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One of the cheapest books available, but it isn't worth buying new.
It has a very 'therapeutic' feel (in a strangely prejorative sense) about it and is bulked out with case studies which are not massively illuminating. Most of the author's patient's seem certainly to have troubles but are rarely as chaotic and demanding as the patients/clients most professionals fear working with.
It is precisely this high-chaos, hard-to-reach and limited insight genre of client that workers professionals need guidance on working with - but this is guidance they won't find here.
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This American book has universal themes regarding the move from hospital treatment for psychiatric patients to community treatment. The contention being that the failings of community treatment have led to homelessness and social disenfranchisement for a large proportion of patients who formally would have been cared for in hospitals - they have created a mental health diaspora. The American system is further compounded by a lack of professionalised services within the homeless fields.
There is much that is thought-provoking here, though it is becoming dated.
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