Ethnicity and Psychopharmacology addresses the most relevant theoretical and clinical aspects of ethnopsychopharmacology, with the aim of advancing this growing field well into the twenty-first century. Detailed are the pharmacogenetic, pharmacokinetic, and pharmacodynamic mechanisms involved in differing responses to drug treatment among various ethnic groups living in the United States. Readers will learn an integrative approach in which ethnic and cultural diversity and biological diversity are taken into account and treatment is tailored to specific individual characteristics. Dr. Ruiz's extensive research experience and years of leadership in public psychiatry along with his distinguished panel of contributors combine to make this book an authoritative resource. Psychiatric practitioners, educators, and investigators, as well as other mental health professionals, primary care physicians and medical students, will gain a better understanding of treating patients from different cultures.

Until several decades ago, few studies were conducted on the differences among individual responses to pharmacologic agents. Then, in the 1950s and 1960s, enzyme induction was discovered, and it became apparent that the intake of certain foods or drugs could adaptively modify drug metabolism and, therefore, drug response. Now researchers are beginning to realize how both adaptive and genetic forces may cause pharmacological distinctions among human populations once separated by distance or geographical boundaries. Psychopharmacology and Psychobiology of Ethnicity provides a unique overview of how ethnically defined populations respond to psychoactive drugs. Its renowned contributors review and summarize our current knowledge of ethnic differences and similarities among patients in response to psychotropic drugs.

Today there is an overall greater awareness and acceptance of ethnic diversity in American society and a clearer definition of the United States as a pluralistic nation. The last U.S. census showed that well over 100 million Americans, white and non white, identify with an ethnic group. Ethnicity is indicative of more than the personal distinc tiveness derived from race, religion, national origin, or ge ography. It denotes the culture of people-that powerful yet subtle factor that shapes values, attitudes, perceptions, needs, modes of expression, patterns of behavior, and identity. From a clinical perspective ethnicity involves conscious and uncon scious processes that fulfill deep psychological needs for se curity, a sense of one's own proper dignity, and a sense of historical continuity as well. These functional aspects of eth nicity reinforce the notion that culture is of significant value to the quality of life and the mental health of all individuals. In the preventive and therapeutic sense, ethnicity sustains a capacity for coping with stress by providing communal support systems which serve to buffer the excessive indi vidualism, alienation, and anomie of modem mass culture. Hence, to ensure appropriate delivery of mental health ser vices to a particular ethnic population, mental health profes sionals must first become cognizant of the positive aspects vii FOREWORD viii and strengths to be drawn from a particular group identity and then incorporate these elements into their treatment strat egies or techniques.

Clinical Psychopharmacology offers a comprehensive guide to clinical practice that explores two major aspects of the field: the clinical research that exists to guide clinical practice of psychopharmacology, and the application of that knowledge with attention to the individualized aspects of clinical practice. The text consists of 50 chapters, organized into 6 sections, focusing on disease-modifying effects, non-DSM diagnostic concepts, and essential facts about the most common drugs. This innovative book advocates a scientific and humanistic approach to practice and examines not only the benefits, but also the harms of drugs. Providing a solid foundation of knowledge and a great deal of practical information, this book is a valuable resource for practicing psychiatrists, psychiatric nurse practitioners, medical students and trainees in psychiatry, as well as pharmacists.

In this classic text the authors examine the links between racism, psychological ill health and inadequate treatment of ethnic minorities. Through a series of case studies they discuss: * the psychological legacy of colonialism and slavery * the racist bias in psychiatric and psychological theory * diagnostic bias * the role of religion in mental health or illness * the value of anthropological and pschoanalytic insights. The concluding chapter in this edition reviews the development of 'transcultural psychiatry' and summarises changes in administration of the Mental Health Act.

Ethnicity and Psychopharmacology addresses the most relevant theoretical and clinical aspects of ethnopsychopharmacology, with the aim of advancing this growing field well into the twenty-first century. Detailed are the pharmacogenetic, pharmacokinetic, and pharmacodynamic mechanisms involved in differing responses to drug treatment among various ethnic groups living in the United States. Readers will learn an integrative approach in which ethnic and cultural diversity and biological diversity are taken into account and treatment is tailored to specific individual characteristics. Dr. Ruiz's extensive research experience and years of leadership in public psychiatry along with his distinguished panel of contributors combine to make this book an authoritative resource. Psychiatric practitioners, educators, and investigators, as well as other mental health professionals, primary care physicians and medical students, will gain a better understanding of treating patients from different cultures.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

A long-awaited addition to the literature, this important new volume comprehensively addresses mental health issues relevant to women of color and presents guidelines for state-of-the-art treatment. Chapters illustrate the interaction of gender and ethnicity in mental health theory and practice, and discuss how cultural relevance and gender sensitivity can and must be incorporated into clinical work. The contributors are experts with extensive clinical experience with the specific groups of women they discuss, and many are themselves members of these groups, adding a unique and valuable dimension to their work. Inclusive in its approach and rich with illustrative case examples, WOMEN OF COLOR covers issues that affect both familiar and frequently overlooked groups of women. Emphasizing the heterogeneity of women of color, the book begins with in-depth discussions of cultural imperatives relevant to the mental health treatment of African American, American Indian, Asian American, Latina/Hispanic, and East and West Indian women. The second section provides a thorough review of the major theoretical orientations to psychotherapy and their applicability to women of color. The contributors critically assess the utilization of psychodynamic, cognitive-behavioral, family systems, feminist, and integrative approaches, and provide clinical guidelines for the application of each. Focusing on clinical management that incorporates a sensitivity to ethnicity, culture and gender, chapters also discuss the psychopharmacologic treatment of women of color. The diversity that exists among women of color is reflected in the final section's thoughtful examination of the mental health needs of such special populations as professional women, lesbians, mixed-race women, battered women, and refugee women. The stressors endured by women who are culturally stigmatized and/or institutionally disadvantaged are explored, and clear guidelines for working with these women are presented. Filling a significant gap in the literature, WOMEN OF COLOR is a major new resource for all mental health professionals, from students to seasoned practitioners. Accessibly written, it also serves as an excellent classroom text for courses in the psychology of women, women's studies, and gender studies.

Research has shown that a range of adult psychiatric disorders and mental health problems originate at an early age, yet the psychiatric symptoms of an increasing number of children and adolescents are going unrecognized and untreated—there are simply not enough child psychiatric providers to meet this steadily rising demand. It is vital that advanced practice registered nurses (APRNs) and primary care practitioners take active roles in assessing behavioral health presentations and work collaboratively with families and other healthcare professionals to ensure that all children and adolescents receive appropriate treatment. Child and Adolescent Behavioral Health helps APRNs address the mental health needs of this vulnerable population, providing practical guidance on assessment guidelines, intervention and treatment strategies, indications for consultation, collaboration, referral, and more. Now in its second edition, this comprehensive and timely resource has been fully updated to include DSM-5 criteria and the latest guidance on assessing, diagnosing, and treating the most common behavioral health issues facing young people. New and expanded chapters cover topics including eating disorders, bullying and victimization, LGBTQ identity issues, and conducting research with high-risk children and adolescents. Edited and written by a team of accomplished child psychiatric and primary care practitioners, this authoritative volume: Provides state-of-the-art knowledge about specific psychiatric and behavioral health issues in multiple care settings Reviews the clinical manifestation and etiology of behavioral disorders, risk and management issues, and implications for practice, research, and education Offers approaches for interviewing children and adolescents, and strategies for integrating physical and psychiatric screening Discusses special topics such as legal and ethical issues, cultural influences, the needs of immigrant children, and child and adolescent mental health policy Features a new companion website containing clinical case studies to apply concepts from the chapters Designed to specifically address the issues faced by APRNs, Child and Adolescent Behavioral Health is essential reading for nurse practitioners and clinical nurse specialists, particularly those working in family, pediatric, community health, psychiatric, and mental health settings. *Second Place in the Child Health Category, 2021 American Journal of Nursing Book of the Year Awards*