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This book explores the care of mentally ill patients--psychiatric and geriatric--in community settings. It addresses the implications for hospitals, community services and staff, and patients. It examines the central issues of patient outcomes, service provision and effectiveness, economics of provision and impact on staff and community.

This book is a companion volume to Family Work for Schizophrenia (second edition) and gives more detailed explanations of how to work with difficult cases.

 

For more than ten years, Professor Leff has been supervising family work for psychosis with mental health teams in North and South London. From comprehensive records of about 150 families discussed during supervision, he has distilled 19 anonymised case histories illustrating the most difficult problems encountered in such work. Each family is described in detail as presented by the supervisee. Then,...

Do defective genes give rise to defective thought? The revolution in molecular genetics has indeed given rise to the increasing optimism that advancements in biotechnology will soon uncover the causes of all disturbances of mind and behavior. In this book, leading psychiatrist Julian Leff counters this reductionist claim and emphasizes what is known about the psychological, social, and cultural factors underlying mental illness. In doing so, he addresses many serious and urgent questions. What exactly is the difference between sadness and depression? What are the difficulties in categorizing...

People with serious mental illness no longer spend years of their lives in psychiatric institutions. In developed countries, there has been a major shift in the focus of care from hospitals into the community. However, while it means those with mental illness are not confined, it does not guarantee they will be fully integrated into their communities. The barriers to full citizenship are partly due to the disabilities produced by their illnesses and partly by stigmatizing and discriminatory attitudes of the public. This book analyzes the causes of these barriers and suggests ways of...