Psychotherapy Fundamentals


  1. Introduction
  2. Moral management
  3. The  asylum movement
  4. Arrangements for early treatment
  5. Social psychiatry and the beginning of community  care
  6. Hospital closure
  7. The  rise of community care
  8. The components of a mental health service
  9. Inpatient wards
  10. Single-sex accommodation
  11. Continuity of responsibility
  12. Longer inpatient care
  13. Diagnosis-specific wards
  14. Day care
  15. Supported accommodation and residential care
  16. Outpatient clinics
  17. Multidisciplinary community mental health teams (CMHTs)
  18. The generic-sector CMHT (‘the CMHT’) Who it is for
  19. Staffing and management
  20. Assessments
  21. Case management
  22. Team meetings
  23. Communication  and liaison
  24. Mental health services research
  25. Mental Health National Service Framework (NSF)  1999
  26. Assertive outreach teams (AOTs)
  27. Who and what are AOTs  for
  28. Crisis teams
  29. Crisis resolution/home treatment (CR/HT)  teams
  30. Variations  in practice  and sustainability
  31. Crisis houses and respite care
  32. Early intervention services (EIS)
  33. Case management
  34. Early recognition and high-risk  intervention
  35. Forensic and rehabilitation teams
  36. Diagnosis-specific teams
  37. Other components of a mental health  service
  38. Services for psychiatric disorder in primary care
  39. Classification of psychiatric disorders in primary care
  40. Identification of psychiatric disorders in primary care
  41. Disorders that are treated in primary care
  42. Disorders that are referred from primary care to the psychiatric  services
  43. Table 21.1 Pathways to care with rates of psychiatric disorder among adults at each level o
  44. Treatments provided by the primary care team for acute  disorders
  45. Improving access to psychological therapies  (IAPT)
  46. Treatments provided by the primary care team for chronic disorders
  47. Work  in primary care by the psychiatric team
  48. Advising and training general practitioners and their staff (Balint  groups)
  49. Assessing and referring
  50. Assessing and treating (‘shifted out patients’)
  51. Shared care
  52. Liaison meetings
  53. Specialist services for acute psychiatric disorder
  54. Patients who are referred to specialist  care
  55. Provisions for acute specialist  care
  56. Generic versus specialized services
  57. Table  21.2 Generic vs. specialist  services
  58. Inpatient units
  59. Psychiatric services that provide long-term care
  60. Characteristics of patients who require long-term care Diagnosis
  61. Problems
  62. Table  21.3 Patient characteristics that make community care   difficult
  63. The carers
  64. Accommodation
  65. Occupation
  66. Reassessment
  67. Continuity of care
  68. Response to crisis
  69. Working with the family and  volunteers
  70. Other components of a community service Rehabilitation and recovery
  71. Services for people with particular needs
  72. Members of ethnic minorities and migrants
  73. Use  of the services
  74. Under-recognition of psychiatric disorder
  75. Provision of services
  76. Homeless mentally ill people
  77. Young people with persisting psychiatric disorder
  78. Patients  with  challenging behaviour
  79. Doctors with psychiatric problems
  80. Refugees
  81. Some difficulties with community care
  82. The  burden on relatives
  83. Problems with the distribution of  resources
  84. Problems with the coordination of  services
  85. International service principles


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