This work traces and anticipates past, present and future changes in mental health services to assess the impact both of developments in care, and of the implications of new organisational change. It includes contributions and perspectives of those involved in services at all levels, including service users, to draw upon their experience to give a fuller picture of today and help sketch in tomorrow. It balances academic scrutiny with personal involvement, to reflect both national trends and local initiatives.Overall this work is in two volumes, each of which can stand alone: the companion book Part 1 focuses on the realities of offering and receiving care at a practical and local level; this Part 2 reviews policy and practice from national and international perspectives. Together these books provide essential information and views on mental health services for professionals throughout health and social care, managers, policy planners and policy shapers including those in the third sector and patient groups, academics and the media.

This work traces and anticipates past, present and future changes in mental health services to assess the impact both of developments in care, and of the implications of new organisational change. It includes contributions and perspectives of those involved in services at all levels, including service users, to draw upon their experience to give a fuller picture of today and help sketch in tomorrow. It balances academic scrutiny with personal involvement, to reflect both national trends and local initiatives.Overall this work is in two volumes, each of which can stand alone: the companion book Part 1 focuses on the realities of offering and receiving care at a practical and local level; this Part 2 reviews policy and practice from national and international perspectives. Together these books provide essential information and views on mental health services for professionals throughout health and social care, managers, policy planners and policy shapers including those in the third sector and patient groups, academics and the media.

Integrated primary care, now instituted in many areas of the country, is both the service that integrates medical and mental health primary care and the practice of defining the problem brought by a patient without using "medical" or "mental" as inevitable distinctions. This volume makes the case for this approach, shows how to implement it, and describes some successful programs. It will be attractive to medical managers, plan administrators, physicians, and mental health providers.

This revised, expanded edition uses a public health framework and the latest epidemiological, therapeutic, and service systems research to give readers a comprehensive understanding of the organization, financing, and delivery of mental health and substance abuse services in the United States. Written by national experts, it will provide policymakers, administrators, clinicians, and graduate students with the knowledge base needed to manage and transform mental health service systems, both nationally and locally.

Cover -- Half Title -- Title Page -- Copyright Page -- Contents -- Dedication -- Preface -- List of contributors -- Acknowledgements -- Introduction -- 1 Honesty without discrimination -- 2 Community teams: outreach and intervention -- 3 Homelessness and disorder: the challenge of the antisocial and the societal response -- 4 Moving on from the National Service Framework for Mental Health: the social inclusion agenda -- 5 A GP's view: interview with Dr Helen Pelendrides -- 6 Dual diagnosis -- 7 Advocacy: does it really work? -- 8 Prejudice and progress -- 9 Clients as colleagues: part of the path to recovery? -- 10 A personal account: from my life -- 11 Working with young people: 24 hours in the life of The Highfield Family and Adolescent Unit, Oxford -- 12 Creating a small community -- 13 A space for creativity and healing: Artists in Mind and the mental health system -- 14 Enhancing the healing environment -- 15 The Retreat: an alternative perspective from the independent sector -- Index