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The Caring Class: Home Health Aides in Crisis (The Culture and Politics of Health Care Work)
by Richard SchweidThe number of elderly and disabled Americans in need of home health care is increasing annually, even as the pool of people—almost always women—willing to do this job gets smaller and smaller. The Caring Class takes readers inside the reality of home health care by following the lives of women training and working as home health aides in the South Bronx.Richard Schweid examines home health care in detail, focusing on the women who tend to our elderly and disabled loved ones and how we fail to value their work. They are paid minimum wage so that we might be absent, getting on with our own lives. The book calls for a rethinking of home health care and explains why changes are urgent: the current system offers neither a good way to live nor a good way to die. By improving the job of home health aide, Schweid shows, we can reduce income inequality and create a pool of qualified, competent home health care providers who would contribute to the well-being of us all. The Caring Class also serves as a guide into the world of our home health care system. Nearly 50 million US families look after an elderly or disabled loved one. This book explains the issues and choices they face. Schweid explores the narratives, histories, and people behind home health care in the United States, examining how we might improve the lives of both those who receive care and those who provide it.
Caring for a Loved One with Alzheimer's Disease: A Christian Perspective
by Harold G Koenig Elizabeth T HallClarify your thinking on an issue that can tear families apart!Caring for a Loved One with Alzheimer’s Disease: A Christian Perspective is the touching story of a woman’s daily struggles as a caregiver to her mother who suffers from Alzheimer’s disease. You’ll learn how God’s presence in her life has helped her. You will also find practical day-to-day tips for living with a loved one suffering from senile dementia and how your spirituality can make the journey easier for both of you. This important guide provides an honest description of the emotions you may be forced to come to terms with while dealing with a loved one or parishioner with Alzheimer’s disease and how God’s presence in your life can help lift that burden.Caring for a Loved One with Alzheimer’s Disease gives you firsthand accounts of the stages of pain, despair, acceptance, and victory that you may experience while caring for someone with Alzheimer’s to let you know that what you are feeling is normal and that God will help you overcome these challenges. Alzheimer’s disease often goes undetected until its later stages. This informative book renders a clear description of the disease, alerting you to the known warning signs of dementia, and preparing you for the possibility of such a diagnosis.Caring for a Loved One with Alzheimer’s Disease is filled with tips and suggestions to make caring for your loved one easier for both of you, such as: learning to separate the person from the disease researching the disease and keeping informed about every aspect of this progressive and irreversible neurological disorder realizing that you need emotional support and should seek help from your pastor, church care group, or best friend discovering how having power of attorney and creating a living will can prevent many problems in the future understanding that to care for your loved one at home is challenging and that taking simple steps, such as “baby-proofing” your house, will prevent traumatic disasters turning your anger and guilt to positive energy and avoiding emotional drain and strainThis unique book offers you solace amidst the turbulence of caring for someone stricken with this difficult condition. Caring for a Loved One with Alzheimer’s Disease provides an open and honest description of how faith can comfort and support you and your family while you care for someone with dementia.
Caring for a Loved One with Alzheimer's Disease: A Christian Perspective
by Harold G Koenig Elizabeth T HallClarify your thinking on an issue that can tear families apart!Caring for a Loved One with Alzheimer’s Disease: A Christian Perspective is the touching story of a woman’s daily struggles as a caregiver to her mother who suffers from Alzheimer’s disease. You’ll learn how God’s presence in her life has helped her. You will also find practical day-to-day tips for living with a loved one suffering from senile dementia and how your spirituality can make the journey easier for both of you. This important guide provides an honest description of the emotions you may be forced to come to terms with while dealing with a loved one or parishioner with Alzheimer’s disease and how God’s presence in your life can help lift that burden.Caring for a Loved One with Alzheimer’s Disease gives you firsthand accounts of the stages of pain, despair, acceptance, and victory that you may experience while caring for someone with Alzheimer’s to let you know that what you are feeling is normal and that God will help you overcome these challenges. Alzheimer’s disease often goes undetected until its later stages. This informative book renders a clear description of the disease, alerting you to the known warning signs of dementia, and preparing you for the possibility of such a diagnosis.Caring for a Loved One with Alzheimer’s Disease is filled with tips and suggestions to make caring for your loved one easier for both of you, such as: learning to separate the person from the disease researching the disease and keeping informed about every aspect of this progressive and irreversible neurological disorder realizing that you need emotional support and should seek help from your pastor, church care group, or best friend discovering how having power of attorney and creating a living will can prevent many problems in the future understanding that to care for your loved one at home is challenging and that taking simple steps, such as “baby-proofing” your house, will prevent traumatic disasters turning your anger and guilt to positive energy and avoiding emotional drain and strainThis unique book offers you solace amidst the turbulence of caring for someone stricken with this difficult condition. Caring for a Loved One with Alzheimer’s Disease provides an open and honest description of how faith can comfort and support you and your family while you care for someone with dementia.
Caring For a Loved One with Aphasia After Stroke: A Narrative-Based Support Guide for Caregivers, Families and Friends
by Jennifer L. Mozeiko Deborah S. YostThis voice-driven, narrative, non-fiction book relays the stories of seven courageous women whose lives have been greatly impacted by a loved one’s stroke, resulting in loss of language ability to one degree or another. Aphasia leads to varying degrees of problems in speaking, understanding, reading, writing, gesturing, and using numbers. Aphasia can be extremely stressful for both the individual who had the stroke and for their family and friends. Speech is such a significant part of human interaction, and it’s something that most people take for granted. It’s hard to be able to communicate if you’ve been dependent upon verbal communication and yours is suddenly impaired. Fortunately, some recovery from aphasia is possible, and there are still ways to effectively communicate, even with aphasia. The stories contained in the book are intended to help others feel less alone as they navigate their loss and the confusing healthcare system. The stories are told from the advent of a stroke of their loved-ones and describe how these caretakers persevered to find quality medical services and to provide home care. Caring For a Loved One with Aphasia After Stroke is written for people who are going through a similar crisis, or for those in the medical and/or speech/language field who are interested to learn more about perseverance and hope that are critical to aphasia.
Caring for Adults with Mental Health Problems (Wiley Series in Nursing #10)
by Ian Peate Sonya ChelvanayagamMental health care provision can be complex and the approach the carer uses can have a detrimental effect on the health of the person being cared for. Caring for Adults with Mental Health Problems provides the reader with many examples of thoughts, ideas and perspectives in a user-friendly, easily accessible format. The chapters are divided into discrete sections reflecting contemporary care approaches. Reference to care in a range of primary and secondary care settings is made throughout the book. Each chapter provides the reader with a clear and concise approach to health care, encouraging the reader to understand and delve deeper. Written by contributors who are experienced clinicians and academics with many years of clinical and academic experience in various health care settings, this text is based upon the principles of care, a foundation text that encourages the student to grow and develop. Caring for Adults with Mental Health Problems is a practice-based handbook or manual that has a sound evidence basis, and one that will challenge and encourage the student to develop a questioning approach to care. The text is designed to be used as a reference book by a variety of readers in either the clinical setting, classroom or at home, in statutory or non-statutory surroundings.
Caring for and Understanding Latinx Patients in Health Care Settings
by Laura Maria PigozziThis concise and instructive guide outlines the specific challenges faced by the Latinx population in US health care, including language barriers, unfamiliarity with the medical system, lack of insurance, access issues, monetary factors, and most importantly the fears surrounding undocumented immigrants.It shows how health care professionals and chaplains can support and care for this population in a way that acknowledges and understands the distinct characteristics of Latinx culture. It offers advice on sensitives within this culture, such as health disparities, the importance of the family, and spirituality and religion in Latinx culture. This inclusive guide improves cultural competency among non-Latinx care staff and offers case studies and practical tips to input straight into practice.
Caring for Arab Patients: A Biopsychosocial Approach
by Laeth Nasir Arwa Kayed Abdul-Haq Tony LockettThis practical and patient-centred guide assists medical professionals in delivering better clinical care to Arab patients. In examining the psychosocial underpinnings of Arab medicine, this unique book summarises and assesses the latest research, taking into account the needs and priorities of Arab patients. Important issues covered include patient education, compliance, 'doctor shopping', and psychiatric and mental health services. The evidence-based approach integrates academic research and first-hand experience from the unique bicultural position of the contributors. "Caring for Arab Patients" is vital for all healthcare professionals, including doctors, nurses, pharmacists and occupational therapists with responsibilities for Arab patients, throughout the world. Students of medicine and nursing will find much of interest, as will healthcare managers, researchers, academics, policy makers and shapers.
Caring for Arab Patients: A Biopsychosocial Approach (Radcliffe Ser.)
by Laeth Nasir Arwa Kayed Abdul-Haq Tony LockettThis practical and patient-centred guide assists medical professionals in delivering better clinical care to Arab patients. In examining the psychosocial underpinnings of Arab medicine, this unique book summarises and assesses the latest research, taking into account the needs and priorities of Arab patients. Important issues covered include patient education, compliance, 'doctor shopping', and psychiatric and mental health services. The evidence-based approach integrates academic research and first-hand experience from the unique bicultural position of the contributors. "Caring for Arab Patients" is vital for all healthcare professionals, including doctors, nurses, pharmacists and occupational therapists with responsibilities for Arab patients, throughout the world. Students of medicine and nursing will find much of interest, as will healthcare managers, researchers, academics, policy makers and shapers.
Caring for Autism: Practical Advice from a Parent and Physician
by Michael A. EllisWhen a professional states, "Your child has Autism Spectrum Disorder (ASD)", it is enough to make your whole world fall apart. What does it mean to be on the autism spectrum? How will this affect your child's life, your life, the life of your family, and others you interact with? What sorts of medications, therapies, and alternative methods are used to help manage the disorder? What are the financial and legal ramifications? How will this affect schooling, your spiritual growth, and everyday life? These are just a few of the questions that will rapidly cross your mind. Caring for Autism: Practical Advice from a Parent and Physician delves into all these questions and more. As the father of a daughter with ASD and as a trained psychiatrist who specializes in ASD, Dr. Michael A. Ellis provides a holistic view of what comes after diagnosis. In user-friendly tones, he answers the most commonly asked questions about what it's actually like to live with ASD, what medications and therapies are available, and the global impact it has on the child's environment. With the help of his wife, Lori Layton Ellis, to provide a mother's perspective, Dr. Ellis shares personal stories of their 10-year journey in order to provide insight and support for anyone - patient, parent, caregiver - traversing the difficulties of autism.
Caring for Autism: Practical Advice from a Parent and Physician
by Michael A. EllisWhen a professional states, "Your child has Autism Spectrum Disorder (ASD)", it is enough to make your whole world fall apart. What does it mean to be on the autism spectrum? How will this affect your child's life, your life, the life of your family, and others you interact with? What sorts of medications, therapies, and alternative methods are used to help manage the disorder? What are the financial and legal ramifications? How will this affect schooling, your spiritual growth, and everyday life? These are just a few of the questions that will rapidly cross your mind. Caring for Autism: Practical Advice from a Parent and Physician delves into all these questions and more. As the father of a daughter with ASD and as a trained psychiatrist who specializes in ASD, Dr. Michael A. Ellis provides a holistic view of what comes after diagnosis. In user-friendly tones, he answers the most commonly asked questions about what it's actually like to live with ASD, what medications and therapies are available, and the global impact it has on the child's environment. With the help of his wife, Lori Layton Ellis, to provide a mother's perspective, Dr. Ellis shares personal stories of their 10-year journey in order to provide insight and support for anyone - patient, parent, caregiver - traversing the difficulties of autism.
Caring for Caregivers to Be: A Comprehensive Approach to Developing Well-Being Programs for the Health Care Learner
by Jonathan A. Ripp, Larissa R. ThomasCaring for Caregivers to Be provides evidence-based insights and solutions to reduce burnout and improve well-being among medical learners, particularly students and graduate medical trainees. It provides a scoping review of the research related to the well-being of the health care learner and offers a suite of current and emerging tools and strategies believed to reduce medical burnout and foster resilience. Chapters identify the major drivers of both burnout and flourishing and explore the consequences of sub-optimal well-being for performance and patient care. The volume ends with practical considerations that medical education leaders can use for solutions-based well-being program development and tips for medical learners seeking to improve their own well-being within a professional environment. Caring for Caregivers to Be is the comprehensive guide to promoting the development of a resilient and professionally fulfilled physician workforce.
Caring for Caregivers to Be: A Comprehensive Approach to Developing Well-Being Programs for the Health Care Learner
Caring for Caregivers to Be provides evidence-based insights and solutions to reduce burnout and improve well-being among medical learners, particularly students and graduate medical trainees. It provides a scoping review of the research related to the well-being of the health care learner and offers a suite of current and emerging tools and strategies believed to reduce medical burnout and foster resilience. Chapters identify the major drivers of both burnout and flourishing and explore the consequences of sub-optimal well-being for performance and patient care. The volume ends with practical considerations that medical education leaders can use for solutions-based well-being program development and tips for medical learners seeking to improve their own well-being within a professional environment. Caring for Caregivers to Be is the comprehensive guide to promoting the development of a resilient and professionally fulfilled physician workforce.
Caring for Children and Families
by Ian Peate Lisa WhitingThis text will help students understand fundamental aspects of clinical practice in order to provide safe and effective care to children and their families in various situations. When in clinical practice, students may find themselves being supervised from a distance, and as such, this text will help the student when they find themselves in a variety of settings to assist their integration of theory and practice. The reader will develop their paediatric caring skills with a sound knowledge base, which will underpin the safe and effective delivery of care. * User-friendly writing style * Contributions from expert paediatric academic staff and skilled clinicians * One of the few books that deal with clinical practice specifically related to, and addressing the needs of children in a user friendly manner.
Caring for Children Born Small for Gestational Age
by Siegfried ZabranskyCare for Children Born Small for Gestational Age is a comprehensive handbook that serves to synthesize the extensive recent literature in the area to provide a practical resource aimed at a wide range of healthcare professionals, including obstetricians, midwives, neonatologists, and primary care physicians. This comprehensive handbook includes an in-depth survey of the prevention, diagnosis, treatment and long-term monitoring of children born small for gestational age, as well as related conditions such as intrauterine growth restriction, metabolic syndrome and type 2 diabetes. Additionally, the short and long-term psychiatric and social consequences of this condition are addressed.
Caring for Children Who Have Severe Neurological Impairment: A Life with Grace (A Johns Hopkins Press Health Book)
by Julie M. HauerGlobal impairment of the central nervous system, whether stable or progressive, is often called severe neurological impairment (SNI). A child who has SNI will be cared for both by specialist clinicians and by parents at home. A parent is a child’s best expert and advocate, and many parents become highly skilled in managing their child's care. This guide provides information to help parents increase their knowledge and improve their caregiving skills. In Caring for Children Who Have Severe Neurological Impairment, Dr. Julie M. Hauer advocates shared decision making between family caregivers and healthcare providers. She details aspects of medical care such as pain, sleep, feeding, and respiratory problems that will be particularly useful to parents. Tables and key points summarize discussions for clear, quick reference, while case studies and stories illustrate how different families approach decision making, communication, care plans, and informed consent.Parents and other caregivers will find this book to be indispensable—as will bioethicists and clinicians in pediatrics, neurology, physical and rehabilitative medicine, palliative care, and others who care for children with neurological and neuromuscular disorders. Dr. Hauer offers hope and practical coping strategies in equal measure.
Caring for Children Who Have Severe Neurological Impairment: A Life with Grace (A Johns Hopkins Press Health Book)
by Julie M. HauerGlobal impairment of the central nervous system, whether stable or progressive, is often called severe neurological impairment (SNI). A child who has SNI will be cared for both by specialist clinicians and by parents at home. A parent is a child’s best expert and advocate, and many parents become highly skilled in managing their child's care. This guide provides information to help parents increase their knowledge and improve their caregiving skills. In Caring for Children Who Have Severe Neurological Impairment, Dr. Julie M. Hauer advocates shared decision making between family caregivers and healthcare providers. She details aspects of medical care such as pain, sleep, feeding, and respiratory problems that will be particularly useful to parents. Tables and key points summarize discussions for clear, quick reference, while case studies and stories illustrate how different families approach decision making, communication, care plans, and informed consent.Parents and other caregivers will find this book to be indispensable—as will bioethicists and clinicians in pediatrics, neurology, physical and rehabilitative medicine, palliative care, and others who care for children with neurological and neuromuscular disorders. Dr. Hauer offers hope and practical coping strategies in equal measure.
Caring for Children with Complex Needs in the Community
by Jean TeareCaring for the Child with Complex Needs in Community Settings provides a valuable overview of the key factors relating to caring for children with complex and continuing care needs. Despite its frequent and increasing use, complex care needs is a term without an agreed definition. This shortfall of knowledge is addressed in this book through critical discussion of evidence-based research and current health, social and education policy. It brings together the latest knowledge into one text providing practitioners with the crucial information needed when working with this diverse and broad group of children. Caring for the Child with Complex Needs in Community Settings explores caring for technology-dependent children who require respiratory assistance; caring for children who require home enteral tube feeds; and caring for children with complex disabilities. It looks at multi-agency care, respite care for families, social service support and educational support of children with complex needs. Practitioners from health, social services and education backgrounds have contributed to the chapters using case studies, while a parent of a child with complex needs has provided a personal view of caring. This accessible and practical text provides core knowledge and vital insight required for successful delivery of community care for children with complex and continuing care needs.
Caring for Children with Special Healthcare Needs and Their Families: A Handbook for Healthcare Professionals
by Linda L. EddyCaring for Children with Special Healthcare Needs and Their Families: A Handbook for Healthcare Professionals provides a guide for addressing the challenges of providing optimal general and routine care for the special needs population. More than just caring for the patients, the text stresses the importance of caring for their families as well. The book begins with chapters on common aspects of this population, including physical or sensory disabilities and developmental and learning disabilities. Subsequent chapters expound on more specific topics related to communication, mobility, emotional issues, quality of life, and end-of-life. Caring for Children with Special Healthcare Needs and Their Families is a must-have book for family and pediatric nurse practitioners, registered nurses, healthcare technicians, physician assistants and social services professionals who see these patients regularly as part of their daily patient load.
Caring for Children with Special Healthcare Needs and Their Families: A Handbook for Healthcare Professionals
by Linda L. EddyCaring for Children with Special Healthcare Needs and Their Families: A Handbook for Healthcare Professionals provides a guide for addressing the challenges of providing optimal general and routine care for the special needs population. More than just caring for the patients, the text stresses the importance of caring for their families as well. The book begins with chapters on common aspects of this population, including physical or sensory disabilities and developmental and learning disabilities. Subsequent chapters expound on more specific topics related to communication, mobility, emotional issues, quality of life, and end-of-life. Caring for Children with Special Healthcare Needs and Their Families is a must-have book for family and pediatric nurse practitioners, registered nurses, healthcare technicians, physician assistants and social services professionals who see these patients regularly as part of their daily patient load.
Caring for Dying People of Different Faiths
by Rabbi Julia Neuberger'This book is a tribute to expert nursing. It should be seen as a celebration of all that is good in nursing. It also sets out the path for nursing that is centred on relationships - the essence of person-centred nursing is based on the quality of relationships both between nurse the client and others and also between nurses their colleagues and peers. Increasingly it is a challenge for nurses to hold on to humanistic care when we practice in a world of healthcare which is performance and fiscally driven. The concept of partnership and reciprocity runs through the book like a golden thread gleaming in a rich tapestry of person-centred practice expressed via the perspectives of the contributors. Expert practitioners working with people who have dementia have led the way in the development of person centred practice.' Pauline Ford Advisor in Gerontological Nursing Royal College of Nursing 'This book is a compendium of contemporary dementia care practice. It provides knowledge that is the foundation for a clear path to successful care outcomes. It clearly leaves no room for the ignorance that produced the uncertainty and inconsistency of past practices. If dementia can be likened to a journey of highs and lows this book shows us how to eliminate the negatives and accentuate the positives.' Bob Price Director Alzheimer Education Australia
Caring for Dying People of Different Faiths
by Rabbi Julia Neuberger'This book is a tribute to expert nursing. It should be seen as a celebration of all that is good in nursing. It also sets out the path for nursing that is centred on relationships - the essence of person-centred nursing is based on the quality of relationships both between nurse the client and others and also between nurses their colleagues and peers. Increasingly it is a challenge for nurses to hold on to humanistic care when we practice in a world of healthcare which is performance and fiscally driven. The concept of partnership and reciprocity runs through the book like a golden thread gleaming in a rich tapestry of person-centred practice expressed via the perspectives of the contributors. Expert practitioners working with people who have dementia have led the way in the development of person centred practice.' Pauline Ford Advisor in Gerontological Nursing Royal College of Nursing 'This book is a compendium of contemporary dementia care practice. It provides knowledge that is the foundation for a clear path to successful care outcomes. It clearly leaves no room for the ignorance that produced the uncertainty and inconsistency of past practices. If dementia can be likened to a journey of highs and lows this book shows us how to eliminate the negatives and accentuate the positives.' Bob Price Director Alzheimer Education Australia
Caring for Jewish Patients
by Joseph SpitzerJewish patients customarily have particular ways of approaching health and healthcare. This book outlines the Jewish practices and customs of direct relevance to health professionals, illustrated throughout with case histories. Information is provided to facilitate day to day communication, discussing etiquette and interpersonal relationships between the health professionals and their patients, describing in detail the dietary laws, customs and festivals. This book will offer practical advice about Jews, Judaism and the Jewish community helping to educate and enable all healthcare professionals in hospitals and in the community to provide care in a culturally appropriate manner.
Caring for Jewish Patients
by Joseph SpitzerJewish patients customarily have particular ways of approaching health and healthcare. This book outlines the Jewish practices and customs of direct relevance to health professionals, illustrated throughout with case histories. Information is provided to facilitate day to day communication, discussing etiquette and interpersonal relationships between the health professionals and their patients, describing in detail the dietary laws, customs and festivals. This book will offer practical advice about Jews, Judaism and the Jewish community helping to educate and enable all healthcare professionals in hospitals and in the community to provide care in a culturally appropriate manner.
Caring for Latinxs with Dementia in a Globalized World: Behavioral and Psychosocial Treatments
by Hector Y. Adames Yvette N. TazeauThis volume provides a broad and critical presentation of the behavioral and psychosocial treatments of Latinxs with dementia in the United States (U.S.) and across a representative sample of Spanish-speaking countries in the world. The compendium of chapters, written by researchers, practitioners, and policy analysts from multiple disciplines provides a deep exploration of the current state of dementia care for Latinxs in the U.S. and around the globe. The volume is designed to increase and strengthen the collective scientific and sociocultural understanding of the epidemiological and biopsychosocial factors, as well as the overlapping systemic challenges that impact diagnosis and symptom management of Latinxs with dementia. The authors introduce policy options to reduce risk factors for dementia and present culturally-responsive interventions that meet the needs of Latinx patients and their caregivers. Highlighted topics featured in the book include: Contextual, cultural, and socio-political issues of Latinxs with dementia.New meta-analysis of dementia rates in the Americas and Caribbean.Dementia-related behavioral issues and placement considerations.Educational, diagnostic, and supportive psychosocial interventions.Pharmacological, non-pharmacological, and ethnocultural healthcare interventions.Intersectionality as a practice of dementia care for sexual and gender minoritized Latinxs.Prescriptions for policy and programs to empower older Latinxs and their families. Caring for Latinxs with Dementia in a Globalized World: Behavioral and Psychosocial Treatments is a resource that accentuates and contextualizes the heterogeneity in nationality, immigration, race, sexual orientation, gender, and political realities. It is a key reference for a wide range of fields inclusive of demography, geriatrics, gerontology, medicine, mental health, neurology, neuropsychology, nursing, occupational therapy, pharmacology, psychiatry, psychology, rehabilitation, social work, sociology, and statistics all of which, collectively, bear on the problem and the solutions for better care for Latinxs affected by dementia.
Caring for Mental Health in the Future: Future Scenarios on Mental Health and Mental Health Care in the Netherlands 1990–2010 (Future Health Scenarios)
by Scenario Committee on Mental Health and Mental Health Care9. 1 311 9. 2 The results in the four areas 313 9. 3 Likely causes of the growing demand for services 314 9. 4 The dominant perception of mental health problems 315 95 A shifting balance 317 9. 6 Mental health problems as a policy issue 319 311) 9. 7 Culture-dependence as an approach 9. 8 Culture-dependence and the four tbemes 322 9. 9 The value of a socia-cultural approach 323 9. 10 Two core notions: normality and identity 325 9. 11 Conclusions and policy options 328 Bibliography 333 Appendix Basic ~ssumptions in the exploratory and target-seuing sccnanos 368 v Preface This study of mental health issues breaks new ground. The task set by the Steering Committee on Future Health Scenarios was twofold, encompassing issues relating both to mental health and to mental health care. Discussions of mental health normally narrow down immediately to a focus on its care; this study, in contrast, seeks to deal with mental health as a theme in its own right alongside that of mental health care. This task led to the establishment of a broadly based committee whose members possessed a wide range of knowledge and experience in the field. The study was carried out by an equally expert team from the Netherlands Institute of Mental Health. In the course of the study over a hundred people with wide ranging expertise took part in consultative panels.