THE HANDBOOK OF COMMUNITY MENTAL HEALTH NURSING

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First published 2003
by Routledge
11 New Fetter Lane, London EC4P 4EE
Simultaneously published in the USA and Canada
by Routledge
29 West 35th Street, New York, NY 10001
Routledge is an imprint of the Taylor & Francis Group
This edition published in the Taylor & Francis e-Library, 2005.
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© 2003 Selection and editorial matter Ben Hannigan and Michael Coffey,
individual chapters the contributors
All rights reserved. No part of this book may be reprinted or
reproduced or utilised in any form or by any electronic, mechanical,
or other means, now known or hereafter invented, including photocopying
and recording, or in any information storage or retrieval system,
without permission in writing from the publishers.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
The handbook of community health nursing / edited by Ben Hannigan
and Michael Coffey.
p. ; cm.
Includes bibliographical references and index.
1. Psychiatric nursing–Handbooks, manuals, etc. 2. Community
mental health services–Handbooks, manuals, etc.
I. Hannigan, Ben, 1965– II. Coffey, Michael, RMN.
[DNLM: 1. Community Health Nursing–methods. 2. Community Mental
Health Services. WY 106 H2355 2003]
RC440.H297 2003
610.73′68–dc21 20020037183
ISBN 0-203-98784-5 Master e-book ISBN
ISBN 0–415–28035–4 (hbk)
ISBN 0–415–28036–2 (pbk)

CONTENTS
List of tables, boxes and figures ix
Notes on contributors xi
Acknowledgements xv
Introduction 1
BEN HANNIGAN AND MICHAEL COFFEY
PART 1
Context 5
1 The history of community mental health nursing 7
PETER NOLAN
2 The frontline workforce of community mental health care 19
PAUL GODIN
3 The policy and legal context 30
BEN HANNIGAN
4 Ethical issues 41
CHRIS CHALONER
5 Social exclusion, discrimination and social isolation 54
RACHEL PERKINS AND JULIE REPPER
6 Working in multidisciplinary community teams 67
EDWARD PECK
7 Meeting mental health needs in primary care 78
ELIZABETH ARMSTRONG
8 Collaborating with users of services 90
PETER CAMPBELL
9 Gender issues 100
ANNE FOTHERGILL
10 Culture and ethnicity 111
SUMAN FERNANDO
11 Stress, burnout and coping 121
DEBORAH EDWARDS
12 Clinical supervision and reflective practice 132
JOHN CUTCLIFFE
PART 2
Practice 145
13 Promoting mental health 149
JUDY BOXER
14 Using evidence to inform practice 164
ROB NEWELL
15 Assessing needs in community mental health care 175
MIKE SLADE
16 Risk, decision-making and mental health 187
ANDY ALASZEWSKI
17 Preventing suicide 198
STEVE WOOD
18 Working with families I: systemic approaches 210
BILLY HARDY
19 Working with families II: psychosocial interventions 222
GEOFF BRENNAN
20 Cognitive behaviour therapy for psychosis 235
NORMAN YOUNG
21 Relapse prevention in psychosis 250
MICHAEL COFFEY
22 Case management and assertive outreach 261
STEVE MORGAN
23 Psychopharmacology and medication management 274
RICHARD GRAY, ELIZABETH BREWIN AND
DANIEL BRESSINGTON
24 Creativity and the therapeutic use of the creative arts 287
TONY GILLAM
25 Working with mentally disordered offenders 299
MICHAEL COFFEY
26 Working with people with coexisting mental health and
substance misuse problems 310
JEFF CHAMPNEY-SMITH
27 Working with people with dementia and their carers 319
JOHN KEADY
28 Working with people with mental health problems and
learning disabilities 331
DAVE COYLE
29 Current approaches to working with children and adolescents 343
RICHARD WILLIAMS AND FIONA GALE
PART 3
Education and research 357
30 Education and training for community mental health nurses 359
MICHAEL COFFEY AND BEN HANNIGAN
31 Developing courses in psychosocial interventions 370
NORMAN YOUNG AND IAN HULATT
32 The contribution of quantitative approaches to community
mental health nursing research 385
KEVIN GOURNAY
33 The contribution of qualitative approaches to community
mental health nursing research 397
IAN BEECH
Conclusion 406
BEN HANNIGAN AND MICHAEL COFFEY
Appendix I: Professional organisations 408
Appendix II: Voluntary organisations 410
Appendix III: Journals and magazines 414
Appendix IV: Internet sites and discussion lists 417