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In this clinical memoir, Alice Feller brings the reader into the world of serious mental illness using patient vignettes and personal accounts of her work, drawn from medical school, hospital wards, private practice, public clinics, and beyond, spanning a career from the 1970s to the present. Individual chapters are devoted to cases illustrating the impact on treatment outcomes of homelessness, substance abuse, racism, family involvement, and early intervention for schizophrenia cases. Feller identifies specific barriers to care and advocates for reparative strategies that would make the most…mehr
In this clinical memoir, Alice Feller brings the reader into the world of serious mental illness using patient vignettes and personal accounts of her work, drawn from medical school, hospital wards, private practice, public clinics, and beyond, spanning a career from the 1970s to the present. Individual chapters are devoted to cases illustrating the impact on treatment outcomes of homelessness, substance abuse, racism, family involvement, and early intervention for schizophrenia cases. Feller identifies specific barriers to care and advocates for reparative strategies that would make the most meaningful and immediate improvements. This book is meant for anyone whose life is touched by mental illness, whether as a patient, in the family, or as a professional, and it is a must-read for policy makers in this field.
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Autorenporträt
Alice Feller, MD is a writer and a clinical psychiatrist. She has worked in private practice, hospital emergency rooms, psychiatric wards, chemical dependency programs and public clinics in East Oakland and beyond. Her writing, focused on mental health, addiction and homelessness, has appeared in the East Bay Express, the Laney Tower, CalMatters, fort da and Interconnecting Circles, as well as the opinion pages of the San Francisco Chronicle and the New York Times. She has served two terms on the City of Berkeley Homeless Commission and is an analyst member of the San Francisco Center for Psychoanalysis. She lives with her husband and daughter in Berkeley, California.
Inhaltsangabe
Introduction Chapter 1: Beginnings A Family Affair Western Psych Chapter 2: Community Mental Health Psych Emergency Ward 2N Chapter 3: The System Crashes Eating From Garbage Cans: Robbie Highland Hospital Sidewalks and Jails Replace Hospitals On the Left: Szasz, Kesey and Revolutionary Zeal People Wrongly Hospitalized Chapter 4: Economic Causes of Homelessness Panhandling For a Living: Kyle Loss of our Industrial Base Deaths of Despair and the Opioid Crisis Unemployment Figures Are Unaffected Housing Vanishes and the Safety Net Unravels Hoping for Shelter Chapter 5: Chemical Dependency A Personal Foray Into Addiction Heroin in the Haight Soldiers Battle at Home Struggle and Recovery: Kaiser Oakland The Dynamics of Addiction Cannabis and Human Health Chapter 6: Treating Psychosis in Private Practice The Woman Who Threatened to Kill Kids Ten Thousand Hours of Listening A Psychodynamic Approach to the Treatment of Psychosis: Chris Psychosis after Trauma: Maureen Chaos in a Failed Treatment: Julian Chapter 7: Everything Stops The School of Second Chances Chapter 8: Service Center in Oakland, 2017-2021 Orientation: Sophie Love and Vermin Smoke and Longing: Brandon A Thousand Masks Chapter 9: Effects of Racism Police Violence and Mass Incarceration AJ's Story Housing and Health Inequities Turned Away: Lucille Chapter 10: Board and Care Homes Aerospace Ships A Lightening Visit with Jamal to See Marvin Psychosis and Homicide Tattoos and Teaspoons: Gracie Chapter 11: The Crucial Role of Families Listen to the Families Two Houses Found and Lost: Amari Mela Shalimar A Motherless Soldier Leaving Dry Valley: George and Luther Chapter 12: Living Unsheltered in the 21st Century Full-Service Partnership Sleeping Rough "Homeless by Choice" A Fatal Overdose: Patrick Chapter 13: Our Broken System Early Intervention in Schizophrenia Lack of Hospital Beds SAMHSA Mental Health Professionals Often Unfamiliar with Severe Mental Illness Collaboration and Sense of a Common Mission Information and Misinformation: EMRs Transparency and Accountability HIPAA Fragmented System: Nonprofits and the Millionaires Tax The Question of Hospital Treatment Epilogue: Suggestions for Change References Index About the Author
Introduction Chapter 1: Beginnings A Family Affair Western Psych Chapter 2: Community Mental Health Psych Emergency Ward 2N Chapter 3: The System Crashes Eating From Garbage Cans: Robbie Highland Hospital Sidewalks and Jails Replace Hospitals On the Left: Szasz, Kesey and Revolutionary Zeal People Wrongly Hospitalized Chapter 4: Economic Causes of Homelessness Panhandling For a Living: Kyle Loss of our Industrial Base Deaths of Despair and the Opioid Crisis Unemployment Figures Are Unaffected Housing Vanishes and the Safety Net Unravels Hoping for Shelter Chapter 5: Chemical Dependency A Personal Foray Into Addiction Heroin in the Haight Soldiers Battle at Home Struggle and Recovery: Kaiser Oakland The Dynamics of Addiction Cannabis and Human Health Chapter 6: Treating Psychosis in Private Practice The Woman Who Threatened to Kill Kids Ten Thousand Hours of Listening A Psychodynamic Approach to the Treatment of Psychosis: Chris Psychosis after Trauma: Maureen Chaos in a Failed Treatment: Julian Chapter 7: Everything Stops The School of Second Chances Chapter 8: Service Center in Oakland, 2017-2021 Orientation: Sophie Love and Vermin Smoke and Longing: Brandon A Thousand Masks Chapter 9: Effects of Racism Police Violence and Mass Incarceration AJ's Story Housing and Health Inequities Turned Away: Lucille Chapter 10: Board and Care Homes Aerospace Ships A Lightening Visit with Jamal to See Marvin Psychosis and Homicide Tattoos and Teaspoons: Gracie Chapter 11: The Crucial Role of Families Listen to the Families Two Houses Found and Lost: Amari Mela Shalimar A Motherless Soldier Leaving Dry Valley: George and Luther Chapter 12: Living Unsheltered in the 21st Century Full-Service Partnership Sleeping Rough "Homeless by Choice" A Fatal Overdose: Patrick Chapter 13: Our Broken System Early Intervention in Schizophrenia Lack of Hospital Beds SAMHSA Mental Health Professionals Often Unfamiliar with Severe Mental Illness Collaboration and Sense of a Common Mission Information and Misinformation: EMRs Transparency and Accountability HIPAA Fragmented System: Nonprofits and the Millionaires Tax The Question of Hospital Treatment Epilogue: Suggestions for Change References Index About the Author
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