Mental Health Care in Settings Where Mental Health Resources Are Limited
An Easy-Reference Guidebook for Healthcare Providers in Developed and Developing Countries
by
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TABLE OF CONTENTS
Preface & Acknowledgements v
Medical abbreviations list vi
Introduction vii (Purpose of the Guide vii; Using of the Guide viii)
PART I: Mental Health Worldwide 11
PART II: Mental Health Capacity Building: increasing access to care through integration & collaboration 21
Integrating Mental Health Care into Existing Health Facilities 21
Recommendations for Mental Health Training Curricula & Duties for Varied Healthcare Personnel 22
Guidelines for Teaching Primary Healthcare Staff to Provide Mental Health Care 27
How to Develop Collaborations 32
PART III: Mental Health Conditions & Issues: identification & interventions 37
Overview 37
How To Identify Psychological Symptoms 39
Psychotic Conditions 45 (Schizophrenia 45; Other psychotic conditions 47)
Mood-Related Conditions 49 (Depression 49; Bipolar disorder 51)
Anxiety-Related Conditions, Obsessive-Compulsive Disorder (OCD) & Post-Traumatic Stress Disorder (PTSD) 55
Somatic Symptom Disorder & Psychological Factors Affecting Other Medical Conditions 65
Substance Use Disorders 71
Neurocognitive Disorders 77 (Delirium 77; Dementia 78)
Epilepsy 81
Sleep Disturbance 85
Loss & Bereavement 87
Maternal Mental Health 97
Mental Health Issues in Children 101
Psychosocial Issues in Adolescents 117
Crisis Situations 125 (Agitation & aggression 125; Suicide 126; Disaster/emergency settings 128)
Gender-Based Violence in Insecure Settings 133
HIV/AIDS & Mental Health 143
Counseling Guide 189 (Individual counseling 189; Self-help group counseling 190; Family support 195; Community education 197; Community psychosocial development through psychosocial activities 199)
Medication Guide 203 (WHO essential list of medications 204; Medication therapy for schizophrenia/psychosis 205, depression 212, bipolar disorder 216, anxiety conditions 220, epilepsy 222, sleep disturbance 224, agitation 226)
REFERENCES 229 (Part I: Mental Health Worldwide 229; Part II: Mental Health Capacity Building—increasing access to care through integration & collaboration 231; Part III: An Approach to Care-managing mental health conditions & issues 236)
INDEX 251
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About the Book
In communities where little or no mental health care exists, people with mental conditions are at risk for increased illness, stigma, and abuse. Their fundamental right to mental health and happiness can be compromised. In Mental Health Care in Settings Where Mental Health Resources Are Limited, author Pamela Smith MD presents a handbook for community and hospital-based health providers who work in remote or impoverished areas in developed and developing countries.
Designed to be used as a concise, easy-reference source, it provides an outline of core concepts and basic interventions in mental health care. This guide addresses conditions such as depression, bipolar disorder, schizophrenia, anxiety disorders, post-traumatic stress disorder, obsessive-compulsive disorder, substance abuse, dementia, child and adolescent issues, violence, and HIV/AIDS and mental health. Smith also provides insights on the recent state of mental health care worldwide and the means for increasing access to care in resource-limited areas.
Mental Health Care in Settings Where Mental Health Resources Are Limited communicates how providing mental health care training to health workers and raising awareness among other individuals within these challenged communities serves as a significant means not only to improving access to care but also to preserving human rights and dignity.
About the Author
Pamela Smith, MD, is an experienced psychiatrist and mental health consultant who has coordinated and directly supervised projects associated with the World Health Organization, UNICEF, UNHCR, USAID, and other humanitarian aid organizations to provide mental health training to health workers in developing countries and resource-limited communities in the United States.