Til Wykes BACKGROUND The recent publication of several surveys on violence was the impetus for this book. The first was carried out in 1986 by the Health and Safety Commission Health Services Advisory Committee (1987). They conducted a comprehensive survey of the inddence of violence to 5000 workers in five separate health districts. The results from the 3000 people who eventually replied made many in the caring professions worried. One in 200 workers had suffered a major injury following a violent attack during the previous year and a further one in ten needed first aid following an assault. Other surveys also showed high risks: of sodal service staff, 6% had suffered an attack in the past 5 years (Saunders, 1987), and sodal workers were at even high er risk. 29% had been assaulted in the last 3 years (Rowett, 1986). In addition, 4% of general practitioners had experienced an attack resulting in injury in the past year (D'Urso and Hobbs, 1989). Clinical psychologists were also at risk - 53% had been assaulted at least once during their professional career and 18% in the past year (Perkins, 1991). Media reports of extreme violence seem to be the tip of the iceberg. Many staff are attacked and some of these attacks have serious physical or psychological consequences that interfere with the victim' s ability to return to their full working capadty. This loss of highly trained staff should be recognized by employers and the community.

Violence and Health Care Professionals

Health, Fitness & Dieting

Wykes, Til

Psychology & Counseling

Springer

Cognitive Remediation Therapy for Schizophrenia

Could CRT provide the first structured method of alleviating cognitive deficits associated with schizophrenia? Cognitive Remediation Therapy for Schizophrenia describes the background and development of this new psychological therapy and demonstrates how it provides the first structured help to overcome the thinking problems associated with schizophrenia. In three sections, the book covers the theoretical and empirical underpinning of cognitive remediation therapy and explores its application. Part I, 'The Development of Therapy', provides the historical context and theoretical background to the therapy and emphasizes the value of rehabilitating cognitive deficits. In Part II, 'Improving Cognitive Processes', the process and effects of changing cognition are examined. Finally, in Part III, 'The Process of Therapy', the authors provide a clinical guide to the delivery of cognitive remediation therapy and use case examples to support its efficacy. This book is the first to describe an individual cognitive remediation therapy programme based on a clear model of the relationship between thinking and behaviour. It will be of both academic and clinical value to all those health professionals and clinical academics who want not only to understand the relationships between thought and action but also to intervene to improve therapy.  

Cognitive Remediation Therapy for Schizophrenia: Theory and Practice

Reeder, Clare

Mental Health

Routledge

Could CRT provide the first structured method of alleviating cognitive deficits associated with schizophrenia? Cognitive Remediation Therapy for Schizophrenia describes the background and development of this new psychological therapy and demonstrates how it provides the first structured help to overcome the thinking problems associated with schizophrenia. In three sections, the book covers the theoretical and empirical underpinning of cognitive remediation therapy and explores its application. Part I, 'The Development of Therapy', provides the historical context and theoretical background to the therapy and emphasizes the value of rehabilitating cognitive deficits. In Part II, 'Improving Cognitive Processes', the process and effects of changing cognition are examined. Finally, in Part III, 'The Process of Therapy', the authors provide a clinical guide to the delivery of cognitive remediation therapy and use case examples to support its efficacy. This book is the first to describe an individual cognitive remediation therapy programme based on a clear model of the relationship between thinking and behaviour. It will be of both academic and clinical value to all those health professionals and clinical academics who want not only to understand the relationships between thought and action but also to intervene to improve therapy.

The authors here describe key areas in the holistic treatment of people with schizophrenia. In particular, they firmly put the importance of psychosocial treatments back on the agenda. Due to the profusion of literature addressing pharmacological treatments, only one chapter is devoted to these, reviewing the latest data concerning the newer antipsychotic agents and providing clinical pointers and guidelines for their use. The book's real emphasis is on the psychosocial interventions for specific aspects of schizophrenia symptoms and disability. These interventions that have been shown to offer major benefits to recovery in the disorder, and yet have failed to maintain their position as more effective biological treatments have become available. The text brings together the relevant literature from several decades to highlight the evidence base for the importance of psychosocial interventions. It also provides effective strategies for use in both clinical settings and in the family context, placing the patient (and the family) once again at the center of therapeutic endeavors. Encouraging professionals to offer a broader therapeutic approach, this volume offers hope to therapists, patients and families, explaining what can be achieved if psychosocial interventions complement the many psychopharmacological treatments now available.

Pharmacological and Psychosocial Treatments in Schizophrenia

Castle, David

Copolov, David

CRC-Press

The Camberwell Assessment of Need (CAN) is a tried and tested approach to assessing the needs of the severely mentally ill. Rigorously developed by staff at the Section of Community Psychiatry (PRiSM), Institute of Psychiatry, it records both staff and patient assessments. Three versions are included, all designed to be photocopied. The full clinical research versions give a comprehensive assessment, and a short (one page) version (CANSAS) is suitable for routine clinical use. Also included are materials and instructions for a half-day CAN training workshop. The CAN is suitable for use in primary care settings, specialist mental health teams, and social services. It will be of particular interest to care managers and mental health staff who wish to meet the legal requirement that the severely mentally ill receive a comprehensive needs assessment.

Slade, Mike

Thornicroft, Graham

Phelan, Michael

Loftus, Linda

RCPsych Publications

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