June Melby Benowitz
- Published in print:
- 2015
- Published Online:
- May 2016
- ISBN:
- 9780813061221
- eISBN:
- 9780813051437
- Item type:
- chapter
- Publisher:
- University Press of Florida
- DOI:
- 10.5744/florida/9780813061221.003.0003
- Subject:
- History, American History: 20th Century
Chapter 2 examines three health issues that drew the attention of rightist women: fluoridation of public water systems, mental health programs, and polio vaccinations. In regard to both fluoridation ...
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Chapter 2 examines three health issues that drew the attention of rightist women: fluoridation of public water systems, mental health programs, and polio vaccinations. In regard to both fluoridation and polio vaccination, rightist women feared that they were detrimental to Americans’ health, especially that of the baby boom generation. The women protested government involvement in mental health programs. Many women on the right believed that, as a result of their activism against some government programs, they were likely to be targeted as “deviant.” They protested the administering of mental health examinations in public schools, fearing that such tests were not only intrusive, enabling government to learn more about them and their families than they wished to disclose, but also that the tests could actually cause children to develop mental problems. Some on the far right believed that the government, communists, Jews, and the scientific elite were conspiring to gain control of the nation via various health programs.Less
Chapter 2 examines three health issues that drew the attention of rightist women: fluoridation of public water systems, mental health programs, and polio vaccinations. In regard to both fluoridation and polio vaccination, rightist women feared that they were detrimental to Americans’ health, especially that of the baby boom generation. The women protested government involvement in mental health programs. Many women on the right believed that, as a result of their activism against some government programs, they were likely to be targeted as “deviant.” They protested the administering of mental health examinations in public schools, fearing that such tests were not only intrusive, enabling government to learn more about them and their families than they wished to disclose, but also that the tests could actually cause children to develop mental problems. Some on the far right believed that the government, communists, Jews, and the scientific elite were conspiring to gain control of the nation via various health programs.
Mathew Thomson
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206927
- eISBN:
- 9780191677380
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206927.003.0009
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter examines the formation of the Welfare state in Great Britain from the perspective of mental deficiency policy. It analyses the extent to ...
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This chapter examines the formation of the Welfare state in Great Britain from the perspective of mental deficiency policy. It analyses the extent to which transformation and democratization in this area of policy has occurred and the implications of social citizenship for the definition of and attitudes towards mental deficiency. It suggests that while the Mental Health Act of 1959 has reformulated the problem of mental deficiency, the longer-term problem of providing care for mentally disabled continued to be a considerable dilemma for the Welfare State.Less
This chapter examines the formation of the Welfare state in Great Britain from the perspective of mental deficiency policy. It analyses the extent to which transformation and democratization in this area of policy has occurred and the implications of social citizenship for the definition of and attitudes towards mental deficiency. It suggests that while the Mental Health Act of 1959 has reformulated the problem of mental deficiency, the longer-term problem of providing care for mentally disabled continued to be a considerable dilemma for the Welfare State.
Simona Giordano
- Published in print:
- 2005
- Published Online:
- February 2006
- ISBN:
- 9780199269747
- eISBN:
- 9780191603129
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0199269742.003.0012
- Subject:
- Philosophy, Moral Philosophy
This chapter presents UK legislation concerning people with mental disorders. It provides an account of both Statute and Case Law, and It explains issues such as competence and coercive treatment in ...
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This chapter presents UK legislation concerning people with mental disorders. It provides an account of both Statute and Case Law, and It explains issues such as competence and coercive treatment in cases of mental disorders. It then focuses on the particular case of eating disorders, and looks at issues of competence to refuse treatment for eating disorders and legislation relating to force-feeding. The legal account is accompanied by a punctual philosophical and ethical critique of UK jurisdiction. It suggests that the Mental Health Act should be abolished.Less
This chapter presents UK legislation concerning people with mental disorders. It provides an account of both Statute and Case Law, and It explains issues such as competence and coercive treatment in cases of mental disorders. It then focuses on the particular case of eating disorders, and looks at issues of competence to refuse treatment for eating disorders and legislation relating to force-feeding. The legal account is accompanied by a punctual philosophical and ethical critique of UK jurisdiction. It suggests that the Mental Health Act should be abolished.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.003.0011
- Subject:
- Sociology, Gerontology and Ageing
Mental health in later life is promoted and protected by a range of factors. Protective personal attributes include positive self-esteem, self-efficacy, resilience and mastery. The positive ...
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Mental health in later life is promoted and protected by a range of factors. Protective personal attributes include positive self-esteem, self-efficacy, resilience and mastery. The positive psychological benefits of taking part in exercise is well established, especially in a group. There is a vast literature on the mental health benefits of social relationships, social networks and social participation. It is the quality rather than the quantity of relationships that is protective; having a confidante is especially important. Membership of an accepting faith community, having a meaningful occupation and a reasonable income are also protective. For people living with dementia important factors are social and family relationships; effective communication; and involvement in decisions. How older people protect their mental health is underexplored. Most older people regard prevention and promotion as conjoined; the two fields intersect. Risks and protective factors can be conceptualised as located in the individual, community and national/societal domains. In order for policy to engage meaningfully with preventing mental ill health in later life, it needs to address risks in all three domains and tackle the social determinants of health inequalities. Many risks to mental health in later life are a product of, and are embedded in, the lifecourse.Less
Mental health in later life is promoted and protected by a range of factors. Protective personal attributes include positive self-esteem, self-efficacy, resilience and mastery. The positive psychological benefits of taking part in exercise is well established, especially in a group. There is a vast literature on the mental health benefits of social relationships, social networks and social participation. It is the quality rather than the quantity of relationships that is protective; having a confidante is especially important. Membership of an accepting faith community, having a meaningful occupation and a reasonable income are also protective. For people living with dementia important factors are social and family relationships; effective communication; and involvement in decisions. How older people protect their mental health is underexplored. Most older people regard prevention and promotion as conjoined; the two fields intersect. Risks and protective factors can be conceptualised as located in the individual, community and national/societal domains. In order for policy to engage meaningfully with preventing mental ill health in later life, it needs to address risks in all three domains and tackle the social determinants of health inequalities. Many risks to mental health in later life are a product of, and are embedded in, the lifecourse.
Darius Whelan
- Published in print:
- 2016
- Published Online:
- May 2016
- ISBN:
- 9780719099465
- eISBN:
- 9781526104410
- Item type:
- chapter
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719099465.003.0015
- Subject:
- Sociology, Culture
Ireland’s Mental Health Act 2001 requires that all involuntary admissions for mental disorder be reviewed within twenty-one days by a three-person Mental Health Tribunal. This chapter focuses on key ...
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Ireland’s Mental Health Act 2001 requires that all involuntary admissions for mental disorder be reviewed within twenty-one days by a three-person Mental Health Tribunal. This chapter focuses on key written judgments of the High Court and Supreme Court reviewing decisions of Mental Health Tribunal. Despite some statements to the contrary, the general picture which emerges is that the courts have not engaged in robust supervision of mental health tribunals. Instead, the general tenor of the case-law has been to endorse decisions of tribunals to affirm detentions, and to limit access to the courts to the most extreme violations of procedural rights. The chapter argues that this is a disappointing outcome, in light of the supposed rights-based focus of the Mental Health Act 2001.Less
Ireland’s Mental Health Act 2001 requires that all involuntary admissions for mental disorder be reviewed within twenty-one days by a three-person Mental Health Tribunal. This chapter focuses on key written judgments of the High Court and Supreme Court reviewing decisions of Mental Health Tribunal. Despite some statements to the contrary, the general picture which emerges is that the courts have not engaged in robust supervision of mental health tribunals. Instead, the general tenor of the case-law has been to endorse decisions of tribunals to affirm detentions, and to limit access to the courts to the most extreme violations of procedural rights. The chapter argues that this is a disappointing outcome, in light of the supposed rights-based focus of the Mental Health Act 2001.
Harriet P. Lefley
- Published in print:
- 2009
- Published Online:
- September 2009
- ISBN:
- 9780195340495
- eISBN:
- 9780199863792
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195340495.003.0009
- Subject:
- Social Work, Health and Mental Health, Children and Families
Family education (FE) shares uniformities of content with FPE but differs in length, format, target group, and expected outcomes. Ranging from six to twelve weeks, FE is group education targeted to ...
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Family education (FE) shares uniformities of content with FPE but differs in length, format, target group, and expected outcomes. Ranging from six to twelve weeks, FE is group education targeted to families and friends of people with mental illness. Expected outcomes are greater knowledge of illness management and reduced distress and burden of caregivers. Most programs use internal evaluations, but only a few have research findings. FE programs have largely been developed by the National Alliance on Mental Illness (NAMI) and Mental Heath America (MHA). Two NAMI programs, taught by well-trained family members, have been manualized and evaluated in randomized research designs: Journey of Hope (JOH) and Family-to-Family Education Program (FFEP). Together these eight- to twelve-week programs have reached over 100,000 families. The Training and Education Network (TEC), an MHA Southeastern Pennsylvania program, is also manualized with research findings. A sampling of other FE programs is also described, with their manuals and other publications cited in the Appendix.Less
Family education (FE) shares uniformities of content with FPE but differs in length, format, target group, and expected outcomes. Ranging from six to twelve weeks, FE is group education targeted to families and friends of people with mental illness. Expected outcomes are greater knowledge of illness management and reduced distress and burden of caregivers. Most programs use internal evaluations, but only a few have research findings. FE programs have largely been developed by the National Alliance on Mental Illness (NAMI) and Mental Heath America (MHA). Two NAMI programs, taught by well-trained family members, have been manualized and evaluated in randomized research designs: Journey of Hope (JOH) and Family-to-Family Education Program (FFEP). Together these eight- to twelve-week programs have reached over 100,000 families. The Training and Education Network (TEC), an MHA Southeastern Pennsylvania program, is also manualized with research findings. A sampling of other FE programs is also described, with their manuals and other publications cited in the Appendix.
Brendan D. Kelly
- Published in print:
- 2016
- Published Online:
- May 2016
- ISBN:
- 9780719099465
- eISBN:
- 9781526104410
- Item type:
- chapter
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719099465.003.0014
- Subject:
- Sociology, Culture
This chapter examines the role of country of origin in relation to psychiatric admission status in Ireland. Data presented in this chapter demonstrate that schizophrenia is a particular problem in ...
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This chapter examines the role of country of origin in relation to psychiatric admission status in Ireland. Data presented in this chapter demonstrate that schizophrenia is a particular problem in individuals born outside Ireland and living in Dublin’s inner-city, and that this is associated with involuntary admission under the Mental Health Act 2001. The chapter also shows much lower levels of voluntary admissions. The chapter argues that these differences in patterns of help-seeking should be considered in future planning exercises in Ireland’s mental health services. In particular, increased emphasis on the cultural competence of health care-providers would be a good first step in recognising and addressing the differing health needs and practices of individuals from different ethnic groups and cultural backgrounds.Less
This chapter examines the role of country of origin in relation to psychiatric admission status in Ireland. Data presented in this chapter demonstrate that schizophrenia is a particular problem in individuals born outside Ireland and living in Dublin’s inner-city, and that this is associated with involuntary admission under the Mental Health Act 2001. The chapter also shows much lower levels of voluntary admissions. The chapter argues that these differences in patterns of help-seeking should be considered in future planning exercises in Ireland’s mental health services. In particular, increased emphasis on the cultural competence of health care-providers would be a good first step in recognising and addressing the differing health needs and practices of individuals from different ethnic groups and cultural backgrounds.
Ann Hagell (ed.)
- Published in print:
- 2012
- Published Online:
- September 2012
- ISBN:
- 9781447301042
- eISBN:
- 9781447307242
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447301042.001.0001
- Subject:
- Social Work, Children and Families
The general well-being of British adolescents has been the topic of considerable debate in recent years, but too often this is based on myth rather than fact. Are today's young people more stressed, ...
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The general well-being of British adolescents has been the topic of considerable debate in recent years, but too often this is based on myth rather than fact. Are today's young people more stressed, anxious, distressed or antisocial than they used to be? What does research evidence tell us about the adolescent experience today and how it has changed over time? And how do trends in adolescent well-being since the 1970s relate to changes in education, leisure, communities and family life in that time? This unique volume brings together the main findings from the Nuffield Foundation's Changing Adolescence Programme and explores how social change may affect young people's behaviour, mental health and transitions toward adulthood. As well as critiquing research evidence, which will be of interest to a wide academic audience, the book will inform the wider debate on this subject among policy makers and service providers, voluntary organisations and campaign groupsLess
The general well-being of British adolescents has been the topic of considerable debate in recent years, but too often this is based on myth rather than fact. Are today's young people more stressed, anxious, distressed or antisocial than they used to be? What does research evidence tell us about the adolescent experience today and how it has changed over time? And how do trends in adolescent well-being since the 1970s relate to changes in education, leisure, communities and family life in that time? This unique volume brings together the main findings from the Nuffield Foundation's Changing Adolescence Programme and explores how social change may affect young people's behaviour, mental health and transitions toward adulthood. As well as critiquing research evidence, which will be of interest to a wide academic audience, the book will inform the wider debate on this subject among policy makers and service providers, voluntary organisations and campaign groups
Jon Glasby, Helen Lester, and Emily McKie
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861347558
- eISBN:
- 9781447302216
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861347558.003.0017
- Subject:
- Social Work, Health and Mental Health
This chapter examines the contested nature of mental health provision within the context of proposed legislative changes, exploring the key ethical dilemmas that are raised. It discusses the proposed ...
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This chapter examines the contested nature of mental health provision within the context of proposed legislative changes, exploring the key ethical dilemmas that are raised. It discusses the proposed changes to the 1983 Mental Health Act, and the resulting practical and ethical dilemmas they raise for frontline practitioners in health and social services, service users, and indeed for wider society. The chapter then considers the 2004 Draft Mental Health Bill, which raises significant ethical issues with regard to autonomy, beneficence, and individual liberty. It is argued that the proposed changes to the 1983 Mental Health Act are focused on risk and public safety rather than on the health and welfare of those people whose decision making is impaired by reason of their mental disorder. The 2004 Draft Mental Health Bill is also out of step with other current relevant government policy initiatives in this area, particularly the choice agenda, which risks disadvantaging people with mental health problems relative to other patient groups.Less
This chapter examines the contested nature of mental health provision within the context of proposed legislative changes, exploring the key ethical dilemmas that are raised. It discusses the proposed changes to the 1983 Mental Health Act, and the resulting practical and ethical dilemmas they raise for frontline practitioners in health and social services, service users, and indeed for wider society. The chapter then considers the 2004 Draft Mental Health Bill, which raises significant ethical issues with regard to autonomy, beneficence, and individual liberty. It is argued that the proposed changes to the 1983 Mental Health Act are focused on risk and public safety rather than on the health and welfare of those people whose decision making is impaired by reason of their mental disorder. The 2004 Draft Mental Health Bill is also out of step with other current relevant government policy initiatives in this area, particularly the choice agenda, which risks disadvantaging people with mental health problems relative to other patient groups.
Mathew Thomson
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206927
- eISBN:
- 9780191677380
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206927.003.0002
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter discusses issues relevant to the parliamentary politics of mental deficiency in Great Britain. The British legislature passed the Mental ...
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This chapter discusses issues relevant to the parliamentary politics of mental deficiency in Great Britain. The British legislature passed the Mental Deficiency Act in 1913 and the Mental Health Act in 1959. This legislative void appears to suggest that there was little parliamentary or party-political debate on the mental deficiency issue during the interwar period. However, historians have already demonstrated that there is no political consensus in this segment of medical service. To understand the real nature of political conflict and consensus related to mental deficiency, this chapter examines the influence of gender, religion, and professional and social backgrounds of politicians on their views on mental deficiency.Less
This chapter discusses issues relevant to the parliamentary politics of mental deficiency in Great Britain. The British legislature passed the Mental Deficiency Act in 1913 and the Mental Health Act in 1959. This legislative void appears to suggest that there was little parliamentary or party-political debate on the mental deficiency issue during the interwar period. However, historians have already demonstrated that there is no political consensus in this segment of medical service. To understand the real nature of political conflict and consensus related to mental deficiency, this chapter examines the influence of gender, religion, and professional and social backgrounds of politicians on their views on mental deficiency.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.003.0001
- Subject:
- Sociology, Gerontology and Ageing
Despite much emphasis on mental illness in later life, limited work has focused on mental health. This book aims to address this deficit by exploring, and explaining, mental health outcomes in later ...
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Despite much emphasis on mental illness in later life, limited work has focused on mental health. This book aims to address this deficit by exploring, and explaining, mental health outcomes in later life through the lens of critical social gerontology and via the conduit of life course analysis. It adopts an approach underpinned by a commitment to understanding, and making visible, the role of lifecourse, and age related inequalities in creating or amplifying risks to mental health, as well as exploring those issues that afford protection. It aims to offer a critical review of existing discourse and disrupt the ‘taken for granted’ paradigm, including in the dementia arena. This approach not only recognises that mental health in later life is a complex multi-dimensional issue that cuts across time, cohort, social categories and individual experiences but that it is affected by a wide range of lifecourse and age related issues. It also encourages the development of understanding that adopts a wide lens of analysis and of policy and service related responses that reduce risks to mental health during the lifecourse and in later life itself. Further, it engages with the potential to learn from older people’s perspectives and lives.Less
Despite much emphasis on mental illness in later life, limited work has focused on mental health. This book aims to address this deficit by exploring, and explaining, mental health outcomes in later life through the lens of critical social gerontology and via the conduit of life course analysis. It adopts an approach underpinned by a commitment to understanding, and making visible, the role of lifecourse, and age related inequalities in creating or amplifying risks to mental health, as well as exploring those issues that afford protection. It aims to offer a critical review of existing discourse and disrupt the ‘taken for granted’ paradigm, including in the dementia arena. This approach not only recognises that mental health in later life is a complex multi-dimensional issue that cuts across time, cohort, social categories and individual experiences but that it is affected by a wide range of lifecourse and age related issues. It also encourages the development of understanding that adopts a wide lens of analysis and of policy and service related responses that reduce risks to mental health during the lifecourse and in later life itself. Further, it engages with the potential to learn from older people’s perspectives and lives.
Shekhar Saxena, Jeremy Kane, Noa Krawczyk, and Judith K. Bass
- Published in print:
- 2019
- Published Online:
- June 2019
- ISBN:
- 9780190916602
- eISBN:
- 9780190916640
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/oso/9780190916602.003.0018
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter discusses the concepts, definitions, measurement instruments, and sources of data bearing on global mental health and mental illness. The discussion reveals the limited use of ...
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This chapter discusses the concepts, definitions, measurement instruments, and sources of data bearing on global mental health and mental illness. The discussion reveals the limited use of system-level instruments and readily comparable global data to help guide international public mental health policy. The chapter includes selected data on mental health systems around the world and gives an overview of mental health–related activities by leading international agencies such as the World Health Organization (WHO) Department of Mental Health and Substance Abuse, the United Nations Interagency Task Force (UNIATF) on the Prevention and Control of Non-communicable Diseases, the United Nations International Children’s Educational Fund (UNICEF), the United Nations High Commissioner for Refugees (UNHCR), and a range of international research consortia. The presence or absence of mental health policy, the presence of law relevant to mental health, and the presence of mental health care facilities around the world are reviewed.Less
This chapter discusses the concepts, definitions, measurement instruments, and sources of data bearing on global mental health and mental illness. The discussion reveals the limited use of system-level instruments and readily comparable global data to help guide international public mental health policy. The chapter includes selected data on mental health systems around the world and gives an overview of mental health–related activities by leading international agencies such as the World Health Organization (WHO) Department of Mental Health and Substance Abuse, the United Nations Interagency Task Force (UNIATF) on the Prevention and Control of Non-communicable Diseases, the United Nations International Children’s Educational Fund (UNICEF), the United Nations High Commissioner for Refugees (UNHCR), and a range of international research consortia. The presence or absence of mental health policy, the presence of law relevant to mental health, and the presence of mental health care facilities around the world are reviewed.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.001.0001
- Subject:
- Sociology, Gerontology and Ageing
Focusing on mental health rather than mental illness, this book adopts a life course approach to understanding mental health and wellbeing in later life. Drawing together material from the fields of ...
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Focusing on mental health rather than mental illness, this book adopts a life course approach to understanding mental health and wellbeing in later life. Drawing together material from the fields of sociology, psychology, critical social gerontology, the mental health field, and life course studies, it analyses the meaning and determinants of mental health amongst older populations and offers a critical review of existing discourse. The book explores the intersecting influences of lifecourse experiences, social and structural inequalities, socio-political context, history, gender and age-related factors and demands an approach to prevention and resolution that appreciates the embedded, complex and multi-faceted nature of threats to mental health and ways to protect it. It foregrounds engagement with the perspectives and lived experiences of older people, including people living with dementia, and makes the case for a paradigmatic shift in conceptualising, exploring and researching mental health issues and supporting older people with mental health problems. The book is essential reading for policy makers, health and social care professionals and students, third sector agencies, researchers and all of those concerned to more effectively and collaboratively address mental health issues in later life.Less
Focusing on mental health rather than mental illness, this book adopts a life course approach to understanding mental health and wellbeing in later life. Drawing together material from the fields of sociology, psychology, critical social gerontology, the mental health field, and life course studies, it analyses the meaning and determinants of mental health amongst older populations and offers a critical review of existing discourse. The book explores the intersecting influences of lifecourse experiences, social and structural inequalities, socio-political context, history, gender and age-related factors and demands an approach to prevention and resolution that appreciates the embedded, complex and multi-faceted nature of threats to mental health and ways to protect it. It foregrounds engagement with the perspectives and lived experiences of older people, including people living with dementia, and makes the case for a paradigmatic shift in conceptualising, exploring and researching mental health issues and supporting older people with mental health problems. The book is essential reading for policy makers, health and social care professionals and students, third sector agencies, researchers and all of those concerned to more effectively and collaboratively address mental health issues in later life.
Mary Donnelly and Claire Murray (eds)
- Published in print:
- 2016
- Published Online:
- May 2016
- ISBN:
- 9780719099465
- eISBN:
- 9781526104410
- Item type:
- book
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719099465.001.0001
- Subject:
- Sociology, Culture
The Irish health system is confronted by a range of challenges, both emerging and recurring. In order to address these, it is essential that spaces are created for conversations around complex ...
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The Irish health system is confronted by a range of challenges, both emerging and recurring. In order to address these, it is essential that spaces are created for conversations around complex ethical and legal issues. This collection aims to provide a basis for ongoing engagement with selected issues in contemporary Irish health contexts. It includes contributions from scholars and practitioners across a range of disciplines, most particularly, ethics, law and medicine. The focus of the collection is interdisciplinary and the essays are situated at the intersection between ethics, law and medicine. Important issues addressed include admission to care homes; assisted suicide; adolescent decision-making; allocation of finite resources; conscientious objection; data protection; decision-making at the end of life; mental health; the rights of older people; patient responsibilities; stem cell research; the role of carers; and reproductive rights. From these discussion, the collection draws out the following interlinking themes, addressing difference; context and care; oversight and decision-making; and, regulating research. The essays are theoretically informed and are grounded in the realities of the Irish health system, by drawing on contributors’ contextual knowledge. This book makes an informed and balanced contribution to academic and broader public discourse.Less
The Irish health system is confronted by a range of challenges, both emerging and recurring. In order to address these, it is essential that spaces are created for conversations around complex ethical and legal issues. This collection aims to provide a basis for ongoing engagement with selected issues in contemporary Irish health contexts. It includes contributions from scholars and practitioners across a range of disciplines, most particularly, ethics, law and medicine. The focus of the collection is interdisciplinary and the essays are situated at the intersection between ethics, law and medicine. Important issues addressed include admission to care homes; assisted suicide; adolescent decision-making; allocation of finite resources; conscientious objection; data protection; decision-making at the end of life; mental health; the rights of older people; patient responsibilities; stem cell research; the role of carers; and reproductive rights. From these discussion, the collection draws out the following interlinking themes, addressing difference; context and care; oversight and decision-making; and, regulating research. The essays are theoretically informed and are grounded in the realities of the Irish health system, by drawing on contributors’ contextual knowledge. This book makes an informed and balanced contribution to academic and broader public discourse.
Peter Bartlett
- Published in print:
- 2000
- Published Online:
- March 2012
- ISBN:
- 9780198299189
- eISBN:
- 9780191685644
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198299189.003.0031
- Subject:
- Law, Philosophy of Law, Medical Law
There has been much debate on Mental Health Act reforms with little discussion of broader principles. Although everyone agrees that there are problems and have a view on how those problems ought to ...
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There has been much debate on Mental Health Act reforms with little discussion of broader principles. Although everyone agrees that there are problems and have a view on how those problems ought to be solved, the longer view of how the current situation relates to the historical picture seems to have been lost in the immediacy of the present presumed crisis. This chapter provides a start at some of that broader debates. It focuses on matters of civil regulation, since people found to be insane in a criminal context raise rather different issues. At issue are the broader pictures: how did we get to our current legal and political position regarding mental health, and in particular how novel are the problems we face; and what sort of a Mental Health Act do we want? On the latter point, the premise is that consistently with the developing law and politics of human rights, legislation should not inappropriately discriminate on the basis of mental disability.Less
There has been much debate on Mental Health Act reforms with little discussion of broader principles. Although everyone agrees that there are problems and have a view on how those problems ought to be solved, the longer view of how the current situation relates to the historical picture seems to have been lost in the immediacy of the present presumed crisis. This chapter provides a start at some of that broader debates. It focuses on matters of civil regulation, since people found to be insane in a criminal context raise rather different issues. At issue are the broader pictures: how did we get to our current legal and political position regarding mental health, and in particular how novel are the problems we face; and what sort of a Mental Health Act do we want? On the latter point, the premise is that consistently with the developing law and politics of human rights, legislation should not inappropriately discriminate on the basis of mental disability.
Jane Winstone and Francis Pakes
- Published in print:
- 2012
- Published Online:
- May 2013
- ISBN:
- 9781447300205
- eISBN:
- 9781447307778
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447300205.003.0009
- Subject:
- Social Work, Crime and Justice
The authors examined a recent pilot of Mental Health Courts in Stratford and Brighton, to explore service-user views of arrangements for offenders with mental health needs who are sentenced ...
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The authors examined a recent pilot of Mental Health Courts in Stratford and Brighton, to explore service-user views of arrangements for offenders with mental health needs who are sentenced differently ie with a MHTR. The interviews reveal ways in which tailored provision that meets the complex needs of the offenders could augment the legitimacy of the professional role with the Court sentence. This research investigates emerging ideas that could inform developments within the practice.Less
The authors examined a recent pilot of Mental Health Courts in Stratford and Brighton, to explore service-user views of arrangements for offenders with mental health needs who are sentenced differently ie with a MHTR. The interviews reveal ways in which tailored provision that meets the complex needs of the offenders could augment the legitimacy of the professional role with the Court sentence. This research investigates emerging ideas that could inform developments within the practice.
Derek P. Auchie and Ailsa Carmichael
- Published in print:
- 2009
- Published Online:
- May 2020
- ISBN:
- 9781845860226
- eISBN:
- 9781474406291
- Item type:
- chapter
- Publisher:
- Edinburgh University Press
- DOI:
- 10.3366/edinburgh/9781845860226.003.0002
- Subject:
- Law, Medical Law
The 2003 Act introduces for the first time the Mental Health Tribunal for Scotland. It also creates a new category of party to proceedings: the “named person”. Various other persons are entitled to ...
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The 2003 Act introduces for the first time the Mental Health Tribunal for Scotland. It also creates a new category of party to proceedings: the “named person”. Various other persons are entitled to receive intimation of and be given the opportunity to participate in proceedings. The Mental Health Officer and the Responsible Medical Officer each has a raft of statutory responsibilities in terms of the Act. Here we consider those who may be parties to proceedings, and the role of each in proceedings before the Tribunal, by reference both to the Act and to the Rules.Less
The 2003 Act introduces for the first time the Mental Health Tribunal for Scotland. It also creates a new category of party to proceedings: the “named person”. Various other persons are entitled to receive intimation of and be given the opportunity to participate in proceedings. The Mental Health Officer and the Responsible Medical Officer each has a raft of statutory responsibilities in terms of the Act. Here we consider those who may be parties to proceedings, and the role of each in proceedings before the Tribunal, by reference both to the Act and to the Rules.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.003.0002
- Subject:
- Sociology, Gerontology and Ageing
Chapter 1 offers an overview of the UK’s socio-demographic and policy context. The UK has an ageing population that is increasingly diverse and heterogenous. Whilst for many older people health ...
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Chapter 1 offers an overview of the UK’s socio-demographic and policy context. The UK has an ageing population that is increasingly diverse and heterogenous. Whilst for many older people health outcomes have vastly improved since the introduction of the welfare state, prevalence of ill health does increase with advancing age. The number of older people living with dementia is 850,000, a figure expected to rise to over 2 million by 2051. Disability, pain, chronic physical illness and dementia are risk factors for both depression and suicide. It is estimated that 30 per cent of older people have ‘depressive symptoms’ and that 1 in 8 of all suicides relate to older people. 4 per cent of older people suffer from ‘anxiety disorder’. Although not mental health problems as such, a growth of the number of older people experiencing isolation and loneliness, problem alcohol issues and social exclusion are contributors. In terms of policy, all four UK nations, have specific policies relating to dementia, on the one hand, and policies relating to preventing and treating functional mental health problems on the other. The former tends to be older age focused whilst the latter extends across the whole adult lifespan.Less
Chapter 1 offers an overview of the UK’s socio-demographic and policy context. The UK has an ageing population that is increasingly diverse and heterogenous. Whilst for many older people health outcomes have vastly improved since the introduction of the welfare state, prevalence of ill health does increase with advancing age. The number of older people living with dementia is 850,000, a figure expected to rise to over 2 million by 2051. Disability, pain, chronic physical illness and dementia are risk factors for both depression and suicide. It is estimated that 30 per cent of older people have ‘depressive symptoms’ and that 1 in 8 of all suicides relate to older people. 4 per cent of older people suffer from ‘anxiety disorder’. Although not mental health problems as such, a growth of the number of older people experiencing isolation and loneliness, problem alcohol issues and social exclusion are contributors. In terms of policy, all four UK nations, have specific policies relating to dementia, on the one hand, and policies relating to preventing and treating functional mental health problems on the other. The former tends to be older age focused whilst the latter extends across the whole adult lifespan.
Jennie Bristow, Sarah Cant, and Anwesa Chatterjee
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781529209778
- eISBN:
- 9781529209822
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781529209778.003.0005
- Subject:
- Education, Higher and Further Education
This chapter maps a framework for understanding the rise of mental health disorders in the undergraduate population, drawing a connection between broader social, cultural and educational change, and ...
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This chapter maps a framework for understanding the rise of mental health disorders in the undergraduate population, drawing a connection between broader social, cultural and educational change, and individual psychological malaise. The structural inconsistencies wrought by high expectations, contrasted with actual opportunities and experience, provide the basis for an insecure and individualised approach to Higher Education. Students experiencing high levels of anxiety are encouraged, both by the pressure to succeed and the procedures now in place within Universities to manage high levels of mental illness, to conceive of and present their distress in medicalised terms. The chapter explores the implications for the academic– student relationship, both in terms of the growing expectation on academics to act in loco parentis, and the extent to which the practice of study and the pursuit of knowledge itself comes to be considered potentially damaging to students’ mental health and emotional wellbeing.Less
This chapter maps a framework for understanding the rise of mental health disorders in the undergraduate population, drawing a connection between broader social, cultural and educational change, and individual psychological malaise. The structural inconsistencies wrought by high expectations, contrasted with actual opportunities and experience, provide the basis for an insecure and individualised approach to Higher Education. Students experiencing high levels of anxiety are encouraged, both by the pressure to succeed and the procedures now in place within Universities to manage high levels of mental illness, to conceive of and present their distress in medicalised terms. The chapter explores the implications for the academic– student relationship, both in terms of the growing expectation on academics to act in loco parentis, and the extent to which the practice of study and the pursuit of knowledge itself comes to be considered potentially damaging to students’ mental health and emotional wellbeing.
Aaron Pycroft and John McKeane (eds)
- Published in print:
- 2012
- Published Online:
- May 2013
- ISBN:
- 9781447300205
- eISBN:
- 9781447307778
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447300205.001.0001
- Subject:
- Social Work, Crime and Justice
The rise in a dominant risk paradigm focusing on public protection in criminal justice has seen the increased use of coercion to access treatment for people with substance misuse and mental health ...
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The rise in a dominant risk paradigm focusing on public protection in criminal justice has seen the increased use of coercion to access treatment for people with substance misuse and mental health problems. This book explores the notions of risk and rehabilitation within the practice of court orders, and contextualises them within a comparative literature and research base. This timely book discusses these problems, highlighting criminal justice practice in relation to risk and rehabilitation. It will make crucial reading for academics and policy makers in criminology and criminal justice and those working with mental health/welfare groups.Less
The rise in a dominant risk paradigm focusing on public protection in criminal justice has seen the increased use of coercion to access treatment for people with substance misuse and mental health problems. This book explores the notions of risk and rehabilitation within the practice of court orders, and contextualises them within a comparative literature and research base. This timely book discusses these problems, highlighting criminal justice practice in relation to risk and rehabilitation. It will make crucial reading for academics and policy makers in criminology and criminal justice and those working with mental health/welfare groups.
