International Perspectives In Values Based Mental Health Practice

This open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele). The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient’s autonomy and best interest, the physician’s commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.

In this work, John Z. Sadler examines the nature and significance for practice of the value-content of psychiatric diagnostic classification.

Mental distress is not exclusive to any particular group but touches the lives of people in all societies and walks of life; one in four of us will be affected by it in our lifetime. Yet the field of mental health is complex – fraught with differences in understanding and experience, variations in service provision, political agendas and professional discourses. This wide-ranging book explores a range of themes in the development of mental health policy and practice, in order to promote critical reflection and enhance understanding. Drawing on an international evidence base, it explores the historical, legal and socio-cultural dimensions of mental health, including: - Anti-discriminatory practice and the ethical tensions posed by legislation, particularly in relation to safeguarding and human rights - Trends and concerns in the field of child and adolescent mental health - The gender, ethnicity and age-related dimensions of mental ill-health - The challenges posed by dual diagnosis and faced by families and carers International Perspectives on Mental Health offers a multi-dimensional view of mental health and wellbeing, with the aim of opening up debate and inviting a more holistic conception of the field. It is required reading for students of mental health on professional and academic courses, as well as for practitioners in the health and social care field.

Mental health is a fundamental public health priority, and this stimulating and comprehensive book brings together all of the key issues to offer an overview for students and practitioners alike. Written by a team of leading international experts, the book summarizes the evidence base and asks the key questions at the heart of a range of topics from community development to public mental health in schools and recovery and well-being. The book includes: Mini toolkits at the end of each chapter that include tips for effective practice, reflection points and questions to consider Case studies exploring real world examples of public mental health in action Discussion and opinion encouraging readers to question and debate the issues at the core of public mental health policy The book also includes a chapter written by Kate E. Pickett and Richard G. Wilkinson, authors of the best selling book The Spirit Level. Public Mental Health: Global Perspectives is an invaluable tool to give readers the confidence to develop effective mental health tools and programs that will improve public mental health. Contributors: John Ashton, Jane Barlow, Annette Beautrais, Peter Byrne, Sandra Carlisle, Mima Cattan, Elaine Church, Cary Cooper, Patrick Corrigan, Mary O’Hagan, Phil Hanlon, Eva Jané-Llopis, Anthony Jorm, Gregory Luke Larkin, Crick Lund, Jane Mathieson, Margaret Maxwell, Maura Mulloy, Michael Nash, Inge Petersen, Kate Pickett, Nicola Reavley, Nicholas Rüsch, Jude Stansfield, Sarah Stewart-Brown, Mark Weist and Richard Wilkinson. "This book is written by renowned experts from a wide range of disciplines who carefully explore issues and tensions within the field. It will be a great resource not just for those working in public health practice but also for all those whose work has an influence on this vitally important aspect of human life." Professor Lindsey Davies, President of the Faculty of Public Health "The book provides a convincing account of the many ways in which our society could become more mentally healthy. It should be read by businessmen, teachers and politicians as much as by clinicians" Prof Lord Layard

Mental health is the one area of health care where people are often treated against their will, with the justification that it is in their own interest. This raises significant ethical questions and value dilemmas; questions of autonomy, human rights, power and treatment. An understanding of how values matter is of vital importance across all disciplines working within the mental health field. This book provides a comprehensive and exploratory text for practitioners, students and all those interested in developing a knowledge of both ethics and the wider framework of values-based practice. It is unique in being fully co-written by authors representing both service user and service provider perspectives. This exciting new text will enable the mental health practitioner to work more co-productively with service users within a humane and just approach to care. With an emphasis on rights-based compassionate care throughout, this book: - Tackles the issues of how mental health is understood through key theoretical debates about mental distress, values and labelling; - Encourages readers to think critically about their understanding of key issues such as recovery, autonomy, power, knowledge, diagnoses and empathy; - Draws on a wide range of case examples and exercises to help readers deepen their knowledge of values-based practice and ethics in mental health.

The use of coercion is one of the defining issues of mental health care. Since the earliest attempts to contain and treat the mentally ill, power imbalances have been evident and a cause of controversy. There has always been a delicate balance between respecting autonomy and ensuring that those who most need treatment and support are provided with it. Coercion in Community Mental Health Care: International Perspectives is an essential guide to the current coercive practices worldwide, both those founded in law and those 'informal' processes whose coerciveness remains contested. It does so from a variety of perspectives, drawing on diverse disciplines such as history, law, sociology, anthropology and medicine to provide a comprehensive summary of the current debates in the field. Edited by leading researchers in the field, Coercion in Community Mental Health Care: International Perspectives provides a unique discussion of this prominent issue in mental health. Divided into five sections covering origins and extent, evidence, experiences, context and international perspectives this is ideal for mental health practitioners, social scientists, ethicists and legal professionals wishing to expand their knowledge of the subject area.

Ethics, Culture, and Psychiatry: International Perspectives is a textbook that explores the best ways to promote the use of the Declaration of Madrid, which outlines ethical standards for psychiatric practice throughout the world. The book is written with two questions in mind, both easy to pose and difficult to answer: Is it possible to formulate a set of principles that will be valid for all psychiatrists, regardless of the cultures to which they belong or in which they live and practice, or are there as many sets of ethical principles as there are cultures? If there is such a set of principles, what should we do to ensure that psychiatry as a discipline makes a significant contribution to societal good without helping the evil? To facilitate the exploration of this territory, 15 experts from a variety of cultures examine the most pressing ethical issues prevalent within the current practice of psychiatry. Many of the dilemmas probed in this book are routinely encountered by clinicians who work in increasingly multicultural societies. The text covers issues that are broadly relevant to clinical practice and research, including: An overview of ethics and societies around the world Discussions of ethical practices and dilemmas specific to various cultural regions Transcultural debate on overarching issues, such as incompetent patients, informed consent, and mental health law reform The complete copy of The Declaration of Madrid printed in the appendix Readers will find that this is a textbook that stimulates and supports, rather than closes, the debate on ethical aspects of professional psychiatric behavior. Ethics, Culture, and Psychiatry: International Perspectives is much more than just a book on ethics -- it is a major contribution to understanding the impact of culture and history on the ethical practice of medicine around the world, and a continuous search for a consensus on how to live together and make contributions to the well-being of people with mental illness, their families, and the family of humans on our planet.