04464nam 22009975 450 991082328840332120230508161558.00-520-95452-110.1525/9780520954526(CKB)2670000000330072(EBL)1092957(OCoLC)824701380(SSID)ssj0000783235(PQKBManifestationID)11474167(PQKBTitleCode)TC0000783235(PQKBWorkID)10752104(PQKB)11158374(DE-B1597)519095(OCoLC)823388700(DE-B1597)9780520954526(MiAaPQ)EBC1092957(EXLCZ)99267000000033007220200424h20132013 fg 0engurnn#---|u||utxtccrEveryday Ethics Voices from the Front Line of Community Psychiatry /Paul BrodwinBerkeley, CA :University of California Press,[2013]©20131 online resource (225 p.)Description based upon print version of record.0-520-27478-4 Front matter --Contents --Acknowledgments --Introduction. The Terrain of Everyday Ethics --1. Genealogy of the Treatment Model --2. Expert knowledge and Encounters with Futility --3. Treatment Plans --4. Representative Payeeships --5. Commitment Orders --6. Coercion, Confidentiality, and the Moral Contours of Work --Bibliography --IndexThis book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?Community mental health servicesProfessional ethicsCommunity psychiatryPsychiatristsCommunity Mental Health ServicesCommunity Psychiatryethicsautonomy.bioethics.biopsychiatry.career.coercion.community psychiatry outreach team.compassionate advocates.engaging.ethical dilemmas.everyday struggles.fieldwork.forced dependency.formal bioethics.front line providers.government and governing.health.human condition.intense.marginalized individuals.medical ethics.medical.mental health clinicians.mental health.moral lives.political.politics.private confessions.psychology.realistic.social science.social workers.us healthcare system.Community mental health servicesProfessional ethicsCommunity psychiatryPsychiatristsCommunity Mental Health Services.Community Psychiatryethics.649.122Brodwin Paulauthttp://id.loc.gov/vocabulary/relators/aut1167742DE-B1597DE-B1597BOOK9910823288403321Everyday Ethics3923454UNINA