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Within Our Reach: Ending the Mental Health Crisis

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In Within Our Reach: Ending the Mental Health Crisis, Rosalynn Carter and coauthors Susan K. Golant and Kathryn E. Cade render an insightful, unsparing assessment of the state of mental health. Mrs. Carter has been deeply invested in this issue since her husband’s gubernatorial campaign when she saw firsthand the horrific, dehumanizing treatment of people with mental illne In Within Our Reach: Ending the Mental Health Crisis, Rosalynn Carter and coauthors Susan K. Golant and Kathryn E. Cade render an insightful, unsparing assessment of the state of mental health. Mrs. Carter has been deeply invested in this issue since her husband’s gubernatorial campaign when she saw firsthand the horrific, dehumanizing treatment of people with mental illnesses. Using stories from her 35 years of advocacy to springboard into a discussion of the larger issues at hand, Carter crafts an intimate and powerful account of a subject previously shrouded in stigma and shadow, surveying the dimensions of an issue that has affected us all. She describes a system that continues to fail those in need, even though recent scientific breakthroughs with mental illness have potential to help most people lead more normal lives. Within Our Reach is a seminal, searing, and ultimately optimistic look at how far we’ve come since Carter’s days on the campaign trail and how far we have yet to go.


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In Within Our Reach: Ending the Mental Health Crisis, Rosalynn Carter and coauthors Susan K. Golant and Kathryn E. Cade render an insightful, unsparing assessment of the state of mental health. Mrs. Carter has been deeply invested in this issue since her husband’s gubernatorial campaign when she saw firsthand the horrific, dehumanizing treatment of people with mental illne In Within Our Reach: Ending the Mental Health Crisis, Rosalynn Carter and coauthors Susan K. Golant and Kathryn E. Cade render an insightful, unsparing assessment of the state of mental health. Mrs. Carter has been deeply invested in this issue since her husband’s gubernatorial campaign when she saw firsthand the horrific, dehumanizing treatment of people with mental illnesses. Using stories from her 35 years of advocacy to springboard into a discussion of the larger issues at hand, Carter crafts an intimate and powerful account of a subject previously shrouded in stigma and shadow, surveying the dimensions of an issue that has affected us all. She describes a system that continues to fail those in need, even though recent scientific breakthroughs with mental illness have potential to help most people lead more normal lives. Within Our Reach is a seminal, searing, and ultimately optimistic look at how far we’ve come since Carter’s days on the campaign trail and how far we have yet to go.

30 review for Within Our Reach: Ending the Mental Health Crisis

  1. 5 out of 5

    MAP

    I won an advanced copy of this book off of a Goodreads Giveaway. In this book, Rosalynn Carter discusses her advocacy for and observations of the changes in the mental health field since she first noticed what was lacking. As a graduate student getting my PhD in clinical psychology, I was very excited to win a copy of this and she what she had to say, and very excited that she was an advocate for mental health in general. The book, in my opinion, was a mixed bag. I cannot adequately review some of I won an advanced copy of this book off of a Goodreads Giveaway. In this book, Rosalynn Carter discusses her advocacy for and observations of the changes in the mental health field since she first noticed what was lacking. As a graduate student getting my PhD in clinical psychology, I was very excited to win a copy of this and she what she had to say, and very excited that she was an advocate for mental health in general. The book, in my opinion, was a mixed bag. I cannot adequately review some of the things she goes over (symptoms of various illnesses, stigma, insurance issues, etc) because I've known these things and dealt with them for 3+ years, and so I can't stand back and say "How would someone who'd never thought about that react?" So I won't. However, I can give my 2 cents on what I do know. I was surprised and THRILLED at some of things Ms. Carter pointed out that is well-known within the mental health field, but rarely recognized outside of it, such as: 1. Psychiatrists get very little training in mental health 2. Psychiatrists often don't take in the environmental context of a mental health situation, sometimes leading to over or misdiagnosis. 3. Clients who utilize public community mental health are often given medication and a pat on the back and very little support other than that. 4. Resilience is really important for kids, and early mental health intervention can save a lot of money (and a lot of pain) later in life. 5. Insurance isn't the only barrier to treatment (though it is a big one.) Geography and culture are two other huge barriers. I was THRILLED THRILLED THRILLED that she mentioned these often unnoticed things about the mental health field. However, I was disappointed at the role (or non-role) of psychologists and therapy in general in her book. Most of the people she interviews are psychiatrists (MDs) not psychologists (PhDs) and really, therapy and its scientifically proven benefits are never truly discussed, and only indirectly referred to as one of the many treatments not available because of insurance or the rotating door of the community mental health system. I ultimately felt that if I were not already in the mental health field, and I read her book, I would be outraged at the lack of treatment those with mental health issues dealt with, but wouldn't have a clear understanding of where to go next or how to fix it. (My opinion on that? Insurance should pay for evidenced-based therapies for clients just like they do for medical diseases! A culture should be created where psychiatrists and psychologists can work together to treat a patient, instead of fighting against each other because both are sure the other one is beneath them! And medication should be a second or third step for most mental health issues, not a first and only!)

  2. 5 out of 5

    pri

    I wasn't aware of Rosalynn Carter's work in the mental health field until recently and found this book a full account of the work that she has done in her 35 years working on this issue. She covers the basics of why our current system fails us - fails all of us - and programs that have been put in place to help address those issues and gaps. But certainly calls for the rally to arms to put more effective programs in place. Quote: For diabetes and heart disease, you want to know what works over m I wasn't aware of Rosalynn Carter's work in the mental health field until recently and found this book a full account of the work that she has done in her 35 years working on this issue. She covers the basics of why our current system fails us - fails all of us - and programs that have been put in place to help address those issues and gaps. But certainly calls for the rally to arms to put more effective programs in place. Quote: For diabetes and heart disease, you want to know what works over many, many years. The same is true for bipolar disease. You need to know what's going to be effective in the long haul. So you begin to think not so much about the magic bullet, but [about:] how we detect these disorders very early and develop interventions that are more preemptive than preventive. Very honest in cataloging where we have made some improvements but the true aim of the book, i believe, is to make obvious the gap between the current system and the system that we need to put in place. As she says 'this is everyone's issue'.

  3. 5 out of 5

    Paige Lau

    Written with obvious passion and care, and sufficiently covers a broad spectrum of issues in a relatively engaging manner. However, the obvious pre-occupation with neuroscience over psychology and the complete and utter ignorance of structural factors at play (outside of obligatory references to race and natural disasters) seriously detract from the clarity, cohesion, and completeness of the text. A version of this book which bothered to discuss therapeutic methods at greater lengths and which de Written with obvious passion and care, and sufficiently covers a broad spectrum of issues in a relatively engaging manner. However, the obvious pre-occupation with neuroscience over psychology and the complete and utter ignorance of structural factors at play (outside of obligatory references to race and natural disasters) seriously detract from the clarity, cohesion, and completeness of the text. A version of this book which bothered to discuss therapeutic methods at greater lengths and which deigned systems issues—such as climate anxiety and capitalist atomization—worthy of recognition would be a far more impactful and honest read.

  4. 5 out of 5

    Cathleen Kealey

    Rosalynn Carter shines a light on what must change, how we got here, and why. Mental health gets better, treatment works, connection and resources matter.

  5. 5 out of 5

    Dayla

    It still hasn't gone away, this need for Mental Health. It still hasn't gone away, this need for Mental Health.

  6. 5 out of 5

    Luke Warm

    Not to be overreacting but you're book is totally awesome. You're innate writing skill is what the world should witness. Try joining NovelStar's writing competition because why not? Not to be overreacting but you're book is totally awesome. You're innate writing skill is what the world should witness. Try joining NovelStar's writing competition because why not?

  7. 5 out of 5

    Sharon

    Former First Lady Rosalynn Carter has long been a staunch advocate for the mentally ill. In "Within Our Reach," she details some of the reasons that improvements for their care recommended more than 30 years ago still have not been implemented, and why the mental health crisis has escalated. One cannot watch the news or read the papers without seeing stories about returning veterans suffering with post-traumatic stress disorder in numbers greater than ever seen before, and how their promised safe Former First Lady Rosalynn Carter has long been a staunch advocate for the mentally ill. In "Within Our Reach," she details some of the reasons that improvements for their care recommended more than 30 years ago still have not been implemented, and why the mental health crisis has escalated. One cannot watch the news or read the papers without seeing stories about returning veterans suffering with post-traumatic stress disorder in numbers greater than ever seen before, and how their promised safety net fails them. TV dramas portray the mentally ill as dangerous (despite the fact that one in four people suffers mental illness and only a tiny minority of such patients are dangerous at all). There is enormous stigma aimed at the mentally ill, which impacts their ability to seek treatment. Carter talks about programs that are helping (she acknowledges that not all people are helped by medication and that psychotherapy is not always available), as well as new technologies that show the hyperactive prefrontal cortex (where thinking occurs) in those with clinical depression. She also talks about the importance of peer support advocacy, where people who have experienced mental illness help others in the same situation. It's not all dry and clinical, though; Carter shares stories from her own childhood, as well as personal histories that mentally ill people have bravely shared with her. This book is an important one to read if you care about the mentally ill in your community, your family and the world. (Review based on uncorrected advance proof.)

  8. 5 out of 5

    Grandma Sue

    Rosalynn Carter and her co-writer offer an up-to-date evaluation of the progress in this challenging area of medicine. Although social services are very slow to catch up with what research proves effective, especially in these tough economic times, it's encouraging that research is showing with proper treatment recovery is possible in most cases. The most recent pharmaceutical and brain research is also covered. The need for more advocacy and education of the general public becomes obvious and i Rosalynn Carter and her co-writer offer an up-to-date evaluation of the progress in this challenging area of medicine. Although social services are very slow to catch up with what research proves effective, especially in these tough economic times, it's encouraging that research is showing with proper treatment recovery is possible in most cases. The most recent pharmaceutical and brain research is also covered. The need for more advocacy and education of the general public becomes obvious and imperative. I'd recommend this to any citizen who wants to understand the needs of one in every five Americans who experience some form of mental illness sometime during their lives, and especially to people with the power to affect government/health policy.

  9. 4 out of 5

    Robert

    I read this book because an autographed copy was given to me by Amy Woodward. It surpassed my expectations. This book is an honest assessment of what has gone wrong and would can be done to better the plight of our nation's mentally ill. The most dismal realization for me was the chapter that dealt with the way our society has gone from rescuing the mentally ill from institutions to just criminalizing them and throwing them into the justice system. Cautiously optimistic, Rosalynn provides exampl I read this book because an autographed copy was given to me by Amy Woodward. It surpassed my expectations. This book is an honest assessment of what has gone wrong and would can be done to better the plight of our nation's mentally ill. The most dismal realization for me was the chapter that dealt with the way our society has gone from rescuing the mentally ill from institutions to just criminalizing them and throwing them into the justice system. Cautiously optimistic, Rosalynn provides examples where taking the needs of the mentally into account circumvents disasters such as "suicide by police officer" and actually saves communities money.

  10. 4 out of 5

    Deborah

    Rosalynn Carter has been involved in attempting to improve the mental health system of the United States for a long time. Her book gives an important overview of the mental health system both at the time of the presidency of her husband and at the current time. Her discussion of the issues is an important wake-up call that there remains much work to be done to improve the treatment and well-being of those who have mental illness.

  11. 4 out of 5

    Jill

    Glad for the attention to the topic by famous people, but the book itself is a weak regurgitation of the obvious. I found no plan or strategy or useful insights. Disappointing.

  12. 4 out of 5

    Sally

    I loved the straightforward style of this book. Mrs. Carter has much to say about what needs to happen to repair the mental health system so it supports people who live with mental illness.

  13. 5 out of 5

    Alexia

    Great introduction to issues related to mental health

  14. 4 out of 5

    Li

  15. 4 out of 5

    Emily

  16. 5 out of 5

    Diane Dreher

  17. 4 out of 5

    Adam Burgdorf

  18. 5 out of 5

    Elaina Meier

  19. 5 out of 5

    Julie

  20. 4 out of 5

    Ginny

  21. 4 out of 5

    Breanna

  22. 4 out of 5

    Emma M

  23. 5 out of 5

    Andrés Liévano

  24. 4 out of 5

    Cstauffer

  25. 5 out of 5

    Ramona

  26. 5 out of 5

    Christine M Baxter

  27. 5 out of 5

    Mandi

  28. 4 out of 5

    Brittany Farrell

  29. 5 out of 5

    Kassel

  30. 5 out of 5

    Dave Murray

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