Lesbian, gay, bisexual and transgender (LGBT) people often face unique challenges as they grow older. It is vital that those providing them with care and support understand their needs, wishes and experiences. This book demonstrates how biographical approaches can increase understanding about the distinct perspectives of older LGBT people, enhancing inclusive care and support. Chapters explore people's expectations and fears surrounding care and service provision, the impact of discrimination, and specific issues such as HIV, dementia and end-of-life care. The importance of understanding people's whole lives in order to meet their needs is demonstrated, drawing on the examples of community projects that provide services and build networks. The voices of older LGBT people are heard throughout the book through the use of case examples and original research. This insightful book will be essential reading for all those supporting or caring for older LGBT people, as well as students and researchers in the health and social work fields.
This groundbreaking book explores the psychodynamics and socio-politics of the forensic therapeutic milieu, addressing some of the most difficult and complex issues facing practitioners. It sets out a psycho-social framework for understanding the predicament and the needs of those who live in and those who work in forensic mental health settings. It brings to life the thinking of those working on the frontline in an increasingly difficult and hostile environment, and draws together fresh and stimulating approaches to engagement with highly complex individuals who present challenges to traditional models of psychiatric assessment and treatment. Contributors with considerable clinical experience and expertise from a range of disciplines consider the ethical, emotional and intellectual challenges of their work, and describe ways in which genuine containment and change can be achieved despite numerous perceived assaults on therapeutic relationships, and on the therapeutic milieu itself. Combining clinical case studies with organisational perspectives and clear descriptions of theoretical processes, they explore key issues including the challenges of maintaining role-appropriate, 'boundaried' relationships; the tensions between public protection and individual confidentiality; questions of risk and responsibility; duty of care and respect for individual liberty; the challenges posed by inter-professional tensions and rivalries; as well as specific clinical dilemmas. The difficulties they experience in fulfilling specific therapeutic roles in the face of uncertainties about the funding and commissioning of their services are addressed, and the final part of the book outlines some of the ways in which individuals, particular services and whole organisations may protect themselves when under attack. This unique and highly original book is essential reading for all those working, or training to work, in both forensic and non-forensic inpatient therapeutic milieux and for academics and lay readers interested in the societal dynamics of inclusion and exclusion that are replicated and magnified in these settings.
In People with Dementia Speak Out, twenty-three people from diverse backgrounds share their experiences of living with dementia. The contributors are honest about the frustrations and fears they face, but overall there is remarkably little self-pity and a great deal of optimism. The personal accounts demonstrate that with the right support at the right time, and above all with opportunities to continue to contribute to society in a meaningful way, it is possible to live well with dementia. These fascinating stories bring to life the characters behind the collective term 'people with dementia', and show that each person with dementia is a unique individual with their own personality, history, beliefs, cultural affinities and sense of humour, and their own way of adapting to the disabilities and opportunities which this condition confers. This unique collection of personal testimonies will be reassuring and encouraging for those coming to terms with a diagnosis of dementia, for their families and carers, and is essential reading for health and social care professionals at all levels.
Maintaining a balance between managing and assessing risk and upholding the required high standards of practice in health and social care can be demanding, particularly in the current climate of increased preoccupation with the difficult tensions between rights, protection and risk-taking. Good Practice in Assessing Risk is a comprehensive guide to good practice for those working with risk, covering a wide variety of health, social care and criminal justice settings including child protection, mental health, work with sex offenders and work with victims of domestic violence. The contributors discuss a range of key issues relating to risk including positive risk-taking, collaborating with victims and practitioners in the design of assessment tools, resilience to risk, and defensibility. The book also explores the role of bureaucracy in hindering high quality professional practice, complex decision-making in situations of stress or potential blame, and involving service users in assessment. This book reflects the latest policy and practice within health, social care and criminal justice and will be an invaluable volume to all professionals working in these fields.
What is it like to grow up with a sibling on the autism spectrum? What kind of relationship do such siblings have? How does that relationship change as the siblings get older? In this moving collection of beautifully-written personal accounts, siblings from a variety of backgrounds, and in different circumstances, share their experiences of growing up with a brother or sister with autism. Despite their many differences, their stories show that certain things are common to the «sibling experience»: the emotional terrain of looking on or being overlooked; the confusion of accommodating resentment, love, and helplessness; and above all the yearning to connect across neurological difference. Siblings and Autism is a thought-provoking book that will appeal to anyone with a personal or professional interest in autism, including parents of siblings of children on the spectrum, teachers, counsellors, and psychologists.
The use of creative writing as a route to personal or professional development is a powerful therapeutic tool, yet often the most difficult part is knowing how and where to begin. The experiences of others, and the strategies and approaches they have used in their own writing, can provide tried-and-tested models for practice, and 'ways in' that facilitators might wish to recommend to others. Writing Routes is an essential roadmap for anybody setting out on the journey of self-discovery through words. This diverse collection of short pieces introduce and demonstrate many different ways of getting into and thinking about creative writing for personal or professional development. Seventy contributors from a variety of different backgrounds and circumstances explain how they came to write a particular piece and why, how they found ways of transforming their experience into writing, and how it was beneficial to them. Their writing ranges widely, from journal entries and stream of consciousness to autobiography, poetry, fiction and drama, and the pieces are organised by theme and genre for ease of navigation, designed to be 'dipped into' as and when they are needed. This rich and varied collection will provide writing practitioners, counsellors and other related professionals with ideas and techniques to share with their clients, and is a useful resource that individuals who write for their own personal and professional development will return to again and again.
Performing New Lives draws together some of the most original and innovative programs in contemporary prison theatre. Leading prison theatre directors and practitioners discuss the prison theatre experience first-hand, and offer valuable insights into its role, function, and implementation. A wide range of prison theatre initiatives are discussed, from long-running, high-profile programs such as Curt Tofteland's «Shakespeare Behind Bars» in LaGrange, Kentucky, to fledgling efforts like Jodi Jinks' «ArtsAloud» project in Austin, Texas. The book offers unique insights into the many dimensions of the prison theatre experience, including: negotiating the rules and restrictions of the prison environment; establishing trust, teaching performance skills and managing crises; building relationships and dealing with conflicts; and negotiating public performances and public perceptions. Excerpts of interviews with inmates, and a conversation between practitioners in the final chapter, reveal the impact that prison theatre programs have on the performers themselves, as well as audience members, and the wider community. Exploring prison theatre processes and theory with insights into how it works in practice, and how to replicate it, this book is essential reading for drama therapists, theatre artists, and prison educators, as well as academics.
Significant amounts of money and resources are spent on child and family services, so successful evaluation of whether or not they are achieving the best outcomes is therefore essential. This edited collection offers an international perspective on the challenges of designing and undertaking outcome-based evaluation of child and family services. With contributions from leading international experts, it introduces the key ideas and issues currently being debated in the evaluation of these services; discusses relevant approaches to designing and using evaluation methods; and provides examples of evaluation from the real world of policy and practice. Issues covered include setting appropriate indicators for service effectiveness, cross-cultural evaluation of service interventions, service user involvement in evaluation, and evaluations of family and community-based services. This invaluable book will be essential reading for policy makers, planners, commissioners and managers across child and family welfare services, as well as researchers and other academics in the field.
Reflective Practice in Mental Health is the authoritative, definitive guide to psycho-social theory and practice in mental health. Featuring contributions from eminent experts, the book uses case studies to illustrate and address the complexities and dilemmas faced by practitioners involved in mental health care, and enables the reader to reflect on their understanding. Case studies from a variety of theoretical perspectives are included, covering psychodynamic theory, cognitive behavioural therapy, systemic family therapy, attachment therapy and therapeutic group-work. They also cover practice across a range of settings, including inpatient, community and children and family services. This book will be a crucial and invaluable text for social work practitioners and social work students aiming to ensure the very best practice in mental health social work, and aims to be the seminal text for mental health psychosocial practice.
An in-depth understanding of the meridians and acupoints lies at the heart of effective practice in traditional Chinese medicine. This book outlines everything that practitioners and students need to know. The book explains how meridians relate to the major organs, where they are located in the body, and how they are linked to the healthy flow of Qi and blood. A large section of the book is devoted to descriptions of specific acupoints – their names, how to locate them, an introduction to the symptoms they can be used to treat, and how. Also included is a thorough introduction to the basics of acupuncture practice, including how to prepare a patient prior to treatment, how to insert and manipulate acupuncture needles, how and when to use moxibustion and cupping techniques, and what to do if treatment goes wrong. This useful and authoritative textbook, compiled by the China Beijing International Acupuncture Training Centre (CBIATC), under the editorial direction of leading Chinese clinicians Zhu Bing and Wang Hongcai, is essential reading for students of traditional Chinese medicine, and an excellent reference for acupuncture practitioners at all levels.