Policy Press

Understanding Mental Distress

Knowledge, Practice and Neoliberal Reform in Community Mental Health Services

By Rich Moth

Published

May 17, 2022

Page count

264 pages

ISBN

978-1447349877

Dimensions

234 x 156 mm

Imprint

Policy Press

Published

May 17, 2022

Page count

264 pages

ISBN

978-1447349907

Dimensions

Imprint

Policy Press

Published

May 17, 2022

Page count

264 pages

ISBN

978-1447349907

Dimensions

Imprint

Policy Press
Understanding Mental Distress

In this timely analysis, Rich Moth assesses mental health services in a period of major change.

Based on extended fieldwork in community mental health services, he explores the many impacts of policy reform, marketisation and austerity on NHS mental health provision, and positions developments in the contexts of neoliberalism and an increased emphasis on individual responsibility.

Firmly rooted in the lived experiences of people using mental health services and the everyday practices of social workers, nurses and psychiatrists, he develops a stimulating perspective on how mental distress is understood and responded to within these settings.

"A rich, theoretically informed account of what is currently shaping practice in our mental health services. A key text for those concerned with understanding, challenging and transforming these services to benefit those who use them and those who work in them." Ann Davis, University of Birmingham

“Putting both workers and service users at its heart, in this volume Rich Moth makes a compelling case that structural and ideological forces continue to limit the possibility of genuine mental health care … Highly recommended.” Helen Spandler, University of Central Lancashire and Editor, Asylum Magazine

Rich Moth is Senior Lecturer in Social Work at Liverpool Hope University.

Introduction

Part 1: Socio-Historical Contexts of Policy and Practice

Chapter 1: Policy Responses to Mental Distress: From the Asylum to Neoliberal Services

Part 2: Lived Experiences of Neoliberal Reform

Chapter 2: The Transition from Relational to Informational Practice

Chapter 3: Time, Trust and Relational Practice

Chapter 4: Risk and Responsibilisation

Chapter 5: Defining Mental Distress

Chapter 6: Punitive Managerialism Under Austerity

Chapter 7: Shifting Contours of Managerial Control

Part 3: Theorising Knowledge and Practice

Chapter 8: Temporality and Situational Logics in the Labour Process

Chapter 9: Biomedical Residualism and its Discontents

Conclusion