By Paul Raeburn
[b]In the culture of Kay Redfield Jamison’s An Unquiet Mind, Acquainted with the Night is a robust memoir of 1 man’s fight to house the adolescent melancholy and bipolar ailment of his son and his daughter.
Seven years in the past Paul Raeburn’s son, Alex, 11, used to be admitted to a psychiatric clinic after leaving his fifth-grade lecture room in an inexplicable rage. He used to be hospitalized 3 times over the subsequent 3 years till he used to be eventually clinically determined by way of a psychiatrist as anyone displaying a simple case of bipolar ailment. This ended a painful interval of misdiagnosis and irrelevant drug treatment. Then Raeburn’s more youthful daughter, Alicia, twelve, used to be clinically determined as being affected by melancholy after episodes of self-mutilation and suicidal options. She too was once time and again admitted to psychiatric hospitals. All in this negative, painful time, Raeburn’s marriage used to be disintegrating, and he needed to ask what he and his spouse may need performed, unwittingly, to give a contribution to their children’s psychological disorder. And so, actually to avoid wasting his children’s lives, he used the entire assets on hand to him as a technological know-how reporter and author to coach himself on their ailments and many of the medicines and cures on hand to assist them go back from a land of internal torment.
In Paul Raeburn’s expert palms, this memoir of a family members with the discomfort of melancholy and mania turns into a cathartic tale that any reader can proportion, whilst mom and dad unfortunate adequate to be in the same place will locate it of immeasurable sensible worth of their personal struggles with the kid psychiatry institution.
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Additional resources for Acquainted with the Night: A Parent's Quest to Understand Depression and Bipolar Disorder in His Children
However, this has gone hand in hand with policies that continue to emphasise containment and concealment of people with the most publicly unacceptable manifestations of mental distress, as well as providing psychiatrists with a new mandate for social control. The urge towards containment and minimisation of risk was manifest in government proposals to introduce compulsory treatment in the community and detain people deemed dangerous and diagnosed as having a severe personality disorder, regardless of whether they are regarded as treatable, and whether they have committed a crime (Department of Health/Home Office, 2000).
Complete integration was finally achieved through joint NHSE/ SSI (1999) guidance on ‘care coordination’, the recommended term for the role that integrated the care manager role with keyworking under the CPA. It stressed that: ‘The CPA is Care Management for those of working age in contact with specialist mental health and social care services’ (1999: 8), and that: ‘It is critical that the care coordinator should have the authority to coordinate the delivery of the care plan and that this is respected by all those involved in delivering it, regardless of agency of origin’ (22).
Critiques of care management have particularly lamented the removal of social workers from multidisciplinary teams and their redeployment in more remote middle-management roles (Marshall, 1996). The care programme approach The care programme approach (CPA) can be traced back to the inquiry into the homicide by Sharon Campbell, a former service user, which provoked a media campaign castigating the policy of community care. As Peck and Parker (1998) commented: ‘Mental health policy was moving from being driven by abuse of patients in hospital to being driven by disasters involving mentally ill people in the community’ (245).