[PDF] An Integrative Paradigm For Mental Health Care eBook
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This crucial volume provides a concise overview of the conceptual foundations and clinical methods underlying the rapidly emerging subspecialty of integrative mental healthcare. It discusses methods for guiding practitioners to individualized integrative strategies that address unique symptoms and circumstances for each patient and includes practical clinical techniques for developing interventions addressed at wellness, prevention, and treatment. Included among the overview: Meeting the challenges of mental illness through integrative mental health care. Evolving paradigms and their impact on mental health care Models of consciousness: How they shape understandings of normal mental functioning and mental illness Foundations of methodology in integrative mental health care Treatment planning in integrative mental health care The future of mental health care A New Paradigm for Integrative Mental Healthcare is relevant and timely for the increasing numbers of patients seeking integrative and alternative care for depressed mood, anxiety, ADHD, bipolar disorder, schizophrenia, and other mental health problems such as fatigue and chronic pain. “Patients are crying out for a more integrative approach, and this exemplary book provides the template for achieving such a vision.” -Jerome Sarris, MHSc, PhD, ND “For most conventionally trained clinicians the challenge is not “does CAM work?” but “how do I integrate CAM into my clinical practice?” Lake’s comprehensive approach answers this central question, enabling the clinician to plan truly integrative and effective care for the mind and body.” -Leslie Korn, PhD, MPH
This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.
An integrative approach to modern mental healthcare Textbook of Integrative Mental Health Care is the first book to present a comprehensive framework of conceptual information and clinical guidelines for the integrative assessment and treatment of common mental illnesses. Complete coverage of the conceptual foundations of integrative mental health care allows the practitioner to gain a firm understanding of the philosophy and clinical methodology of integrative medicine. The textbook also describes evidence-based paradigms that enable the practitioner to develop assessment techniques and individualized treatment plans that address the unique needs of each patient. Highlights: Extensive evidence tables summarize assessment and treatment approaches Easy-to-follow algorithms guide the practitioner step-by-step from initial assessment to treatment planning Case vignettes describe intake, assessment and initial formulation, treatment plan, and follow-up This textbook will help psychiatrists, psychologists, and mental health care professionals develop safe and effective integrative approaches for the evaluation and treatment of emotional and mental problems.
Dr. Lake has made a significant contribution to integrative medicine in this book by helping to weave the integral tapestry around the complex issues of mental illness. In honor of his efforts to restore healing and meaning to mental healthcare, I bow deeply. --From the foreword by Larry Dossey, MD Dr. James Lake once again illumines the path to future medicine in this comprehensive, carefully researched, and intellectually engaging exploration of clinical integration of complementary and conventional therapies in mental health care. In a rigorous, dispassionate analysis he both reveals the outer frontiers of medical possibility and describes the professional boundaries necessary to reach such frontiers in ways that are clinically responsible as well as ethically unassailable. --Michael H. Cohen, JD, MBA, Assistant Clinical Professor, Department of Medicine, Harvard Medical School, and Assistant Professor, Department of Health Policy and Management, Harvard School of Public HealthDr. Lake has written the defining textbook for evidence-based integrative mental health care. He has comprehensively evaluated the research support for both conventional and natural therapies and redefined how we understand and treat mental health patients. His careful flow charts help guide the clinician through the challenge of assessment and differentiation to personalize therapies based on each patient's unique needs. Clinicians will also find of immense value his many tables, which summarize the evidence base for each intervention. This is a tour-de-force that forever redefines mental health care. --Joseph Pizzorno, ND, Founding President, Bastyr University This text offers an evidence-based approach to incorporating integrative psychiatry into practice that is pragmatic and useful, a great addition to the field of integrative medicine. --Roberta Lee, MD, Medical Director, Continuum Center for Health and HealingDr. Lake must be congratulated for this ground-breaking work on CAM in psychiatry. It not only provides a conceptual framework for a deeper understanding of disease of the mind-body-spirit, but also gives evidence-based blueprints for where we are and where we could go. A must read for mental health professionals interested in the philosophy and practice of integrative psychiatry. --Richard P. Brown, MD, Associate Professor, Department of Clinical Psychiatry, Columbia College of Physicians and SurgeonsThis text is comprehensive and authoritative, well written and widely referenced. It will, I hope, enlarge the way we think about mental health and treat psychiatric disorders. --James S. Gordon, MD, Founder and Director of the Center for Mind-Body Medicine This book provides a comprehensive review of integrative approaches in mental health. Here the practitioner will find clear guidance in an evidence-based manner. A wonderful contribution. --Wayne B. Jonas, MD, Director Samueli Institute for Information BiologyThis book is a tour de force in the emerging field of integrative psychiatry. The author presents the material in each chapter in a systematic, thoughtful, thorough, and practical manner. The text itself is integrative in the way it discusses management issues that a provider may encounter. As the number of patients who already include - or wish to add - alternative methods in their overall treatment plan continues to grow, this text provides an important comprehensive resource for busy providers. Health care professionals from many different disciplines who need a serious reference text on integrative psychiatry and who wish to optimize options for their patients with chronic psychiatric disorders will find this book indispensable. --Iris R. Bell, MD, PhD, Professor, Departments of Family and Community Medicine, Psychiatry, Psychology, Medicine, and Public Health, The University of Ariz
This book addresses the psychosocial and medical issues of forced migration due to war, major disasters and political as well as climate changes. The topics are discussed in the context of public health and linked to organizational, legal and practical strategies that can offer guidance to professionals, as well as governmental and non-governmental organizations. Both internal and international displacement present substantial challenges that require new solutions and integrated approaches. Issues covered include an overview of current health challenges in the new refugee crises: medicine and mental health in disaster areas, long-term displacement and mental health, integration of legal, medical, social and health economic issues, children and unaccompanied minors, ethical challenges in service provision, short and long-term issues in host countries, models of crises intervention, critical issues, such as suicide prevention, new basic and “minimal” intervention models adapted to limited resources in psychosocial and mental health care, rebuilding of health care in post-disaster/conflict countries, training and burn-out prevention. The book was developed in collaboration with the World Psychiatric Association, and is endorsed by Fabio Grandi (UN High Commissioner for Refugees), Manfred Nowak (former UN Special Rapporteur for Torture), and Jorge Aroche (President of IRCT).
Author : James Lake Publisher : W. W. Norton & Company Page : 317 pages File Size : 35,81 MB Release : 2015-01-05 Category : Psychology ISBN : 0393710912
Making sense of complementary and alternative treatments in mental health care. In mental health care, as in medical care, more and more clinicians are turning to unconventional assessment and treatment approaches to evaluate and treat their patients in the most effective way possible. But how is a clinician to makes sense of the range of complementary and alternative treatments (CAM), and when is it appropriate and safe to use conventional therapies alongside them? In this practical resource, Dr. Lake, a pioneer in the field of integrative mental healthcare, teaches readers how to integrate conventional mental healthcare—drugs and psychotherapy—with complementary and alternative approaches, including vitamins, minerals, amino acids, essential fatty acids and other natural products, mind-body practices, light therapy, music, biofeedback, energy therapies, acupuncture, and others. This is a concise, evidence-based guide to the day-to-day management of common mental health problems using an integrative approach.
This first-of-its-kind title addresses the failures of an often fragmented healthcare system in managing vulnerable patients with multiple, chronic, co-morbid conditions -- patients who are frequently unresponsive to the methods and approaches used to treat other patients with conditions that are less complicated. The book emphasizes a holistic evaluation to patient care that looks at the whole patient, providing comprehensive formulations that describe the interacting problems that afflict the patient, including elements that are barriers to effective treatment of active medical problems and barriers to recovery. The book begins by defining integrated care, discussing the types of patients who benefit from this approach and some of the models of care, including financing, barriers to acceptance, and advocacy for patients. The second section discusses the structural elements of integrated care, including the building of a team approach, issues of leadership, and role definition, as well as the authors’ experiences in overcoming some of the problems. In the remaining sections, the book discusses major complicating features of the patients seen in integrative care settings, including a description of the kinds of problems, a model for formulation of patient cases, and successful approaches to treatment of these problems. Finally, some of the real-world applications where integrative care provides better outcomes is covered, including in terms of addictions, medically complex patients, and chronic pain patients. Integrative Medicine for Vulnerable Populations - A Clinical Guide to Working with Chronic and Comorbid Medical Disease, Mental Illness, and Addiction is a major contribution to the clinical literature and will be of great interest to health care professionals, administrators, policy stakeholders, and even interested patients and patient advocates.
Introducing a series of books on alternative and integrative treatments in mental health careLearn about evidence-based alternative treatments!Develop a plan for achieving optimal wellness!Use your energy, time and money more effectively!Integrative mental healthcare:is a person-centered approach that emphasizes maintaining optimal health and wellnesstakes into account the symptoms, preferences and circumstances of each unique personfocuses on treating symptoms not disordersuses conventional mainstream approaches like medications and psychotherapy, and complementary and alternative (CAM) therapies like herbal medicines and acupunctureuses the best available research evidence to develop an individualized treatment planIntegrative Mental Health Care: An Introduction to Foundations and Methods, will teach you about important concepts and methods used in integrative mental healthcare. The other books in the series cover alternative and integrative treatments of the following mental health problems:Alcohol and drug abuseAnxietyAttention-deficit hyperactivity disorder (ADHD)Bipolar disorderDementia and mild cognitive impairmentDepressionInsomniaPost-traumatic stress disorder (PTSD)SchizophreniaAll books are written in clear, jargon-free language and include extensive hyperlinks within the text, and links to valuable internet resources to ensure that you will get the maximum amount of practical information in the least amount of time.The books in this series will help you if you arestruggling with one or more mental health problems after trying different treatmentstaking a medication or supplement that isn't workingexperiencing side effects to a medication or natural supplementtaking a medication that is very expensive and looking for more affordable alternativesa mental health professional looking for a practical resource for advising patients interested in alternative and integrative approachesEach book on a particular mental health problem includes concise summaries of key information about a variety of non-medication alternatives you can use to treat your symptoms and achieve optimal wellness. Specifically, the books in this series cover uses of:herbals, vitamins, essential fatty acids, amino acids and other natural supplementswhole body approaches such as massage and exercisemeditation and mind-body practices such as yoga, tai chi and qigongscientifically validated energy therapies such as bright light, music and biofeedbacksubtle energy therapies such as healing touch, Reiki and energy psychologyInside the books on a particular mental health problem you can easily navigate to sections on:Understanding your mental health problemTaking inventory of your symptomsIdentifying treatments that make sense for youAlternative treatments of common mental health problemsDeveloping a customized treatment plan that is right for youEvaluating your treatment plan and making changes along the wayValuable internet resources on safety and for finding quality natural supplements
This book is the first in a series on alternative and integrative treatments in mental health care. The book provides a general introduction to essential concepts and methods you can use to develop a treatment plan addressing many common mental health problems. The other books in the series cover the following mental health problems: · Alcohol and drug abuse · Anxiety · Attention-deficit hyperactivity disorder (ADHD) · Bipolar disorder · Dementia and mild cognitive impairment (MCI) · Insomnia · Post-traumatic stress disorder (PTSD) · Schizophrenia If you are currently struggling with a mental health problem and taking a medication that isn’t helping, experiencing adverse effects, or you simply can’t afford to continue taking a medication that is working the books in this series provide practical information about non-medication alternatives that will help you feel and function better such as herbals, vitamins and other natural supplements, whole body approaches, meditation and mind-body practices, and energy therapies. If you are a mental health professional the books in this series provide concise, jargon-free summaries of research evidence for a variety of non-medication treatments you can refer to when advising clients about safe, effective approaches for treating many common mental health problems. An appendix with links to valuable internet resources is included to help you find quality brands of natural supplements and important safety information.