This book proposes theoretical models and practical strategies for tackling the widespread social exclusion faced by people diagnosed mentally ill. Based primarily on research in the US and UK but with reference to other international examples, it analyses evidence of discrimination and the effectiveness of different remedies: disability discrimination law, work to re-frame media and cultural images, grassroots inclusion programmes, challenges to the 'nimby' factor. It places the growing user/survivor and disability movements as central to achieving any radical change.

Combatting mental health stigma and discrimination has moved from a radical idea in the 1990s to mainstream policy today. However, there are huge questions about how to do it effectively, and the journey to get equal life chances is still a long one. As part of the Foundations of Mental Health Practice series, this book explores these important questions and considers the solutions. It pulls together ground-breaking examples and the latest research evidence to argue for a compelling new theory and agenda for social change to promote equality and citizenship. Accessibly written, it demonstrates how mental health practitioners of all disciplines can stand alongside individuals with lived experience and their organisations to challenge discrimination and participate in all aspects of the community. It also addresses the role of families, friends and those with a policy, campaigning or legal interest. Completely up to date, it draws on new research and interviews, as well as the author's 30 years of experience working in the field. With chapter summaries, further reading and reflective exercises, this book offers support for research and practice, making it an essential and important read for any student or practitioner in the field who advocates equality, and for people with lived experience, families, friends and campaigners.

This book proposes theoretical models and practical strategies for tackling the widespread social exclusion faced by people diagnosed mentally ill. Based primarily on research in the US and UK but with reference to other international examples, it analyses evidence of discrimination and the effectiveness of different remedies: disability discrimination law, work to re-frame media and cultural images, grassroots inclusion programmes, challenges to the 'nimby' factor. It places the growing user/survivor and disability movements as central to achieving any radical change.

A philosopher who has experienced psychosis argues that recovery requires regaining agency and autonomy within a therapeutic relationship based on mutual trust. In Mental Patient, philosopher Abigail Gosselin uses her personal experiences with psychosis and the process of recovery to explore often overlooked psychiatric ethics. For many people who struggle with psychosis, she argues, psychosis impairs agency and autonomy. She shows how clinicians can help psychiatric patients regain agency and autonomy through a positive therapeutic relationship characterized by mutual trust. Patients, she says, need to take an active role in regaining their agency and autonomy—specifically, by giving testimony, constructing a narrative of their experience to instill meaning, making choices about treatment, and deciding to show up and participate in life activities. Gosselin examines how psychotic experience is medicalized and describes what it is like to be a patient receiving mental health care treatment. In addition to mutual trust, she says, a productive therapeutic relationship requires the clinician’s empathetic understanding of the patient’s experiences and perspective. She also explains why psychotic patients sometimes feel ambivalent about recovery and struggle to stay committed to it. The psychiatric ethics issues she examines include the development of epistemic agency and credibility, epistemic justice, the use of coercion, therapeutic alliance, the significance of choice, and the taking of responsibility. Mental Patient differs from straightforward memoirs of psychiatric illness in that it analyses philosophic issues related to psychosis and recovery, and it differs from other books on psychiatric ethics in that its analyses are drawn from the author’s first-person experiences as a mental patient.

An essential volume for improving understanding of the recovery process for people diagnosed with schizophrenia Schizophrenia is widely considered the most severe and disabling of the mental illnesses. Yet recent research has demonstrated that many people afflicted with the disorder are able to recover to a significant degree. Living Outside Mental Illness demonstrates the importance of listening to what people diagnosed with schizophrenia themselves have to say about their struggle, and shows the dramatic effect this approach can have on clinical practice and social policy. It presents an in-depth investigation, based on a phenomenological perspective, of experiences of illness and recovery as illuminated by compelling first-person descriptions. This volume forcefully makes the case for the utility of qualitative methods in improving our understanding of the reasons for the success or failure of mental health services. The research has important clinical and policy implications, and will be of key interest to those in psychology and the helping professions as well as to people in recovery and their families.

As the momentum for personalisation and recovery approaches grows, service users are increasingly participating as partners in all aspects of health and social care delivery, policy-making and professional training. This book provides an overview of service user involvement in mental health, its origins and current practice and policy. Written cooperatively by service users and academics, this book conveys a vital connection between recovery and involvement, offering a framework of values and helpful strategies to promote meaningful user participation. By sharing their personal narratives and contributing their views, service user authors demonstrate how taking control of their own care facilitates a swifter and more satisfying recovery. The book further acknowledges the bilateral value of user involvement in the development of mental health services, student learning, collaborative research and challenging social stigma, providing examples and critical appraisal of how this is currently being implemented. With a strong, positive emphasis on the benefits to all stakeholders, Service User Involvement and Recovery in Mental Health offers guidelines for good practice that will be relevant to health and social care practitioners, service users, students, researchers and educators.

"Vital for all working in the mental health field . . . . Fascinating reading for anyone." —Choice E. Fuller Torrey, the author of the definitive guides to schizophrenia and manic depression, chronicles a disastrous swing in the balance of civil rights that has resulted in numerous violent episodes and left a vulnerable population of mentally ill people homeless and victimized. Interweaving in-depth accounts of landmark cases in California, Wisconsin, and North Carolina with a history of legislation and changes in the mental health care system, Torrey gives shape to the magnitude of our failure and outlines what needs to be done to reverse this ongoing—and accelerating—disaster. A new epilogue on the 2011 shooting in Tucson, Arizona, brings this tragic story up to date.

The Welfare of Children with Mentally Ill Parents examines the interventions made by professional workers from a range of different disciplines in families with dependent children and a mentally ill parent. The authors compare responses of professionals in ten European countries and one state in Australia. The analysis of the differences sheds new light on both the inherent and system-determined difficulties in helping families to manage their situation effectively. * Features the only comparative study of mental health social services and the law governing compulsory hospital admission * Covers a current "hot-button" topic that is growing in importance as the impact of social policy developments on children over time becomes more apparent * Offers a unique perspective due to the focus on the impact of children of mentally ill parents and the international systems that deal with child protection

This book explores the human rights consequences of recent and ongoing revisions of mental health legislation in England and Ireland. Presenting a critical discussion of the World Health Organization's 'Checklist on Mental Health Legislation' from its Resource Book on Mental Health, Human Rights and Legislation, the author uses this checklist as a frame-work for analysis to examine the extent to which mental health legislation complies with the WHO human rights standards. The author also examines recent case-law from the European Court of Human Rights, and looks in depth at the implications of the United Nations Convention on the Rights of Persons with Disabilities for mental health law in England and Ireland. Focusing on dignity, human rights and mental health law, the work sets out to determine to what extent, if any, human rights concerns have influenced recent revisions of mental health legislation, and to what extent recent developments in mental health law have assisted in protecting and promoting the human rights of the mentally ill. The author seeks to articulate better, clearer and more connected ways to protect and promote the rights of the mentally ill though both law and policy.

The impetus for this book is the shift in welfare policy in Western Europe from state responsibilities to individual and community responsibilities. The book examines the ways in which policies associated with advanced liberalism and New Public Management can be identified as influencing professional practices to promote personalisation, participation, empowerment, recovery and resilience. In examining the concept of ‘responsibilisation’ from the point of view of both the ‘responsibilised client and welfare worker’, the book breaks from the traditional literature to demonstrate how responsibilities are negotiated during multi-professional care planning meetings, home visits, staff meetings, focus groups and interviews with different stakeholders. The settings examined in the book can be described as on the ‘margins of welfare’ - mental health, substance abuse, homelessness services and probation work, where the rights and responsibilities of clients and workers are uncertain and constantly under review. Each chapter approaches the management of responsibilities from a particular angle by combining responsibilisation theory and discourse analysis to examine everyday encounters. Taken together, the chapters paint a comprehensive picture of the responsibilisation practices at the margins of welfare services and provide an extensive discussion of the implications for policy and practice. Drawing upon both the governmentality literature and everyday encounters, the book provides a broad approach to a key topic. It will therefore be a valuable resource for social policy, public administration, social work and human service researchers and students, and social and health care professionals.