Written by many of the world's leading practitioners in the delivery of mental health care, this book clearly presents the results of scientific research about care and treatment for people with mental illness in community settings. The book presents clear accounts of what is known, extensively referenced, with critical appraisals of the strength of the evidence and the robustness of the conclusions that can be drawn. Improving Mental Health Care adds to our knowledge of the challenge and the solutions and stands to make a significant contribution to global mental health.

In Improving Mental Health: Four Secrets in Plain Sight, Dr. Lloyd Sederer, a renowned psychiatrist, clinical administrator, and public health advocate, explores four foundational truths he has identified over his extensive career. These "secrets," as he calls them, are hidden in plain sight. They are epiphanies, which can enable practitioners, patients and families to better understand mental illness and improve lives. Written for clinicians in both mental health and primary care, as well as lay readers, this eloquent and concise book is full of apt, beautifully crafted patient stories designed to illuminate four secrets for a happier life. Dr. Sederer also uses historical incidents, wisdom culled from books and movies, and research findings to support his theme. Rarely are books written for mental health practitioners so richly drawn, compassionate, and insightful. Improving Mental Health: Four Secrets in Plain Sight will help clinicians understand their patients—and patients understand themselves.

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Over the past two decades, there has been a major increase in research into the effects of the arts on health and well-being, alongside developments in practice and policy activities in different countries across the WHO European Region and further afield. This report synthesizes the global evidence on the role of the arts in improving health and well-being, with a specific focus on the WHO European Region. Results from over 3000 studies identified a major role for the arts in the prevention of ill health, promotion of health, and management and treatment of illness across the lifespan. The reviewed evidence included study designs such as uncontrolled pilot studies, case studies, small-scale cross-sectional surveys, nationally representative longitudinal cohort studies, community-wide ethnographies and randomized controlled trials from diverse disciplines. The beneficial impact of the arts could be furthered through acknowledging and acting on the growing evidence base; promoting arts engagement at the individual, local and national levels; and supporting cross-sectoral collaboration.

The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Improving Communication in Mental Health Settings draws on empirical studies of real-world settings to demonstrate contemporary practice-based evidence, providing effective strategies for communicating with patients/clients in mental health settings. The book integrates clinical experience and language-based evidence drawn from qualitative research. Drawing on studies that utilize scientific language-based approaches such as discourse and conversation analysis, it focuses on social interaction between professionals and patients/clients to demonstrate effective communication practices. Chapters are led by clinical professionals and feature a range of mental health settings, different mental health conditions and types of patient/client, and evidence-based recommendations. This book is an essential guide for professionals working in mental health and/or social work, and those training or working in clinical areas of mental health practice.

To establish prevention of mental illness and promotion of mental health firmly in primary care many practical issues need to be addressed. Drawing on the extensive experience of outstanding, international authors, this unique volume presents an evaluation of action programs to date. It illustrates the significance of primary care in mental health promotion and the way in which it optimizes the resources of the community to serve best the wide range of mental health problems. No other volume covers the topics prevention of mental health illness and promotion of mental health in such detail, with descriptions of: * Universal strategies * Application in primary care * Guidelines for practice * Education of the primary care team and the community * Early identification-case findings and screening instruments * Specific areas for attention This book addresses a medical area that is experiencing rapid expansion and will, therefore, be of value to all academics and practising health and social care professionals in primary care.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

With up-to-date research, illustrative examples, and a practical approach forindividuals and families, this handbook features an overview of mental healthdisorders, basic strategies for improving as well as preventing mental healthissues, and more.