Stepped Care 2 0 The Power Of Conundrums

Author : Peter Cornish,Gillian Berry
Publisher : Springer Nature
Page : 326 pages
File Size : 55,8 Mb
Release : 2023-11-20
Category : Psychology
ISBN : 9783031452062

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Stepped Care 2.0: The Power of Conundrums by Peter Cornish,Gillian Berry Pdf

Stepped Care 2.0: A Paradigm Shift in Mental Health, by Dr Peter Cornish, made a compelling argument for why the existing mental health care system has consistently struggled to meet the needs of clients from all walks of life, and laid out key principles and guidelines for how the system could be changed. But what challenges are involved in putting these ideas into practice? Stepped Care 2.0: The Power of Conundrums features essays, interviews, and arguments from a wide range of contributors who have tried to do just that. The Power of Conundrums dives deep into the practical application of the Stepped Care 2.0 model (SC2.0), looking at the ways SC2.0 has succeeded, the difficulties administrators face when implementing it, and how it could be improved. Chapters touch on topics including: the evidence for stepped care, the way SC2.0 can be stymied by the Western cultural values that dominate mental healthcare, implementation science and SC2.0, the risk paradigm and SC2.0, the model’s one-at-a-time approach to therapy, what co-design means in an SC2.0 context, a case study on how implementing SC2.0 can go wrong, the understanding of recovery put forward by the model, and how SC2.0 can work for clients experiencing complex, persistent, or chronic mental health issues. Each chapter is followed by a reflection from Cornish, and the book concludes with a roundtable discussion about how SC2.0 can evolve to meet the challenges it faces. This text brings theory and practice together by including an updated version of Stepped Care 2.0: A Paradigm Shift in Mental Health, as well as the full text of Stepped Care 2.0: The Power of Conundrums.

Author : Peter Cornish
Publisher : Springer Nature
Page : 148 pages
File Size : 48,9 Mb
Release : 2020-06-13
Category : Psychology
ISBN : 9783030480554

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Stepped Care 2.0: A Paradigm Shift in Mental Health by Peter Cornish Pdf

This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.

Author : David Owen
Publisher : Penguin
Page : 205 pages
File Size : 55,7 Mb
Release : 2012-02-07
Category : Science
ISBN : 9781101560136

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The Conundrum by David Owen Pdf

Look out for David Owen's next book, Where the Water Goes. The Conundrum is a mind-changing manifesto about the environment, efficiency and the real path to sustainability. Hybrid cars, fast trains, compact florescent light bulbs, solar panels, carbon offsets: Everything you've been told about living green is wrong. The quest for a breakthrough battery or a 100 mpg car are dangerous fantasies. We are consumers, and we like to consume green and efficiently. But David Owen argues that our best intentions are still at cross purposes to our true goal - living sustainably and caring for our environment and the future of the planet. Efficiency, once considered the holy grail of our environmental problems, turns out to be part of the problem. Efforts to improve efficiency and increase sustainable development only exacerbate the problems they are meant to solve, more than negating the environmental gains. We have little trouble turning increases in efficiency into increases in consumption. David Owen's The Conundrum is an elegant nonfiction narrative filled with fascinating information and anecdotes takes you through the history of energy and the quest for efficiency. This is a book about the environment that will change how you look at the world. We should not be waiting for some geniuses to invent our way out of the energy and economic crisis we're in. We already have the technology and knowledge we need to live sustainably. But will we do it? That is the conundrum.

Author : Richard Bacon
Publisher : Biteback Publishing
Page : 244 pages
File Size : 52,8 Mb
Release : 2013-06-18
Category : History
ISBN : 9781849546164

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Conundrum by Richard Bacon Pdf

Government failure is affecting everyone. The single mum worried sick by a tax credit demand from HMRC to 'repay' thousands of pounds she never received; the family whose holiday was ruined because the Passport Office couldn't issue passports in time; the school that couldn't open at the start of term because CRB checks were being carried out by an organisation in meltdown; the farmers led to bankruptcy and even suicide by a Kafkaesque system for administering farm payments; and rail operators facing an uncertain future because the Department for Transport inadvertently landed the whole rail franchising system in chaos. Why is government getting it so wrong? Richard Bacon and Christopher Hope delve into the astonishing world of cock-ups and catastrophes and ponder why those at the top continue to fall short.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Ensuring Patient Access to Affordable Drug Therapies
Publisher : National Academies Press
Page : 235 pages
File Size : 44,9 Mb
Release : 2018-03-01
Category : Medical
ISBN : 9780309468084

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Making Medicines Affordable by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Ensuring Patient Access to Affordable Drug Therapies Pdf

Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.

Author : Eric Walters
Publisher : Penguin Canada
Page : 407 pages
File Size : 43,7 Mb
Release : 2014-01-21
Category : Young Adult Fiction
ISBN : 9780143191742

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The Rule of Three by Eric Walters Pdf

One afternoon, every single machine in sixteen-year-old Adam’s high school computer lab stops working. Outside, cars won’t start, phones are down, and a blackout is widespread. Soon Adam will discover that the problem has paralyzed not just his town but the whole country and beyond. As resources dwindle, crises mount, and chaos descends, he will see that his suburban neighborhood must band together for protection. Violence will erupt and Adam will understand that having a police captain for a mother and a retired government agent living next door are not just the facts of his life but the keys to his survival. Set in the here and now but with a distinctly dystopian feel, this is Eric’s most exciting and commercial title yet!

Author : Alison Green
Publisher : Ballantine Books
Page : 304 pages
File Size : 48,8 Mb
Release : 2018-05-01
Category : Business & Economics
ISBN : 9780399181825

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Ask a Manager by Alison Green Pdf

From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together

Author : Susan Choi
Publisher : Henry Holt and Company
Page : 272 pages
File Size : 42,5 Mb
Release : 2019-04-09
Category : Fiction
ISBN : 9781250309891

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Trust Exercise by Susan Choi Pdf

WINNER OF THE 2019 NATIONAL BOOK AWARD FOR FICTION NATIONAL BESTSELLER “Electrifying” (People) • “Masterly” (The Guardian) • “Dramatic and memorable” (The New Yorker) • “Magic” (TIME) • “Ingenious” (The Financial Times) • "A gonzo literary performance” (Entertainment Weekly) • “Rare and splendid” (The Boston Globe) • “Remarkable” (USA Today) • “Delicious” (The New York Times) • “Book groups, meet your next selection" (NPR) In an American suburb in the early 1980s, students at a highly competitive performing arts high school struggle and thrive in a rarified bubble, ambitiously pursuing music, movement, Shakespeare, and, particularly, their acting classes. When within this striving “Brotherhood of the Arts,” two freshmen, David and Sarah, fall headlong into love, their passion does not go unnoticed—or untoyed with—by anyone, especially not by their charismatic acting teacher, Mr. Kingsley. The outside world of family life and economic status, of academic pressure and of their future adult lives, fails to penetrate this school’s walls—until it does, in a shocking spiral of events that catapults the action forward in time and flips the premise upside-down. What the reader believes to have happened to David and Sarah and their friends is not entirely true—though it’s not false, either. It takes until the book’s stunning coda for the final piece of the puzzle to fall into place—revealing truths that will resonate long after the final sentence. As captivating and tender as it is surprising, Susan Choi's Trust Exercise will incite heated conversations about fiction and truth, and about friendships and loyalties, and will leave readers with wiser understandings of the true capacities of adolescents and of the powers and responsibilities of adults.

Author : Stuart Altman
Publisher : Prometheus Books
Page : 479 pages
File Size : 42,6 Mb
Release : 2011-09-27
Category : Political Science
ISBN : 9781616144579

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Power, Politics, and Universal Health Care by Stuart Altman Pdf

Essential reading for every American who must navigate the US health care system. Why was the Obama health plan so controversial and difficult to understand? In this readable, entertaining, and substantive book, Stuart Altman—internationally recognized expert in health policy and adviser to five US presidents—and fellow health care specialist David Shactman explain not only the Obama health plan but also many of the intriguing stories in the hundred-year saga leading up to the landmark 2010 legislation. Blending political intrigue, policy substance, and good old-fashioned storytelling, this is the first book to place the Obama health plan within a historical perspective. The authors describe the sometimes haphazard, piece-by-piece construction of the nation’s health care system, from the early efforts of Franklin Roosevelt and Harry Truman to the later additions of Ronald Reagan and George W. Bush. In each case, they examine the factors that led to success or failure, often by illuminating little-known political maneuvers that brought about immense shifts in policy or thwarted herculean efforts at reform. The authors look at key moments in health care history: the Hill–Burton Act in 1946, in which one determined poverty lawyer secured the rights of the uninsured poor to get hospital care; the "three-layer cake" strategy of powerful House Ways and Means Committee Chairman Wilbur Mills to enact Medicare and Medicaid under Lyndon Johnson in 1965; the odd story of how Medicare catastrophic insurance was passed by Ronald Reagan in 1988 and then repealed because of public anger in 1989; and the fact that the largest and most expensive expansion of Medicare was enacted by George W. Bush in 2003. President Barack Obama is the protagonist in the climactic chapter, learning from the successes and failures chronicled throughout the narrative. The authors relate how, in the midst of a worldwide financial meltdown, Obama overcame seemingly impossible obstacles to accomplish what other presidents had tried and failed to achieve for nearly one hundred years.

Author : Tim Sanders
Publisher : Crown Currency
Page : 226 pages
File Size : 47,5 Mb
Release : 2006-04-25
Category : Self-Help
ISBN : 9781400080502

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The Likeability Factor by Tim Sanders Pdf

From the bestselling author of Love Is the Killer App You can win life’s popularity contests The choices other people make about you determine your health, wealth, and happiness. And decades of research prove that people choose who they like. They vote for them, buy from them, marry them, and spend precious time with them. The good news is that you can arm yourself for the contest and win life’s battles for preference. How? By raising your likeability factor. The more you are liked, the happier your life will be. In The Likeability Factor, business guru Tim Sanders shows how to build your likeability factor by teaching you how to enhance four critical elements of your personality: • Friendliness: your ability to communicate liking and openness to others • Relevance: your capacity to connect with others’ interests, wants, and needs • Empathy: your ability to recognize, acknowledge, and experience other people’s feelings • Realness: the integrity that stands behind your likeability and guarantees its authenticity When you improve these areas and boost your likeability factor, you bring out the best in others, handle life’s challenges with grace, enjoy better health, and excel in your daily roles. You can win the close calls and tight competitions that define and determine success and happiness at work and in life—The Likeability Factor can show you how!

Author : Anonim
Publisher : Unknown
Page : 862 pages
File Size : 40,6 Mb
Release : 1867
Category : Electronic
ISBN : SRLF:D0001445220

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The Young Ladies' Journal by Anonim Pdf

Author : Paul Kingsnorth
Publisher : Graywolf Press
Page : 208 pages
File Size : 41,7 Mb
Release : 2017-08-01
Category : Literary Collections
ISBN : 9781555979720

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Confessions of a Recovering Environmentalist and Other Essays by Paul Kingsnorth Pdf

A provocative and urgent essay collection that asks how we can live with hope in “an age of ecocide” Paul Kingsnorth was once an activist—an ardent environmentalist. He fought against rampant development and the depredations of a corporate world that seemed hell-bent on ignoring a looming climate crisis in its relentless pursuit of profit. But as the environmental movement began to focus on “sustainability” rather than the defense of wild places for their own sake and as global conditions worsened, he grew disenchanted with the movement that he once embraced. He gave up what he saw as the false hope that residents of the First World would ever make the kind of sacrifices that might avert the severe consequences of climate change. Full of grief and fury as well as passionate, lyrical evocations of nature and the wild, Confessions of a Recovering Environmentalist gathers the wave-making essays that have charted the change in Kingsnorth’s thinking. In them he articulates a new vision that he calls “dark ecology,” which stands firmly in opposition to the belief that technology can save us, and he argues for a renewed balance between the human and nonhuman worlds. This iconoclastic, fearless, and ultimately hopeful book, which includes the much-discussed “Uncivilization” manifesto, asks hard questions about how we’ve lived and how we should live.

Author : Deborah G. Mayo
Publisher : Cambridge University Press
Page : 503 pages
File Size : 42,8 Mb
Release : 2018-09-20
Category : Mathematics
ISBN : 9781107054134

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Statistical Inference as Severe Testing by Deborah G. Mayo Pdf

Unlock today's statistical controversies and irreproducible results by viewing statistics as probing and controlling errors.

Author : Jess Arndt
Publisher : Catapult
Page : 144 pages
File Size : 48,5 Mb
Release : 2017-05-09
Category : Fiction
ISBN : 9781936787494

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Large Animals by Jess Arndt Pdf

A Buzzfeed Best Fiction Book of 2017 • An Entropy magazine Best Book of 2017 “Jess Arndt’s Large Animals is wildly original, even as it joins in with the classics of loaded, outlaw literature. Acerbic, ecstatic, hilarious, psychedelic, and affecting in turn, this is an electric debut.” —Maggie Nelson, National Book Critics Circle Award–winning author of The Argonauts Jess Arndt's striking debut collection confronts what it means to have a body. Boldly straddling the line between the imagined and the real, the masculine and the feminine, the knowable and the impossible, these twelve stories are an exhilarating and profoundly original expression of voice. In “Jeff,” Lily Tomlin confuses Jess for Jeff, instigating a dark and hilarious identity crisis. In “Together,” a couple battles a mysterious STD that slowly undoes their relationship, while outside a ferocious weed colonizes their urban garden. And in “Contrails,” a character on the precipice of a seismic change goes on a tour of past lovers, confronting their own reluctance to move on. Arndt’s subjects are canny observers even while they remain dangerously blind to their own truest impulses. Often unnamed, these narrators challenge the limits of language—collectively, their voices create a transgressive new formal space that makes room for the queer, the nonconforming, the undefined. And yet, while they crave connection, love, and understanding, they are constantly at risk of destroying themselves. Large Animals pitches toward the heart, pushing at all our most tender parts—our sex organs, our geography, our words, and the tendons and nerves of our culture.

Author : Shankar Vedantam
Publisher : Random House
Page : 290 pages
File Size : 52,5 Mb
Release : 2010-08-31
Category : Social Science
ISBN : 9780385525220

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The Hidden Brain by Shankar Vedantam Pdf

The hidden brain is the voice in our ear when we make the most important decisions in our lives—but we’re never aware of it. The hidden brain decides whom we fall in love with and whom we hate. It tells us to vote for the white candidate and convict the dark-skinned defendant, to hire the thin woman but pay her less than the man doing the same job. It can direct us to safety when disaster strikes and move us to extraordinary acts of altruism. But it can also be manipulated to turn an ordinary person into a suicide terrorist or a group of bystanders into a mob. In a series of compulsively readable narratives, Shankar Vedantam journeys through the latest discoveries in neuroscience, psychology, and behavioral science to uncover the darkest corner of our minds and its decisive impact on the choices we make as individuals and as a society. Filled with fascinating characters, dramatic storytelling, and cutting-edge science, this is an engrossing exploration of the secrets our brains keep from us—and how they are revealed.