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Even though mental illnesses are common and cause great suffering in every part of the world, many health workers have a limited understanding about mental health and are less comfortable dealing with mental illness. This book is a practical manual for mental health care for the community health worker, the primary care nurse, the social worker and the primary care doctor, particularly in developing countries. After giving the reader a basic understanding of mental illness, the book goes on to describe more than 30 clinical problems associated with mental illness and uses a problem-solving approach to guide the reader through their assessment and management. Mental health issues as they arise in specific health care contexts are described, for example in a refugee camp, a school health programme or with people suffering from AIDS, as well as in mental health promotion. The final section combines quick reference information for common problems and it also includes chapters for the reader to personalise the manual for a particular location, for example, by entering local information on voluntary agencies, the names and costs of medicines and words in the local language for emotional symptoms.
Also available:
Handbook for Psychiatric Trainees - ISBN 1904671349
Family Work for Schizophrenia, 2nd Edition: A Practical Guide - ISBN 1901242773
RCPsych Publications is the publishing arm of the Royal College of Psychiatrists (based in London, United Kingdom), which has been promoting excellence in mental health care since 1841. Produced by the same editorial team who publish The British Journal of Psychiatry, they sell books for both psychiatrists and other mental health professionals; and also many written for the general public. Their popular series include the College Seminars Series, the NICE mental health guidelines and the Books Beyond Words series for people with intellectual disabilities.
RCPsych publishes in all areas of psychiatry and mental health, including but not limited to:
Clinical psychiatric practice
Intellectual disability
Mental health services for children, adolescents, adults and the elderly
Psychopharmacology
Psychotherapy
Rehabilitation psychiatry
Family mental health
Service provision
RCPsych Publications books can help with the following disorders:
Addictions
Affective disorders
Attention deficit hyperactivity disorder (ADHD)
Bereavement
Borderline personality disorder
Cognitive-behavioral therapy (CBT)
Dementia
Depression
Eating disorders
Perinatal psychiatric disorder
Post-traumatic stress disorder (PTSD)
Psychosis
Schizophrenia
Sleep problems
- Sales Rank: #206613 in Books
- Brand: Brand: RCPsych Publications
- Published on: 2003-01-01
- Original language: English
- Number of items: 1
- Dimensions: .70" h x 7.30" w x 9.60" l, 1.20 pounds
- Binding: Paperback
- 266 pages
- Used Book in Good Condition
Review
"In a flat 20 minutes the reader would be equipped to assess someone with mental illness. The book is simple and has an appeal at various levels from an average lay reader to a medical practitioner. This great enduring effort from Vikram Patel is timely and a godsend for all." - One India One People journal "This is no ordinary text. It is designed to be used in the large tracts of the developing world where there is no easy access to skilled medical help. It is a very considerable undertaking, which succeeds with ingenuity and flair. The range of psychiatric problems covered is impressive. It is impossible to gauge the benefits to sufferers from mental disorder that this remarkable book will bring." - W. A. Lishman (Emeritus Professor of Neuropsychiatry, Institute of Psychiatry, London) "The general practitioner (health worker or doctor) tends to know a lot about physical illnesses but too little about mental health. Until now, a huge gap has remained in the provision of primary health care in the field of mental health. Now, at last, that need has been magnificently filled, with Dr Vikam Patel's very comprehensive yet remarkably user-friendly book Where There Is No Psychiatrist. How I wish had had this book years before!" - David Werner (Author of 'Where There Is No Doctor') --David Werner
About the Author
Vikram Patel - Senior Lecturer at the London School of Hygiene & Tropical Medicine. He has spent over ten years working in Zimbabwe and India and is currently at the Sangath Centre in Goa.
Most helpful customer reviews
7 of 7 people found the following review helpful.
Where there is no Psychiatrist: a useful text for those dealing with mental illness in a 3rd world setting
By Norm Wetterau
I am a family phyician who teaches introductory Medical Psychology at Hope Africa Medical School in Burundi. This is an excellent introductory book for medical students, nursing students and for others who might deal with mental illlness (social workers, village health workers, pastors). It gives general principles and symptoms and discusses what can cause them. Short case vinettes are often presented. It is very easy for someone who is not familiar with mental illness and substance abuse to understand it, even if their first language is not English. My students read the book, practice interviewing each other and understand it. Difficult subjects like the difference between delerium and dementia are also presented. One chapter deals with mental health issues in various groups like prisoners, refugees, homeless etc. This chapter really brings things home to them and covers things that much larger psychiatric texts may skip. It is socially and clinically very revelant. It would be useful for anyone feeling unprepared to deal with mental illness. I hope that it will soon be translated into Spanish and French.
0 of 0 people found the following review helpful.
Comprehensive
By Talbert Bentley
A good accompaniment to Where There is No Doctor and Where There is No Dentist, both essentials for the rural health care worker. There is emphasis on non-drug related treatments for mental illness but drug treatments are also mentioned.
8 of 8 people found the following review helpful.
Dealing with Mental Illness for the Community Health Worker
By Lance M. Foster
This book is designed primarily for community health professionals in developing nations. As a longtime owner of Where There is No Doctor, I bought this book hoping it would be as useful and enlightening as "Doctor" was, not only for international situations but even for backcountry situations here in the U.S., or if you are poor and don't have access to medical care here in America.
Physical illness is understood and treated much more readily in international aid and even domestic crises. Most people no matter the culture are much more comfortable dealing with the physically injured than the mentally/emotionally/spiritually injured. People shy away from the mentally ill, not knowing what to do.
Having encountered mentally ill people while in Nigeria in 1996 as well as in various cities in the U.S., I wondered what I might be able to learn by reading this book.
The book begins with an overview of mental illness, including disorders common to all cultures: depression and anxiety, psychoses, special issues with the elderly and children, causation and cultural factors. It then goes on to assessment of a patient, interviews and diagnosis. Treatment options follow, focusing on drug treatments and counseling ("talking treatments").
The next section goes into more depth on clinical problems, such as addressing troublesome behaviors such as violence, aggression, confusion, hearing voices, suicidal tendencies, seizures and fits, postpartum issues, and mental illness among the elderly. It goes on then to look at symptoms such as psychosomatic illness, panic/fear, insomnia, being tired all the time, sexual problems, loss of bodily function, alcoholism and binge drinking, sleeping pill addiction, tobacco and gambling addictions. Next it addresses problems resulting from trauma, such as spouse abuse, rape, or death of a loved one. Problems in childhood and adolescence are looked at, such as childhood development, retardation, ADHD/hyperactivity, child abuse, bed-wetting, and adolescent depression.
One of the most interesting and unique sections of the book is "Mental Health in Other Contexts," such as primary care (focus on prevention rather than cure of disease) and reproductive health... and uniquely, mental illness among prisoners, refugees, in times of disaster, homeless people, street children, and HIV/AIDS. There is also an excellent reminder that healthcare workers must also care for their own mental health.
The author then discusses mental health promotion and advocacy, including creating support groups, prevention of mental retardation, school programs, early identification of illness, prevention of substance abuse, human rights and mental illness, breakdown of relationships, poverty and gender issues.
A special effort is made to give tips on how to adapt the manual for local issues, essential medicines to have on hand, a quick reference guide to medicines for mental illness, and a place where you can write down special resources and contacts for your area in the manual itself. There are flow charts for clinical problem-solving, a glossary of terms, a bibliography and index. Numerous cartoons and illustrations help the readability and engagement with the text.
Overall this is a fantastic resource that was much needed and should be made widely available.
There are some issues that I would like to see expanded in future editions, or perhaps another book:
The paradigm/operating assumption of the book is western biomedicine and western psychology. Although mental illness can have organic causes that are treatable through medication, more recognition needs to be paid to cultural context of mental conditions and working within the cultural paradigms of various cultures.
Different cultures and societies have different definitions of mental illness. For example, being a "were" among the Yoruba of Nigeria, or having susto in Latin America. More attention and recognition should be paid to how western healthcare can successfully collaborate with indigenous healers in the treatment of patients.
And what if you don't have meds? Where There is No Doctor supplied some stopgap solutions when you are really stuck without resources.
Western biomedicine, psychiatry and psychology can learn much from traditional cures and treatments, indigenous knowledge systems, as well as working cooperatively with local healers, spiritual leaders, and other specialists. There are many examples of this in the U.S. in the Indian Health Service, which has a good and still developing record of working with medicine people and healers in caring for patients within traditional systems, including prevention and counseling.
There also needs to be a greater expansion of special issues in times of natural disaster, refugees, etc., including group psychology, mobs, rioting, crime, and devastation. I don't know if there is something like it out there already, but there should be a book specially written just about dealing with mental health in large scale disasters, such as wars, tsunami, earthquakes, epidemics, and societal collapse, in developed or developing countries. The lessons about mental health have yet to be distilled from Katrina in New Orleans, the Asian Tsunami, and the still unfolding tragedy in Haiti.
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