This timely book provides a framework for practice for professionals developing and running psychologically-informed services to meet the needs of socially excluded people with complex needs. It covers theory and practice from a psychodynamic perspective and provides practical interventions and case studies.

Responding to the growing number of psychologically-informed services for people experiencing social exclusion and, in particular, homelessness, this book gives professionals the information and understanding they need to be fully informed in their practice with this client group. It begins with theory, looking at the psychology of social exclusion and the processes that underlie it, and considers the relationship between trauma, complex needs, homelessness and social exclusion. Presenting practical interventions and case studies, the authors then reveal what makes an effective service in practice and a client perspective on social exclusion and recovery is provided. This is essential reading for all those involved in developing services that meet the needs of socially excluded people with histories of complex trauma or presentations of complex needs, including those who are homeless, refugees and asylum seekers, Traveller and Roma communities and people involved with the criminal justice system.

This book gathers together the experiences of leaders across sectors, organisations and client groups to help readers introduce, develop, and maintain psychologically informed environments (PIE) and trauma informed care (TIC) within their workspaces. Featuring the voices of providers, commissioners, consultants, and trainers from the NHS, local authorities, and the voluntary sector, this unique text includes chapters on implementing PIE across a range of overlapping fields, including young people’s, homelessness, mental health, and women’s services. Each chapter describes the contributors’ experiences of which factors and processes enable or disable successful implementation of PIE/TIC; the unique challenges of leadership within this process; and how to understand the different dynamics at play in an organisation that determine effectiveness. With an emphasis on practical examples underpinned by theory, and recommendations drawn from the emergent themes, the book acts as an invitation for leaders to explore how they can influence the growth and evolving shape of PIE and trauma informed approaches across health and social care and support settings, and beyond. This book will be an invaluable resource for aspiring and new, as well as experienced, leaders who are interested in implementing and enabling PIE and TIC in their organisations.

Whilst the number of people currently experiencing homelessness cannot be precisely estimated due to varying definitions across countries and cultures, the link between homelessness and mental health disorders is undeniable. Both are strongly affected by social and economic determinants such as poverty, migration, unemployment, access to healthcare, and urbanization and, as a result, providing optimal care in the community requires understanding of the cultural context. Part of the Oxford Cultural Psychiatry series, this unique resource provides an overview of the connection between homelessness and mental health around the globe. Over 27 chapters it offers up-to-date research and policy evidence with an emphasis on developing models of social care and rehabilitation at a local level that enable easy access to mental health services. Written and edited by experts drawn from different cultural and geographical perspectives, this unique resource covers key topics such as COVID-19, dental issues, and chronic pain, the experiences of specific vulnerable groups, as well as case studies from specific countries.

Jay Levy's Pretreatment In Action: Interactive Exploration from Homelessness to Housing Stabilization provides the reader with a wonderfully crafted, detailed step-by-step manual with real-world scenarios on how Pretreatment and the Stages of Engagement play out in the actual work. The vignettes are rich with descriptions that clearly come from a deep repertoire of experience working in the field that gives the reader confidence they are being guided by someone who has been in their shoes. The thoughtful questions and space to reflect add a helpful workbook touch to the feel of the text, and matches the grittiness of the material being covered. The reader will... ❇︎ Understand the 5 principles of a Pretreatment Model through their application to real-life scenarios that depict the world of homelessness, trauma and loss. ❇︎ Learn how to utilize Pretreatment Assessment and interventions to promote the engagement process and safety with highly vulnerable people. ❇︎ Effectively integrate the stages of Common Language Development with one's own practice of outreach and engagement with under-served persons. ❇︎ Experience through interactive exercises and reflecting on case illustrations the importance of facilitating the meaning making process with both staff and clients. ❇︎ Discover an innovative approach to staff supervision based on the integration of Pretreatment principles with Psychologically Informed Environments (PIE) and Open Dialogue approaches to helping "Pretreatment In Action by Jay S. Levy, MSW is a landmark accomplishment. For those who do street outreach and street medicine, Jay has provided a much-needed framework for navigating the largely undefined terrain of therapeutic relationships with those experiencing unsheltered homelessness." --Dr. Jim Withers- Medical Director and Founder of the Street Medicine Institute, Assistant Clinical Professor of Medicine, University of Pittsburgh "By using case studies and reflective exercises, Jay Levy has created a highly readable and accessible guide to working with people who are street homeless. Levy's enthusiasm for the work shines through on each page; he does not shy away from complexity, and the stories and situations he describes are as relevant in the UK as in his native USA.", --Dr. Jenny Drife- START Homeless Outreach Team, South London and Maudsley NHS Foundation Trust, Advisor to the Royal College of Psychiatrists on homelessness and mental health "Levy draws on respected approaches including Motivational Interviewing, Narrative Therapy and Solution Focused Therapy. He integrates these into a clearly articulated practical approach that will also work with other significantly disadvantaged people living with trauma and marginalization." --Rohena Duncombe, BA, BSW, MSWAP, Social work academic & researcher, Charles Sturt University, Australia Learn more at www.JaySLevy.com From Loving Healing Press www.LHPress.com

Mind, State and Society examines the reforms in psychiatry and mental health services in Britain during 1960–2010, when de-institutionalisation and community care coincided with the increasing dominance of ideologies of social liberalism, identity politics and neoliberal economics. Featuring contributions from leading academics, policymakers, mental health clinicians, service users and carers, it offers a rich and integrated picture of mental health, covering experiences from children to older people; employment to homelessness; women to LGBTQ+; refugees to black and minority ethnic groups; and faith communities and the military. It asks important questions such as: what happened to peoples' mental health? What was it like to receive mental health services? And how was it to work in or lead clinical care? Seeking answers to questions within the broader social-political context, this book considers the implications for modern society and future policy. This title is also available as Open Access on Cambridge Core.

Psychoanalytic Thinking on the Unhoused Mind illuminates the psychological underpinnings of current societal problems: homelessness, mental distress, loneliness and states of societal breakdown and exclusion. Illustrated with a broad range of clinical work as well as thoughts on art and literature, the book brings to life complex tensions between the individual psyche, the group, and wider political and cultural structures. ‘Unhoused’ states of mind are explored in rough sleepers, ex-prisoners, survivors of institutional abuse and family trauma, and people living with personality disorder, addiction, psychosis and dementia. Chapters describe outreach, assessment and long-term psychotherapy, as well as reflective practice with staff teams and care systems, and learning from consultation, supervision and policy development. New therapeutic responses to chronic risk and to resilience are developed from psychoanalytic understandings of difficulties with containment and care. The collection will be of value to psychotherapists and other mental health practitioners, as well as those working in therapeutic, residential and criminal justice settings and outreach services.