Ending Discrimination Against People with Mental and Substance Use Disorders

Ending Discrimination Against People with Mental and Substance Use Disorders
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 171
Release: 2016-09-03
Genre: Social Science
ISBN: 0309439124

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

The Biology of Desire

The Biology of Desire
Author: Marc Lewis
Publisher: PublicAffairs
Total Pages: 175
Release: 2015-07-14
Genre: Psychology
ISBN: 1610394380

Through the vivid, true stories of five people who journeyed into and out of addiction, a renowned neuroscientist explains why the "disease model" of addiction is wrong and illuminates the path to recovery. The psychiatric establishment and rehab industry in the Western world have branded addiction a brain disease. But in The Biology of Desire, cognitive neuroscientist and former addict Marc Lewis makes a convincing case that addiction is not a disease, and shows why the disease model has become an obstacle to healing. Lewis reveals addiction as an unintended consequence of the brain doing what it's supposed to do-seek pleasure and relief-in a world that's not cooperating. As a result, most treatment based on the disease model fails. Lewis shows how treatment can be retooled to achieve lasting recovery. This is enlightening and optimistic reading for anyone who has wrestled with addiction either personally or professionally.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Improving the Quality of Health Care for Mental and Substance-Use Conditions
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 528
Release: 2006-03-29
Genre: Medical
ISBN: 0309133661

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Addictive Thinking

Addictive Thinking
Author: Abraham J Twerski
Publisher: Simon and Schuster
Total Pages: 144
Release: 2009-06-03
Genre: Self-Help
ISBN: 1592858066

Author Abraham Twerski reveals how self-deceptive thought can undermine self-esteem and threaten the sobriety of a recovering individuals and offers hope to those seeking a healthy and rewarding recovery. In addiction, a person with a substance use disorder undergoes a negative change in thinking and behavioral patterns. A person’s character is overthrown by addictive thinking: displacement, projection, shame, and hypersensitivity are addiction’s survival mechanisms. With Addictive Thinking, both addicts and loved ones familiarize themselves with these addictive signatures and more, and begin the fight for recovery. With more than 200,000 copies of Addictive Thinking sold worldwide, the eminent Abraham Twerski, M.D., outlines the destructive and terrifying illogic that marries a person with a substance use disorder to his addiction. “Stinking thinking” and irrational thought are byproducts of addiction and they only worsen with time. Twerski, with a deep psychological understanding, steps in to explain and contextualize all of the actions that arise from addictive thinking. It might be easier to point at abnormal behavior from an addict and simply think, “there she goes again.” But there is reason and consistency underneath the pandemonium. If nothing is learned, if nothing is done, an addict’s rock bottom will continue to sink. By educating oneself about the addictive illogic and its reasoning, one will understand why the person behaves as she does and how everyone in her life becomes controlled by addiction. Then control can be taken back.

Homelessness, Health, and Human Needs

Homelessness, Health, and Human Needs
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 257
Release: 1988-02-01
Genre: Medical
ISBN: 0309038324

There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.

Misunderstanding Addiction

Misunderstanding Addiction
Author: Micheal M. Pop M. ED.
Publisher: iUniverse
Total Pages: 349
Release: 2010-07
Genre: Health & Fitness
ISBN: 1450207774

If one tries to imagine the amounts of money that have been spent by federal and state governments, coupled with what has been spent by private citizens in battling substance abuse over the last thirty years, it would amount to an almost unimaginable figure. There have been many books written that offer criticism regarding the traditional twelve-step treatment approaches to addiction. The problem has been that most of these efforts have failed to offer a viable alternative to traditional treatment. Those that have attempted to do so have merely suggested that singular treatment strategies, such as Cognitive Behavioral Therapy, Psychodynamic Therapy, Gestalt Therapy, etc., should be implemented in conjunction with traditional treatment. Misunderstanding Addiction outlines a more holistic treatment method that can be implemented in a variety of environmental contexts that do not require patients to be institutionalized for them to be effective. Misunderstanding Addiction has the potential to radically alter the way that addictions are treated in this country. At a time when healthcare is foremost in the thoughts of our nation's citizens, Misunderstanding Addiction offers a timely and important look at how addiction treatment should be undertaken now and in the future to ensure an effective outcome for the patient.

ADHD Nation

ADHD Nation
Author: Alan Schwarz
Publisher: Simon and Schuster
Total Pages: 354
Release: 2017-09-05
Genre: Business & Economics
ISBN: 1501105922

More than 1 in 7 American children get diagnosed with ADHD - three times what experts have said is appropriate - meaning that millions of kids are misdiagnosed and taking medications such as Adderall or Concerta for a psychiatric condition they probably do not have. The numbers rise every year. And still, many experts and drug companies deny any cause for concern. In fact, they say that adults and the rest of the world should embrace ADHD and that its medications will transform their lives. -- Provided by publisher.

Pain and Chemical Dependency

Pain and Chemical Dependency
Author: Howard Smith
Publisher: Oxford University Press
Total Pages: 469
Release: 2008-04-25
Genre: Medical
ISBN: 0195300556

Both pain and addiction are tremendous public health problems. Practitioners of every stripe say that they learned precious little about pain or addiction in their training and readily admit that instruction on the interface of pain and addiction is nonexistent. The recent problem of prescription drug abuse has only served to highlight the fact that these two worlds need unificationthose who treat pain must be informed about the risks of controlled substances and those who treat addiction need to better and more fully understand their benefits. Nowhere is the pooled knowledge of pain management and addiction medicine brought together to allow for a greater appreciation of the risks of addiction when treating people with pain and the pain problems of those with chemical dependency. This major new volume brings this vast knowledge base together, presenting an array of perspectives by the foremost thought leaders at the interface of pain and chemical dependency, and is the most comprehensive resource on the subject to date.There have been an increasing number of seminars devoted to this topic and a new society, The International Society on Pain and Chemical Dependency, has recently been formed, and this volume is destined to become the classic text on this multidisciplinary subject. It will appeal to anesthesiologists, neurologists, rehab physicians, palliative care staff, pain center physicians, and psychologists.

Unwell Women

Unwell Women
Author: Elinor Cleghorn
Publisher: Penguin
Total Pages: 401
Release: 2021-06-08
Genre: History
ISBN: 0593182960

A trailblazing, conversation-starting history of women’s health—from the earliest medical ideas about women’s illnesses to hormones and autoimmune diseases—brought together in a fascinating sweeping narrative. Elinor Cleghorn became an unwell woman ten years ago. She was diagnosed with an autoimmune disease after a long period of being told her symptoms were anything from psychosomatic to a possible pregnancy. As Elinor learned to live with her unpredictable disease she turned to history for answers, and found an enraging legacy of suffering, mystification, and misdiagnosis. In Unwell Women, Elinor Cleghorn traces the almost unbelievable history of how medicine has failed women by treating their bodies as alien and other, often to perilous effect. The result is an authoritative and groundbreaking exploration of the relationship between women and medical practice, from the "wandering womb" of Ancient Greece to the rise of witch trials across Europe, and from the dawn of hysteria as a catchall for difficult-to-diagnose disorders to the first forays into autoimmunity and the shifting understanding of hormones, menstruation, menopause, and conditions like endometriosis. Packed with character studies and case histories of women who have suffered, challenged, and rewritten medical orthodoxy—and the men who controlled their fate—this is a revolutionary examination of the relationship between women, illness, and medicine. With these case histories, Elinor pays homage to the women who suffered so strides could be made, and shows how being unwell has become normalized in society and culture, where women have long been distrusted as reliable narrators of their own bodies and pain. But the time for real change is long overdue: answers reside in the body, in the testimonies of unwell women—and their lives depend on medicine learning to listen.

Unbroken Brain

Unbroken Brain
Author: Maia Szalavitz
Publisher: St. Martin's Press
Total Pages: 349
Release: 2016-04-05
Genre: Self-Help
ISBN: 1466859563

A NEW YORK TIMES BESTSELLER More people than ever before see themselves as addicted to, or recovering from, addiction, whether it be alcohol or drugs, prescription meds, sex, gambling, porn, or the internet. But despite the unprecedented attention, our understanding of addiction is trapped in unfounded 20th century ideas, addiction as a crime or as brain disease, and in equally outdated treatment. Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality," The New York Times Bestseller, Unbroken Brain, offers a radical and groundbreaking new perspective, arguing that addictions are learning disorders and shows how seeing the condition this way can untangle our current debates over treatment, prevention and policy. Like autistic traits, addictive behaviors fall on a spectrum -- and they can be a normal response to an extreme situation. By illustrating what addiction is, and is not, the book illustrates how timing, history, family, peers, culture and chemicals come together to create both illness and recovery- and why there is no "addictive personality" or single treatment that works for all. Combining Maia Szalavitz's personal story with a distillation of more than 25 years of science and research,Unbroken Brain provides a paradigm-shifting approach to thinking about addiction. Her writings on radical addiction therapies have been featured in The Washington Post, Vice Magazine, The Wall Street Journal, and The New York Times, in addition to multiple other publications. She has been interviewed about her book on many radio shows including Fresh Air with Terry Gross and The Brian Lehrer show.