Mental health services in England and Wales are currently at a critical point in terms of their development. This book explores theoretical developments and policy and practice initiatives in this complex and changing area. It examines the tensions, dilemmas and opportunities now operating, including those relating to gender and ethnicity and places the involvement of users/survivors centre stage. The text examines the tensions between different professional models, varying 'social' perspectives and political imperatives and explores how these tensions are manifested in practice. Topics covered include:the emphasis on risk as opposed to citizenship and entitlement; social exclusion and inclusion; professional and user perspectives; the 'territories' of health and social care and their respective roles and relationships. An important theme running throughout is the critical appraisal of perspectives concerning gender, ethnicity and sexuality, drawing out wider issues of power and inequality. The book makes ideas and theoretical policy material accessible and applicable, and is a key text for students and practitioners in mental health, social work and social care.