Both the scope and effects of deinstitutionalization have been dramatic. This volume examines both positive and negative effects of this mass movement of persons with severe mental illness out of the state hospitals and into the community. The chapters address the following issues: the use of community alternatives to state hospitalization; the very large numbers of persons with severe mental illness who have found their way into the criminal justice system, why this has happened, and what to do about it; the community treatment of mentally ill offenders; how to prevent inappropriate entry of mentally ill persons into the criminal justice system; the value of mental health consultation in courtroom settings; the therapeutic use of mental health conservatorship; and finally, psychiatric rehabilitation. Although deinstitutionalization for the most part can result in a much richer life experience in the community, much more needs to be done to make that occur. This is the 90th issue of the Jossey-Bass series New Directions for Mental Health Services.

This two-volume encyclopedia examines the social, cultural, and political dimensions of mental illness in America. Americans are becoming more cognizant of the importance of mental wellness as incidents of bullying, random shootings, and eating disorders pervade our society. This comprehensive resource provides an expansive overview of mental health and illness in the United States, analyzing the current state of the health care system, and objectively examining the therapies and treatment options traditionally recommended by the medical community. Mental Health Care Issues in America: An Encyclopedia covers major mental disorders, theories, and treatments; delves into major advances and ongoing controversies in the field; and shares the most current research on the subject in varied disciplines, including ethnic studies, criminal justice, education, and social work. Each entry features a clear definition of the issue along with a brief review of its history. Additionally, the author situates the material within the mental health field, as well as within society in general. Organized alphabetically, topics include advocacy, legal issues, media portrayals of psychological disorders, and homelessness and mental illness.

The Seventh Edition of Critical Issues in Policing includes many new and updated contributions that offer fresh perspectives and research on the most current trends in policing. The entire collection of 34 articles, carefully chosen for their broad application, sharpens readers’ sense and understanding of the complexities of police work. Styles of policing, uses of technology, and roles played by citizens in determining a proper measure of performance in law enforcement are among the essential topics addressed. Comprehensive and fair, Critical Issues in Policing provides ready access to the brightest and best minds in the field of policing, encouraging readers to hold police accountable for specific goals, tasks, and objectives and to work in concert with citizens to promote secure communities.

In 1963, President John F. Kennedy delivered an historic speech on mental illness and retardation. He described sweeping new programs to replace "the shabby treatment of the many millions of the mentally disabled in custodial institutions" with treatment in community mental health centers. This movement, later referred to as "deinstitutionalization," continues to impact mental health care. Though he never publicly acknowledged it, the program was a tribute to Kennedy's sister Rosemary, who was born mildly retarded and developed a schizophrenia-like illness. Terrified she'd become pregnant, Joseph Kennedy arranged for his daughter to receive a lobotomy, which was a disaster and left her severely retarded. Fifty years after Kennedy's speech, E. Fuller Torrey's book provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public. Torrey examines the Kennedys' involvement in the policy, the role of major players, the responsibility of the state versus the federal government in caring for the mentally ill, the political maneuverings required to pass the legislation, and how closing institutions resulted not in better care - as was the aim - but in underfunded programs, neglect, and higher rates of community violence. Many now wonder why public mental illness services are so ineffective. At least one-third of the homeless are seriously mentally ill, jails and prisons are grossly overcrowded, largely because the seriously mentally ill constitute 20 percent of prisoners, and public facilities are overrun by untreated individuals. As Torrey argues, it is imperative to understand how we got here in order to move forward towards providing better care for the most vulnerable.

The cultural and medical history of dementia and Alzheimer's disease by a leading psychiatrist and bioethicist who urges us to turn our focus from cure to care. Despite being a physician and a bioethicist, Tia Powell wasn't prepared to address the challenges she faced when her grandmother, and then her mother, were diagnosed with dementia--not to mention confronting the hard truth that her own odds aren't great. In the U.S., 10,000 baby boomers turn 65 every day; by the time a person reaches 85, their chances of having dementia approach 50 percent. And the truth is, there is no cure, and none coming soon, despite the perpetual promises by pharmaceutical companies that they are just one more expensive study away from a pill. Dr. Powell's goal is to move the conversation away from an exclusive focus on cure to a genuine appreciation of care--what we can do for those who have dementia, and how to keep life meaningful and even joyful. Reimagining Dementia is a moving combination of medicine and memoir, peeling back the untold history of dementia, from the story of Solomon Fuller, a black doctor whose research at the turn of the twentieth century anticipated important aspects of what we know about dementia today, to what has been gained and lost with the recent bonanza of funding for Alzheimer's at the expense of other forms of the disease. In demystifying dementia, Dr. Powell helps us understand it with clearer eyes, from the point of view of both physician and caregiver. Ultimately, she wants us all to know that dementia is not only about loss--it's also about the preservation of dignity and hope.

Forensic psychiatry and psychology involve specialized practice with unique patients, including children, the incarcerated, and involuntary clients, presenting practitioners with specific ethics challenges. In this volume, Ezra E. H. Griffith offers a selection of engaging essays that guide practicing forensic specialists through particular situations that often result in ethics dilemmas. In chapters covering topics such as forensic practice and critical feminist theory, neuroethics in court, work with asylum applicants, and ethics problems presented by the internet, the contributors demonstrate methods to help practitioners resolve problems that they are likely to encounter in forensic practice. The concentrated focus on thinking through ethics quandaries encourages forensic practitioners to reflect regularly on the ethics dimensions of their work and provides them with the tools to create ethics-based solutions that are transparent and understandable and best serve their clients. This essential book provides a roadmap for specialists in these evolving fields to recognize dilemmas through reflection and consideration, thoughtfully articulate the problems, and create solutions.

According to the World Health Organisation during their lifetime more than one quarter of all individuals will develop one or more mental or behavioural disorders. Given prevalence data like this it is not surprising that wherever they reside on the planet many persons suffering from a mental disorder, or as is more commonly termed in popular parlance a mental illness, are likely to come into contact with police at some stage in their lives. Indeed, research conducted in a number of countries suggests that about 10 per cent of all community police work involves some form of interaction with a person with a mental illness. From a police perspective these encounters are not only frequent but also often sensitive and challenging. Despite the difficulties associated with this important aspect of community policing surprisingly scant attention has been given to the development of empirically tested and established best practice approaches to managing police interactions with persons with mental illnesses. The literature that does exist is principally derived from North American sources although more recent and interesting developments have been reported in Australia and the United Kingdom. The principal aim of Police Responses to People with Mental Illnesses is to seek to reduce this gap in the literature by providing an international overview of some of the latest research and policy developments in the field, and the challenges still to be confronted in many places in overcoming cultural and associated barriers to protecting the rights of the mentally ill. This book was originally published as a special issue of Police Practice and Research: An International Journal.