書誌事項

Textbook of community psychiatry

[edited by] Graham Thornicroft and George Szmukler

(Oxford medical publications)

Oxford university Press, 2001

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注記

Includes bibliographical references and index

内容説明・目次

内容説明

In recent years the practice of psychiatry has changed fundamentally. Mentally ill people have been moved out of the large institutions, with their clear structures and hierarchies, and into the community. This shift has required the development of new service structures, new facilities, new attitudes and new professional relationships. This book provides the first authoritative, international review of community psychiatry, taking into consideration theoretical as well as clinical issues. The key aim of the book is to review the status of community psychiatry throughout the developed world, presenting a comprehensive and critical exposition of the achievements, limitations and dilemmas in the theoretical base and the practical implementation of a community-based strategy. The book covers the available evidence base, gaps in that evidence base and describes, where possible, best practice for treatment and care. Current areas of theoretical and professional conflict are also covered. There are two main sections of the book; the first describes psychiatry for the community, in which the population needs for psychiatric care are considered. The second major section examines psychiatry in the community, describing how the service systems are designed to meet these needs. The final section of the book examines ethical issues and dilemmas. With 46 chapters from the leading international experts in the field, this book will be essential reading for all those working with the mentally ill in the 21st century.

目次

  • What is community psychiatry?
  • I: Psychiatry for the Community: the Conceptual and Scientific Background
  • Ramon: Defining 'community': meanings and ideologies
  • Scientific Background
  • Lewis, Thomas, Cannon & Jones: Epidemiological methods
  • Tyrer: Methods for evaluating community treatments
  • Methods for evaluating community services
  • Defining the Extent and Impact of Mental Disorders
  • Jenkins & Singh: Mental disorder and disability in the population
  • Slade & Glover: The needs of patients with mental disorders
  • Knapp: The costs of mental disorder
  • Lefley: The impact of mental disorders on families and carers
  • II: Psychiatry in the Community: the Service System
  • Holloway: Balancing clinical values and finite resources
  • Thornicroft & Tansella: The planning process for mental health services
  • Minas: Services responses to cultural diversity
  • Integration of Components into a System of Care
  • Hansson: Sectorisation
  • Burns: Balancing the service elements
  • Burns: Generic versus specialist mental health teams
  • Gournay: Training for competence
  • Service Components
  • Breslow: Emergency psychiatric services
  • Becker: Outpatient psychiatric services
  • Schene: Partial hospitalisation
  • Rosen & Barfoot: Day care and occupation
  • Shepherd & Murray: Residential care
  • Szmukler & Holloway: Inpatient treatment
  • Boundaries with Specialist Mental Health Services
  • Ridgely & Johnson: Drug and alcohol services
  • Holmes: Psychotherapies
  • Banerjee: Services for older adults
  • Bouras & Holt: Community mental health services for adults with learning disabilities
  • Interfaces between Mental Health Services and the Wider Community
  • Carpenter & Barnes: Social welfare services
  • Grey: Community alliances
  • Mollica: Responding to migration and upheaval
  • Warner: Community attitudes towards mental disorder
  • Users and Carers as Partners
  • Leggatt: Carers and carer organisations
  • The Preventative Approach
  • McGorry: Secondary prevention of mental disorders
  • Gittelman: Tertiary prevention of mental disorders
  • III: Ethical Issues and Dilemmas
  • Szmukler & Appelbaum: Treatment pressures, coercion and compulsion
  • Backlar: Privacy and confidentiality.

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