Introduction. Section 1: Orienting material: the background to care. The mental health service user. History of mental health nursing and psychiatry. Race, culture and ethnicity in mental health care. Section 2. Mental healthcare: approaches to client problems. Schizophrenia; nature, treatment and care. Mood disorders: depression and mania. Psychosocial interventions. Medication management. 'Dual diagnosis': an integrated approach to care for people with co-occurring mental health and substance use problems. Inpatient nursing. Panic, phobias and obsessive compulsive disorder. Eating disorders. Post-traumatic disorders. Assessment and management of risk: violence, suicide and self-harm. Mental health in primary care. Child and adolescent difficulties. Mental health and older people. Physical health and severe mental illness. Computerised self-help and information technology. Alternatives to traditional mental health treatments. Forensic nursing.