Managing Mental Health in the Community: Chaos and Containment

by Foster; Angela

• ISBN13: 9780415167963
• ISBN10: 0415167965
• Format: Hardcover
• Copyright: 1999-03-16
• Publisher: ROUTLEDGE

Summary

This book addresses the conscious and unconscious dynamics and systems at work in different community care contexts from the point of view of both practice and management, with the aim of improving both. It aims to bridge the gap between practitioners and policy makers, and encourage reflective practice. Contributors consider the context of development of community care and fundamental concepts, practice and dynamics of care in a wide range of specific settings, how management is affected by practice and how care systems are designed. Tried and tested interventions are presented to demonstrate how users, staff and managers can function more effectively in community settings. Contributors include: R.D. Hinshelwood, Jack Nathan, Tony McCaffrey, Simon Biggs, Naomi Landau, Michael Wallbank, Trini Navarro, Helen Morgan and Lorenzo Grespi.

Table of Contents

List of illustrations	xi	(2)
Notes on contributors	xiii	(4)
Preface	xvii	(4)
Acknowledgements	xxi	(2)
List of abbreviations	xxiii
Introduction to the theoretical basis of this book	1	(12)
ANGELA FOSTER
VEGA ZAGIER ROBERTS
PART I The move into the community	13	(58)
1 Creatures of each other: some historical considerations of responsibility and care, and some present undercurrents	15	(12)
R.D. HINSHELWOOD
2 `Not in my backyard': the psychosocial reality of community care	27	(11)
ANGELA FOSTER
VEGA ZAGIER ROBERTS
3 When dreams become nightmares	38	(11)
VEGA ZAGIER ROBERTS
4 Is authority a dirty word? Changing attitudes to care and control	49	(12)
VEGA ZAGIER ROBERTS
5 Psychotic processes and community care: the difficulty in finding the third position	61	(10)
ANGELA FOSTER
PART II Managing anxiety in the system	71	(58)
6 The psychic organization of community care	73	(11)
JACK NATHAN
7 Thinking about risk	84	(11)
ANGELA FOSTER
8 The pain of managing: some dynamics of the purchaser/provider split	95	(11)
TONY MCCAFFREY
9 Carers, clients and workers: on the relationship between policy and collusion	106	(10)
SIMON BIGGS
10 The hospital in the community	116	(13)
VEGA ZAGIER ROBERTS
PART III Learning from the experience of face-to-face work	129	(46)
11 Integration or fragmentation: the challenge facing community mental health teams	131	(12)
ANGELA FOSTER
12 Beyond keyworking	143	(10)
TRINIDAD NAVARRO
13 Help to do the ordinary: the place of counselling in community care	153	(11)
ANGELA FOSTER
14 Community, care and quality: a lesson from group psychotherapy	164	(11)
NAOMI LANDAU
MICHAEL WALLBANK
PART IV Initiatives for empowerment	175	(54)
15 A potential for partnership? Consulting with users of mental health services	177	(11)
HELEN MORGAN
16 Learning to keep one's head: analysis of a training workshop	188	(15)
ANGELA FOSTER
LORENZO GRESPI
17 Space to play	203	(12)
VEGA ZAGIER ROBERTS
18 From understanding to action	215	(14)
ANGELA FOSTER
VEGA ZAGIER ROBERTS
Index	229