Case management is a way of increasing the flexibility, continuity and responsiveness of mental-health-service provision by assigning clear responsibilities to individual staff working within teams.
How do you respond to the distress of a man who is sitting before you, in his own flat, towels draped around his shoulders, newspaper wedged beneath the brim of his hat, an upturned frying pan over his hat and a partially filled washing-up bowl balanced on top of the frying pan? He holds the bowl with one hand and a cigarette in the other, while he force fully proclaims the secret services have placed someone in the flat above to drop radioactive dust down on him all day and all night. To start with, you could offer him a light for his cigarette. The most likely medical response would be to consider increasing his antipsychotic medicine, though a cursory glance at his medical history suggests that inpatient admissions and large mUltiple prescriptions of injections and tablets have failed to eradicate the distressing fears that the secret services have occupied the ward above. Perhaps all the increased medication will achieve is to stop him going upstairs intent on retribu tion. It may even leaden his limbs sufficiently to make his current balanc ing act too difficult to sustain.
The client group referred to as the long-term mentally ill, the persistently severely mentally distressed, the chronically psychotic ill, or people with long-term mental health problems have generally received a poor deal from the traditional psychiatric services. Help has largely rested on custodial and medical treatments. The main focus of rehabilitative ap proaches has often been dictated by predetermined expecta tions which are usually set quite low. The assumption is often made that people in this client group are 'treatment resistant' and unlikely to make good use of opportunities to develop personal skills towards restructuring their lives. Though the emphasis of treatment has often followed medical approaches, and many non-medical people have sought to lay blame on the medical model (as characterized by diagnosis and medical treatments), it would be wrong and greatly over-generalized to follow this line of criticism entirely. In reality, some psychiatrists have been the pioneers and advocates of the diversity of approaches to community support, medical and non-medical. It is they who have often supported the development of other professionals and non-professionals and who often lead the pioneering efforts of research into methods of treatment and support.
Since the inception of the Scottish Parliament in 1999, mental health law, policy, practice and ethos have changed dramatically in Scotland. This book provides a thorough grounding in the key issues in mental health and presents a clear picture of the current Scottish mental health scene. By highlighting the skills and values that are necessary for contemporary practice, it helps students to develop their knowledge and understanding to enable them to deliver an appropriate and responsive service for people facing mental health challenges.
Enable students to achieve their best grade in AS/A-level English Literature with this year-round course companion; designed to instil in-depth textual understanding as students read, analyse and revise The Tempest throughout the course. This Study and Revise guide: - Increases students' knowledge of The Tempest as they progress through the detailed commentary and contextual information written by experienced teachers and examiners - Develops understanding of characterisation, themes, form, structure and language, equipping students with a rich bank of textual examples to enhance their coursework and exam responses - Builds critical and analytical skills through challenging, thought-provoking questions and tasks that encourage students to form their own personal responses to the text - Extends learning and prepares students for higher-level study by introducing critical viewpoints, comparative references to other literary works and suggestions for independent research - Helps students maximise their exam potential using clear explanations of the Assessment Objectives, sample student answers and examiner insights - Improves students' extended writing techniques through targeted advice on planning and structuring a successful essay
Case management is a way of increasing the flexibility, continuity and responsiveness of mental-health-service provision by assigning clear responsibilities to individual staff working within teams.
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