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Practical, how-to examples of community-based intervention models focus on the most difficult-to-reach, disaffiliated populations with chronic and serious mental illness. Through clinical vignettes, workers in the field identify emerging populations of noninstitutionalized and deinstitutionalized patient groups, suggest appropriate intervention strategies, and chronicle the development and implementation of mobile outreach programs, assertive community treatment, home visitation, and "gatekeeper" geriatric care. Analyzed as well are the elements-- staff composition, style of intervention, and vital service linkages--crucial for therapeutic success.
This important and timely volume outlines the challenge of community care in the post-deinstitutionalization era. It provides models of strategic clinical intervention with the most difficult-to-reach populations of seriously and chronically mentally ill. Unique service needs of the homeless mentally ill, young adult chronics, and isolated impaired elderly are discussed in relation to a number of outreach programs in a wide range of community settings. The authors discuss necessary ingredients for therapeutic success in terms of staff composition, style of intervention and service linkages. The volume highlights common elements necessary for successful community treatment of sub-populations of high risk individuals, while at the same time it recognizes the differences inherent in divergent treatment models, patient types and communities.
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"In Psychiatry Takes to the Streets, Cohen presents the alternative to the 50-minute hour for persons with long-term mental illness. Since deinstitutionalization, most patients are in the community. As a result, we need to develop ways to help them in their community--not in our offices. Cohen offers a gold mine of suggestions for practice and program development; in addition, he presents the conceptual base and data base underlying the practice of psychiatry in the community. Rather than forcing the person to fit the program, PSYCHIATRY TAKES TO THE STREETS shows how the program can be developed to fit the person." --William A. Anthony, Ph.D., Boston University Center for Psychiatric Rehabilitation
"A very readable and up-to-date account of such modalities as outreach, case management, mobil crisis teams, and community residential care." --H. Richard Lamb, M.D., Professor of Psychiatry, University of South Carolina School of Medicine
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Book Description The Guilford Press, 1990. Condition: New. book. Seller Inventory # M0898624266