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Accessible and unbiased, Careers in Mental Health introduces upper-level high school students and beginning undergraduates to the different aspects of various mental health professions. * Contains essential career advice for anyone considering an advanced degree in one of the \"helping\" professions within mental health * Covers clinical psychology, counseling psychology, social work, counseling, marriage and family therapy, substance abuse counseling, and school psychology * Clarifies the distinctions between professions by discussing the history and philosophy of each field, requirements for advanced education, licensing, available jobs, salary potential, and more * Includes a section with practical information applicable to all the professions, such as characteristics for success, ethical issues, the importance of critical thinking, applying to graduate school, and current issues affecting the field of mental health

The history of mental health service delivery has been marked by an emphasis on clients’ vulnerabilities and deficits. As treatment programs have moved out of hospitals and into communities, however, the need to work with clients in developing real-world, practical skills, such as job training, has never been more important. Versions of this approach traditionally include skills training classes, job clubs, and sheltered employment, but have not been successful in helping people with severe mental illness gain competitive employment. This book describes the theory, empirical support, and practice of the Individual Placement and Support (IPS) approach to supported employment. IPS is the most widely studied and validated approach to supported employment for people with severe mental illness. The overall goals of IPS are to assist clients in finding jobs that are consistent with their preferences and skills, and to support their efforts in working. The book is divided into three sections: 1) Conceptual and Empirical Support for Individual Placement and Support; 2) Practice Guidelines for Implementing Supported Employment; and 3) Special Issues. Many vignettes and sample documents that provide practical information are included.

Background A constraint in South Africa’s mental health system is the human resources required to provide services. Given the shortage of specialist mental health professionals, the use of non-specialists such as clinical associates in mental health task-sharing is essential. The study aimed to explore the views of health managers, doctors, and nurses in four districts of South Africa on the scale of mental illness seen in their health services, their human resources challenges, and their attitudes towards mental health task-sharing involving clinical associates. Methods Focus group discussions were conducted in one district in each of the four provinces where clinical associates were known to be employed. Focus group participants were purposively sampled to ensure that each focus group consisted of a combination of managers and healthcare professionals from hospital and primary health care levels. Audio recordings were transcribed, and thematic analysis was conducted. Results A total of 29 individuals participated. Four themes emerged from the focus group discussions. The first theme to emerge was ‘mental illness is not going away’ with substance use, increasing numbers of younger patients, and high rates of relapse and readmission accounting for this. The second theme identified was ‘the health system cannot cope with mental illness’ as mental health had not been prioritised and this had resulted in a lack of mental health units and beds, deficiencies at primary health care level, and human resources for mental health challenges. The third theme was ‘clinical associates could be part of the remedy’ based on past experience in other disciplines but constraints such as their scope of practice would need to be addressed. The final theme identified was ‘specialised clinical associates could help mend the mental health system’ but this would require a review of employment policies and a clarification of their roles. Conclusions Mental health is a significant and expanding concern. Clinical associates could help alleviate human resource constraints in mental health with enhanced undergraduate and advanced training. However, overcoming structural barriers such as scope of practice, regulatory issues, and creation of posts will be crucial to realise their potential contribution.

Background Employment is recognised as a fundamental human right. Still, many people experiencing severe mental illness are outside the workforce. Appropriate employment has several benefits for mental health and is central to recovery and citizenship. Individual Placement and Support (IPS) integrates treatment and employment support and is an evidence-based model for supporting people experiencing severe mental illness to gain and maintain employment. Employment specialists are front-line workers of IPS. In Norway, the implementation of IPS is in a later phase and employment specialists are employed outside health services. This study explores and describes employment specialists’ job situation within this new context. Methods Qualitative data were collected through field notes and five focus group interviews. The study participants were 36 IPS employment specialists located at 13 different sites in Northern Norway. Transcripts and field notes were analysed by thematic analyses. Results Our findings show that the IPS structures are settled in Norway, but some challenges remain. The most prominent consequence of the new context is the challenge of integration within health teams. Nonetheless, employment specialists find their work with clients meaningful and having great impact with opportunities for personal and professional development. Conclusion IPS is anchored in Norwegian policy and several of the early intervention challenges are resolved. Our study provides increased understanding of the employment specialists job situation within the new IPS context in Norway. Employment specialists are “front-line-workers” in enacting the IPS principles, and their perspectives on the contextual change are crucial in the development of IPS.

The rise of outpatient treatment as the preferred mental health intervention in the 1940s, and the subsequent deinstitutionalization movement of the 1960s, meant that the hospital care of patients with mental disorders fell out of favor. Until recently, in fact, inpatient care was overseen either by rotating faculty at an academic hospital or by a private psychiatrist who would manage both a clinic and an inpatient caseload. In The Psychiatric Hospitalist, Michael D. Jibson, M.D., Ph.D., and colleagues make a strong case for an alternative model. The only book of its kind on the market, this guide comprehensively describes not only the structure of hospital-based psychiatry but also the qualities and skills needed to succeed in the setting. From the inpatient unit to consultation-liaison and emergency services, the book leverages vignettes and the expert insights of its contributors to tackle the effects of background and training on a hospitalist career, administrative responsibilities and opportunities for teaching and supervising in a hospital setting, diagnostic and treatment modalities, transitions in care and collaborating across disciplines, legal and ethical issues, and numerous other topics. Working in a hospital setting means treating acutely agitated—even violent—patients, individuals who have seriously harmed themselves, and those who need to be treated in an inpatient unit to keep them from taking their own lives. It is hardly a career path for the faint of heart! Yet, with the guidance offered in this volume, both novice clinicians and experienced hospitalists will have the tools they need to make an immediate and notable difference in their patients' lives and flourish professionally in the process.

Physician impairment represents a substantial concern for the medical community, not only for the individual, but for their patients as it can lead to an increase in medical errors. Impairment is wide ranging and includes physical, mental, and behavioral disorders. The Federation of State Medical Boards in conjunction with the American Medical Association have worked with state medical boards to help create Physician Health Programs. Despite physicians having mental disorders and substance use disorders comparable to the general population, many clinicians avoid seeking treatment due to concerns related to their medical license. This article discusses common presentations of impaired physicians, mandated reporting, and ways to reduce stigma for clinicians treating physicians. [Psychiatr Ann. 2025;55(3):e62–e66.]

Abstract Objective: To determine the most effective way of helping people with severe mental illness to obtain competitive employment—that is, a job paid at the market rate, and for which anyone can apply. Design: Systematic review. Participants: Eligible studies were randomised controlled trials comparing prevocational training or supported employment (for people with severe mental illness) with each other or with standard community care. Outcome measures: The primary outcome was number of subjects in competitive employment. Secondary outcomes were other employment outcomes, clinical outcomes, and costs. Results: Eleven trials met the inclusion criteria. Five (1204 subjects) compared prevocational training with standard community care, one (256 subjects) compared supported employment with standard community care, and five (484 subjects) compared supported employment with prevocational training. Subjects in supported employment were more likely to be in competitive employment than those who received prevocational training at 4, 6, 9, 12, 15, and 18 months (for example, 34% v 12% at 12 months; number needed to treat 4.45, 95% confidence interval 3.37 to 6.59). This effect was still present, although at a reduced level, after a sensitivity analysis that retained only the highest quality trials (31% v 12%; 5.3, 3.6 to 10.4). People in supported employment earned more and worked more hours per month than those who had had prevocational training. Conclusion: Supported employment is more effective than prevocational training at helping people with severe mental illness obtain competitive employment.

This study examined careers services provided to young adults with serious mental health conditions. Based on an internet survey and key informant telephone interview of 31 programs nominated for delivering innovative practices for young adults, the state of the field for career services was described. Most programs offered supported education and supported employment along with mental health services. Detailed and written planning was a key feature. Programs emphasized working closely with families, inter-agency collaboration, and use of normative community resources. Programs provided direct skills training for school and work and other life skills. Largely, existing models are being applied. However, providers described unique adaptations including greater flexibility in service delivery, attending to the turbulence and developmental changes characteristic of this age group, use of social media, and a heightened willingness to meet young people where “they are at” both literally and figuratively.

Applying Trauma-Sensitive Practices in School Counseling is an essential text for school counselors who need the research, knowledge, and skills to intervene and positively impact the educational outcomes for students with trauma. This practice-based guide begins with Adverse Childhood Experiences (ACEs). Through case studies and current research, school counselors will learn how trauma effects brain development, social-emotional development, behavior, and academic learning for children and adolescents. The research in the first section leads to a variety of trauma-sensitive strategies for school counselors in the second section. Included are trauma-sensitive programs that school counselors can implement school-wide, along with tools and strategies school counselors can apply in personal practice. Case studies of students with ACEs who improved behaviorally or academically due to school counseling interventions demonstrate the effectiveness of the tools offered in the text. With up-to-date information about chronic stress in childhood and practical strategies that can be adapted and implemented, this guidebook is crucial for school counselors, especially those who support students with ACEs.