Community Mental Health in Canada: Theory, Policy, And Practice

by Davis, Simon

• ISBN13: 9780774812818
• ISBN10: 0774812818
• Edition: 1st
• Format: Paperback
• Copyright: 2006-07-30
• Publisher: Univ of British Columbia Pr

Table of Contents

Introduction	xi
1 THE IMPACT OF PSYCHIATRIC DISORDERS	3	(18)
Defining Mental Disorder: Who Gets Services?	3	(6)
Prevalence and Impact	9	(4)
Stigma	13	(8)
2 NATURE AND NURTURE: EXPLANATORY MODELS IN PSYCHIATRY	21	(11)
Biological Determinants	22	(4)
Psychosocial Determinants	26	(4)
The Stress-Vulnerability Model	30	(2)
3 MENTAL DISORDERS: CLASSIFICATION AND CRITERIA	32	(35)
The DSM	32	(4)
Schizophrenia	36	(5)
Depression	41	(3)
Bipolar Disorder	44	(3)
Anxiety Disorders	47	(6)
Eating Disorders	53	(2)
Personality Disorders	55	(4)
Disorders among Young Persons	59	(2)
Disorders among Older Persons	61	(1)
Substance Misuse	62	(5)
4 STAKEHOLDERS	67	(36)
Practitioners	69	(11)
Clients	80	(5)
Families	85	(6)
Government and Policy Makers	91	(5)
The Drug Companies	96	(4)
Changing Practices	100	(3)
5 DEINSTITUTIONALIZATION AND REGIONALIZATION	103	(12)
Deinstitutionalization	104	(6)
Recent Policy Concerns and Initiatives	110	(5)
6 "BEST PRACTICES" AND EVIDENCE-BASED INTERVENTIONS	115	(11)
7 THE SYSTEM: MENTAL HEALTH PROGRAMS IN CANADA	126	(30)
Centralized Intake	126	(1)
Hospitals and Hospital-Based Programs	127	(4)
Case Management	131	(3)
Assertive Community Treatment	134	(4)
Primary Care and Shared Care	138	(2)
Acute Home Treatment and Crisis Response	140	(1)
Early Intervention Programs	141	(5)
Programs for Persons with Co-occurring Disorders	146	(5)
Telepsychiatry	151	(2)
The Nonprofit Sector	153	(3)
8 HOUSING	156	(17)
Homelessness	156	(8)
Assisted and Supervised Housing	164	(9)
9 THE INTERFACE WITH THE CRIMINAL JUSTICE SYSTEM	173	(17)
Criminalization	173	(3)
The Role of the Police	176	(4)
The Role of the Courts	180	(5)
The Forensic System	185	(5)
10 ASSESSMENT AND MEDICAL MANAGEMENT	190	(29)
Assessment	191	(7)
Psychotropic Medication	198	(15)
Other Physical Treatments	213	(2)
Hospitalization	215	(4)
11 EDUCATION, SKILLS TRAINING, AND COGNITIVE-BEHAVIOURAL APPROACHES	219	(29)
Education and Skills Training	222	(10)
Motivational Interviewing	232	(2)
Cognitive-Behavioural Therapies	234	(8)
Treatments for Children	242	(1)
Changing Practices	243	(5)
12 REHABILITATION AND RECOVERY	248	(22)
Recovery Principles: Theory and Practice	252	(4)
Psychosocial Rehabilitation: Goals, Strategies, Settings, and Roles	256	(1)
Personal Life	257	(3)
Employment	260	(6)
Supported Education	266	(4)
13 THE LEGAL AND ETHICAL CONTEXT OF MENTAL HEALTH PRACTICE	270	(24)
The Charter of Rights	272	(1)
Provincial Mental Health Acts and Involuntary Hospitalization	273	(8)
Competency and Adult Guardianship	281	(3)
Mental Disorder and the Criminal Code	284	(2)
Ethical Decision Making	286	(8)
14 DIVERSITY AND CULTURAL COMPETENCE	294	(17)
The Mental Health of Minorities	295	(4)
Barriers to Service Provision	299	(4)
Changing Practices	303	(3)
Sexual Orientation	306	(5)
Afterword: Future Challenges	311	(5)
Glossary	316	(7)
References	323	(34)
Index	357