal and program factors and on the connections between such matches and patients' outcomes. The book is divided into three main parts. Part I focuses on hospital programs, using a sample of 160 programs throughout the United States. Part II evaluates community programs. Moos describes how to monitor and improve these programs, and assesses program implementation. Part III considers treatment environments, examining factors that shape the treatment environment, patients' satisfaction with and participation in program activities, patients' adaptation and community living skills, and patient-program congruence and the influence of treatment environments on patients with different levels of impairment. It also highlights the importance of the health care workplace and its impact on staff and the treatment environment. Treatment programs vary substantially in their policies and services, especially in what they expect of clients, rules about clients' daily life choices, and to what extent clients must be governed by the program, and whether or not the programs provide health and treatment services. Comparison studies are becoming more important as clients move more quickly from acute in-patient to community residential care. Moos stresses the need to pay special attention to how programs and services affect clients when conducting evaluations. Evaluating Treatment Environments will be a necessary addition to the libraries of mental health service professionals, as well as sociologists, psychiatrists, psychologists, and social workers.
Download or read book Alternatives to the Hospital for Acute Psychiatric Treatment written by Richard Warner and published by American Psychiatric Pub. This book was released on 1995 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because of the increased focus on managed care there is a growing demand for alternatives to psychiatric hospital treatment. In Alternatives to the Hospital for Acute Psychiatric Care, a range of acute nonhospital treatment programs from the United states and abroad are described, including locked- and open-door, voluntary and involuntary, public and private, and nontraditional and strictly medical settings. Alternatives to the Hospital for Acute Psychiatric Care describes various cost-effective alternatives to psychiatric hospital care and provides specific details for mental health administrators to evaluate the usefulness and feasibility of the various models for their own mental health care setting.
Download or read book The Strengths Model Case Management with People with Psychiatric Disabilities written by School of Social Welfare University of Kansas Charles A. Rapp Professor and published by Oxford University Press, USA. This book was released on 2006-02-10 with total page 315 pages. Available in PDF, EPUB and Kindle. Book excerpt: Much has occurred since the publication of the first edition of this classic textbook. Recovery from psychiatric disabilities has become the new vision for mental health services. It has placed a new eminence on consumer resiliency, choice, self-determination, shared decision-making, and empowerment. Implementing evidence-based services has become a major focus of service system reform internationally. The Strengths Model, Second Edition firmly grounds the strengths model of case management within the recovery paradigm and details evidence-based guidelines for practice. In clear language the authors describe the conceptual underpinnings, theory, empirical support, principles, and practice methods that comprise the strengths model of case management. A chapter on the organizational structure and management methods necessary for successful implementation of the model make this a valuable tool for trainers, supervisors, and quality assurance personnel. This thoroughly updated edition reflects the dynamic nature of the strengths model. Practice methods have been added and refined and more detailed descriptions provided. Practice tools have been improved and new ones, like the Strengths Model Fidelity Instrument, added. New case vignettes have been added to give the reader a vivid picture of the methods in actual practice. A user-friendly guide for students and professionals, The Strengths Model remains the only book available that systematically translates the ideas and conceptions about the strengths model into a set of empirically derived practices for people with psychiatric disabilities.
Download or read book The Eclipse of the State Mental Hospital written by George W. Dowdall and published by State University of New York Press. This book was released on 1996-04-11 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: State hospitals still account for the majority of the state dollars spent on mental health care across the nation. Why do state hospitals persist and expand despite public scandal and professional disapproval? What role does the state mental hospital play in the current system of care for the seriously mentally ill? What role should it play, and at what cost? Dowdall explores recent efforts, successful and unsuccessful, to meet the increasingly elaborate standards imposed from without on the contemporary state mental hospital, and the impact of these efforts on the quality of care provided to its patients.
Download or read book Homelessness Health and Human Needs written by Institute of Medicine and published by National Academies Press. This book was released on 1988-02-01 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
