We Care

A leading psychiatrist and expert reveals important issues in mental health care today and introduces innovations to revolutionize and improve mental health for everyone. Mental health care systems are falling short and the consequences, for individuals and societies, are dire. In this urgent book, celebrated psychiatrist and mental health care advocate Dr. David Goldbloom outlines proven innovations in medicine and health care delivery that we all could benefit from today. Using fictional—but all too real—examples of people suffering from various mental illnesses, from depression to opioid addiction, and drawn from his real-life experiences in this field, Dr. Goldbloom shows barriers to care and other faults in mental health care systems. He then reveals simple, yet startlingly effective tools for improving access and treatment that can help people now—if we only had the will to share, use, and fund these (and more) brilliant innovations: -Self-referrals for faster access to care -Apps and e-tools for treatment, rehabilitation, and self-monitoring between appointments -Remote coaching for effectively treating common childhood problems -Integrated youth services to improve early intervention -Personalized care to ensure treatments don’t fail patients -Rapid-access housing for the homeless and mentally ill so they can begin a journey of care While technologies such as smart phones and genetic testing play a role, these innovations are about people. They address waiting times to see specialists, the lack of coordination between health care institutions, and the stigma that often comes with seeking help—even stigma among health care providers. They broaden the definition of what mental health care can even be, such as providing housing, or low-intensity training for day-to-day life. Smart, candid, personal, and persuasive, this new book is a timely call for better access to and quality of help—a roadmap to better well-being for everyone.

What if you could trust in getting the health care you need in ways that felt good and helped you thrive? What if the health system honored and valued queer and trans people’s lives, bodies and expertise? What if LGBTQ+ communities led and organized our own health care as a form of mutual aid? What if every aspect of our health care was rooted in a commitment to our healing, pleasure and liberation? LGBTQ+ health care doesn’t look like this today, but it could. This is the care we dream of. Through a series of essays (by the author and others) and interviews, this book by the editor of the Lambda Literary Award-winning anthology The Remedy offers possibilities—grounded in historical examples, present-day experiments, and dreams of the future – for more liberatory and transformative approaches to LGBTQ+ health and healing. It challenges readers to think differently about LGBTQ+ health and asks what it would look if our health care was rooted in a commitment to the flourishing and liberation of all LGBTQ+ people. This book is a calling out, a calling in and a call to action. It is a spell of healing and transformation, rooted in love.

The present health care crisis threatens both the health of Canadians and the very foundation of our most valued social principles. Do We Care? examines the implications of health policy on five key areas: clinical practice, politics, economics, ethics, and law, and proposes new directions for Canadian health care.

A love-based reason theory as a new perspective in the debate on practical reasons. Reasons and obligations pervade our lives. The alarm clock gives us a reason to get up in the morning, the expectations of colleagues or clients give us a reason to do our jobs well, the misery in developing countries gives us a reason to donate money, headaches give us a reason to take an aspirin. Looking for unity in variety, philosophers wonder what makes a consideration count as a reason to do something. The nature and source of practical reasons has been debated intensively over the last three decennia in analytic philosophy. This book discusses the three most influential theories in current debates, referred to as the desire-based, the value-based, and the rationality-based theories of practical reasons. The author argues that all three are defective because they overlook the role of what agents care about.

Margaret Woodruff is slowly dying in a care home. When her son is presented with the chance of exceptional care in her final months, he finds the offer hard to resist. Winifred is assigned to Margaret’s care. She’s a Helper: a new kind of carer that’s capable, committed and completely tireless – because she’s a synthetic human being. Under Winifred’s care Margaret’s health improves beyond everyone’s expectations, and Winifred begins to learn from Margaret what it means to be alive. After all, she has a lifetime of experience to pass on – and in a world where youth is the ultimate prize, perhaps it takes a robot to recognise the value of old age. But how will Winifred use what she learns from Margaret – and what does she truly want from her?

Blakey Vermeule wonders how readers become involved in the lives of fictional characters, people they know do not exist. Vermeule examines the ways in which readers’ experiences of literature are affected by the emotional attachments they form to fictional characters and how those experiences then influence their social relationships in real life. She focuses on a range of topics, from intimate articulations of sexual desire, gender identity, ambition, and rivalry to larger issues brought on by rapid historical and economic change. Vermeule discusses the phenomenon of emotional attachment to literary characters primarily in terms of 18th-century British fiction but also considers the postmodern work of Thomas Mann, J. M. Coetzee, Ian McEwan, and Chinua Achebe. From the perspective of cognitive science, Vermeule finds that caring about literary characters is not all that different from caring about other people, especially strangers. The tools used by literary authors to sharpen and focus reader interest tap into evolved neural mechanisms that trigger a caring response. This book contributes to the emerging field of evolutionary literary criticism. Vermeule draws upon recent research in cognitive science to understand the mental processes underlying human social interactions without sacrificing solid literary criticism. People interested in literary theory, in cognitive analyses of the arts, and in Darwinian approaches to human culture will find much to ponder in Why Do We Care about Literary Characters?

As local governments and organizations assume more responsibility for ensuring the public health, identity politics play an increasing yet largely unexamined role in public and policy attitudes toward local problems. In Governing How We Care, medical anthropologist Susan Shaw examines the relationship between government and citizens using case studies of needle exchange and Welfare-to-Work programs to illustrate the meanings of cultural difference, ethnicity, and inequality in health care. Drawing on ethnographic research conducted over six years in a small New England city, Shaw presents critical perspectives on public health intervention efforts. She looks at online developments in health care and makes important correlations between poverty and health care in the urban United States. Shaw also highlights the new concepts of community and forms of identity that emerge in our efforts to provide effective health care. Governing How We Care shows how government-sponsored community health and health care programs operate in an age of neoliberalism.

Why should Christians care about the United Nation's Goals on poverty and hunger? Does not God want us to prosper? Will not the poor, the sick, the homeless just drag us down? Are we our brother's keeper? The author gives us compelling reasons why we must care, not because we are a Christian, Buddhist, or Moslem, but because we are human beings and we are inter-connected to the plight of every other human being.