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Where There Is No Psychiatrist
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    • Open access
  • Publisher: Royal College of Psychiatrists
  • Online publication date: March 2018
  • Print publication year: 2018
  • Online ISBN: 9781108683302

Book description

Mental illnesses are common and cause great suffering to individuals and communities everywhere in the world, but many health workers are more comfortable dealing with physical illness. This practical manual of mental health care is vital for community health workers, primary care nurses, social workers and primary care doctors, particularly in low-resource settings. This guide gives the reader a basic understanding of mental illness by describing more than thirty 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 contexts are described - in refugee camps, in school health programmes, as well as in mental health promotion. The final section helps the reader to personalise 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 symptoms. This product is also available as Open Access.


'The first edition of this book has been a tremendously helpful resource in the humanitarian settings where I have worked over the last fifteen years. The new edition is now firmly aligned with the tools of the mhGAP programme which will make it an invaluable resource for health workers and others who wish to learn what they can do to help people with mental health conditions.'

Peter Ventevogel - Senior Mental Health Officer, Public Health Section, United Nations High Commissioner for Refugees, Geneva

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  • Frontmatter
    pp i-vii
  • Contents
    pp viii-ix
  • List of contributors
    pp x-x
  • Preface
    pp xi-xiii
  • Foreword
    pp xiv-xviii
    • By Paul Farmer, Kolokotrones University Professor, Harvard University
  • Part 1 - An overview of mental health problems
    pp 1-2
  • 1 - An introduction to mental health problems
    pp 3-20
  • 2 - Core skills for mental health care
    pp 21-28
  • 3 - Assessing someone with a mental health problem
    pp 29-36
  • 4 - General approach to treatment of mental health problems
    pp 37-48
  • Part 2 - Treatments
    pp 49-50
  • 5 - Specific treatments for mental health problems
    pp 51-107
  • Part 3 - Clinical problems
    pp 108-110
  • 6 - Emergency management
    pp 111-122
  • 7 - Behaviours causing concern
    pp 123-166
  • 8 - Symptoms that are medically unexplained
    pp 167-190
  • 9 - The person with problems due to habits
    pp 191-213
  • 10 - Problems arising from loss and violence
    pp 214-228
  • 11 - Problems in childhood and adolescence
    pp 229-267
  • Part 4 - Integrating mental health
    pp 268-270
  • 12 - Integrating mental health into health care platforms
    pp 271-282
  • 13 - Integrating mental health into community platforms
    pp 283-311
  • Part 5 - Localising this manual for your area
    pp 312-314
  • 14 - Medications for mental health problems
    pp 315-339
  • 15 - Resources in your area
    pp 340-343
  • 16 - Psychiatric terms for mental health problems
    pp 344-345
  • 17 - Glossary
    pp 346-350
  • 18 - Resources used in the manual
    pp 351-352
  • Index
    pp 353-360


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