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Clinical Manual of Emergency Psychiatry, Second Edition

Author: Michelle B. Riba, M.D., M.S.

Publisher: American Psychiatric Pub

Published: 2015-09-16

Total Pages: 378

ISBN-13: 1585625078

The second edition of Clinical Manual of Emergency Psychiatry is designed to help medical students, residents, and clinical faculty chart an appropriate course of treatment in a setting where an incorrect assessment can have life-or-death implications. Arranged by chief complaint rather than by psychiatric diagnosis, each chapter combines the fresh insights of an accomplished psychiatry trainee with the more seasoned viewpoint of a senior practitioner in the field, providing a richly integrated perspective on the challenges and rewards of caring for patients in the psychiatric emergency department. This newly revised edition presents current approaches to evaluation, treatment, and management of patients in crisis, including up-to-date guidelines on use of pharmacotherapy in the emergency setting; suicide risk assessment; evaluation of patients with abnormal mood, psychosis, acute anxiety, agitation, cognitive impairment, and/or substance-related emergencies; and care of children and adolescents. The editors have created an accessible text with many useful features: * A chapter devoted to effective strategies for teaching, mentoring, and supervision of trainees in the psychiatry emergency service.* Chapters focused on assessment of risk for violence in patients, determination of the need for seclusion or restraint, and navigation of the legal and ethical issues that arise in the emergency setting.* Clinical vignettes that contextualize the information provided, allowing readers to envision applicable clinical scenarios and thereby internalize important concepts more quickly* Constructive "take-home" points at the end of each chapter that summarize key information and caution against common clinical errors.* References and suggested readings to help readers pursue a deeper understanding of concepts and repair any gaps in knowledge. Emergency psychiatry is one of the most stressful and challenging areas of practice for the psychiatric clinician. The guidelines and strategies outlined in Clinical Manual of Emergency Psychiatry, Second Edition, will help psychiatric trainees and educators alike to make sense of the complex clinical situations they encounter and guide them to advance their skills as clinicians and educators.

Emergency Psychiatry

Author: Rachel L. Glick

Publisher: Lippincott Williams & Wilkins

Published: 2008

Total Pages: 562

ISBN-13: 9780781768733

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Written and edited by leading emergency psychiatrists, this is the first comprehensive text devoted to emergency psychiatry. The book blends the authors' clinical experience with evidence-based information, expert opinions, and American Psychiatric Association guidelines for emergency psychiatry. Case studies are used throughout to reinforce key clinical points. This text brings together relevant principles from many psychiatric subspecialties—community, consultation/liaison, psychotherapy, substance abuse, psychopharmacology, disaster, child, geriatric, administrative, forensic—as well as from emergency medicine, psychology, law, medical ethics, and public health policy. The emerging field of disaster psychiatry is also addressed. A companion Website offers instant access to the fully searchable text. (www.glickemergencypsychiatry.com)

Handbook of Emergency Psychiatry

Author: Jorge Petit

Publisher: Lippincott Williams & Wilkins

Published: 2004

Total Pages: 360

ISBN-13: 9780781743822

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This handbook is a practical, quick-reference guide to the evaluation and management of acute psychiatric symptoms seen in emergency departments and inpatient psychiatric and medical-surgical units. The book presents a step-by-step approach to each symptom, beginning with a list of questions necessary for initial assessment and proceeding to psychopharmacologic interventions, DSM-IV-TR criteria, differential diagnosis, and disposition guidelines. Additional chapters address safety concerns, the mental status examination, use of restraints and seclusion, child and elder abuse, and special needs of children, adolescents, geriatric patients, mentally retarded individuals, and patients with HIV. A chapter on legal and forensic issues is also included.

Handbook of Emergency Psychiatry E-Book

Author: Hani R. Khouzam

Publisher: Elsevier Health Sciences

Published: 2007-03-09

Total Pages: 688

ISBN-13: 0323076610

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This user-friendly resource presents a patient-centered approach to managing the growing incidence of major psychiatric emergencies in the outpatient setting. Abundant illustrations, tables, and algorithms guide you through the wide range of disorders discussed, and a color-coded outline format facilitates rapid access to essential information necessary for making a proper diagnosis for optimal management outcomes. Organizes information by patient presentation to help you distinguish among conditions that present with similar symptoms. Discusses medical conditions presenting with psychiatric symptoms, where appropriate. Highlights critical information in "Hazard Signs" boxes for quick, at-a-glance review. Uses acronyms and memory aids to enhance recall of information in moments of crisis. Features a chapter discussing the psychiatric effects of bioterrorism. Offers an Improved Suicide Risk Scale with criteria on impulsivity, plan, and lethal level of attempt. Provides valuable tips on interviewing and interacting with patients in various situations, as techniques will vary from depressed suicidal patients to manic and potentially assaultive individuals. Includes appendixes that discuss common psychiatric medications used and important lab values in the ER.

Handbook of Emergency Psychiatry for Clinical Administrators

Author: Gail M. Barton

Publisher: Routledge

Published: 2018-09-24

Total Pages: 404

ISBN-13: 0429834314

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Originally published in 1986, this volume presents the clinical and administrative aspects of emergency psychiatry from the point of view of the clinician administrator involved in organizing and running an emergency service. Part 1 provides an administrative overview of psychiatric emergency care – the development of the field, the concepts, the patient profile, the team, the architecture, fiscal planning, legal constraints as well as training and research issues. Part 2 describes psychiatric emergency care delivery systems in the emergency department, the average hospital wards, the community mental health centers and health maintenance organizations. Part 3 gives examples of the process of administration – in one instance how a psychiatric emergency service developed, in the other how one functions day to day and what themes recur administratively. Part 4 focuses on protocols and models useful to the emergency service administrator: protocols, records, standards of care, politics, liaison with the court, mobile response, collaborative arrangements and disaster preparedness. Part 5 provides an annotated bibliography which reviews and draws attention to the relevant literature for the clinicians and administrators to use in practicing emergency psychiatry.

Clinical Manual of Pain Management in Psychiatry

Author: Raphael J. Leo

Publisher: American Psychiatric Pub

Published: 2007

Total Pages: 286

ISBN-13: 1585622753

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The Clinical Manual of Pain Management in Psychiatry focuses on the role of mental health practitioners in evaluation and assessment, pharmacological management, psychotherapeutic interventions, and comprehensive treatment planning for pain. It balances theoretical foundations of pain pathophysiology with applied clinical information, all the while viewing the patient from biological, psychological, and social perspectives in order to tailor treatment to the whole person. This handy portable guide includes numerous tables and illustrations and expands on the author's previous Concise Guide to Pain Management for Psychiatrists to reflect significant advances in the field of pain medicine. It features particularly extensive revisions regarding the use of psychiatric and other adjunctive medications in pain management; includes updated coverage of common psychiatric comorbidities such as depression, anxiety, and personality disorders; and addresses common pain disorders ranging from headache and back pain to pain related to cancer and HIV. The manual includes an extensively revised chapter on pharmacology, fully discusses psychotherapeutic approaches, and covers special techniques such as acupuncture and regional neural blockade. It also offers updated advice on emerging forensic issues, from disability claims to controlled substance diversion.

Helping Kids in Crisis

Author: Ruth Gerson, M.D.

Publisher: American Psychiatric Pub

Published: 2014-10-03

Total Pages: 230

ISBN-13: 1585624829

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Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a practical, easy-to-use guide for clinicians working with child and adolescent psychiatric emergencies across a range of settings -- from emergency rooms to schools to community pediatric or mental health clinics. More and more children struggle with psychiatric symptoms, while access to treatment remains limited, so pediatricians, social workers, school psychologists, guidance counselors, and school nurses often find themselves treating kids in crisis without available child psychiatric consultation. These crises are high-risk, high-liability situations that are often dangerous and intimidating. This book provides clinical case examples with concrete tools for assessment, de-escalation, and diagnosis, to help clinicians quickly stabilize the crisis and determine when a trip to the emergency room is necessary. Pragmatic and accessible, Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides the up-to-date tools and clinical guidance that practitioners in hospital and community-based settings need to intervene effectively, relieve suffering, and keep their young patients safe.

Clinical Manual for Assessment and Treatment of Suicidal Patients

Author: John A. Chiles

Publisher: American Psychiatric Pub

Published: 2018-08-23

Total Pages: 392

ISBN-13: 1615372024

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Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain -- a quick fix where a long-term effective solution is needed -- and this understanding is the underpinning of the assessment and treatment strategies the authors recommend. The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits). The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes. Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter "Suicidal Patients in Primary Care" explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan. "Tips for Success" appear at intervals, and "The Essentials" are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises. Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians' working libraries.

A Case-Based Approach to Emergency Psychiatry

Author: Katherine Maloy

Publisher: Oxford University Press

Published: 2016

Total Pages: 225

ISBN-13: 0190250844

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Working in an emergency department as a psychiatrist or mental health clinician requires an ability to gain a patient's rapport, establish a differential diagnosis, assess risk and make disposition decisions in a fast-paced and potentially chaotic setting. Patients may be medically ill, agitated, intoxicated, or suicidal, and resources for treatment may be difficult to access. A Case-Based Approach to Emergency Psychiatry provides the emergency department clinician with vivid and complex cases, discussed by psychiatrists who work daily in the emergency setting, that illustrate basic principles of assessment, diagnosis and treatment. These challenging and complex cases are based on the years of experience of the authors combined with current evidence-based practices and discussion. Risk assessment, psychosis, mood disorder, substance abuse, ethics, forensic issues, and personality disorders are discussed, along with child and adolescent, geriatric, and developmental disabilities. Special attention is also paid to alternatives to inpatient care, short-term crisis intervention, and the interface between medical and psychiatric illnesses. The case-based format allows the authors to link aspects of the clinical presentation to discussion and literature review in a memorable and compelling format.

Clinical Manual of Psychiatry and Law

Author: Robert I. Simon

Publisher: American Psychiatric Pub

Published: 2007-04-02

Total Pages: 272

ISBN-13: 1585626406

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In their latest collaboration, Clinical Manual of Psychiatry and Law, noted forensic psychiatrist Dr. Robert Simon and legal scholar Daniel Shuman, both recipients of the Guttmacher Award, have created a unique, practical reference to enable psychiatrists to transform the impact of the law on their clinical practices from an adversary to a working partner. In lieu of scare tactics or horror stories, Dr. Simon and Professor Shuman clearly explain not only what the law requires and why but how best to integrate its requirements to enhance clinical practice and reduce the risk of successful tort claims. They have written a clear, comprehensible, and accessible volume that will guide practitioners through the thickets of the law and benefit their clinical practices. This volume covers a wide range of topics, from confidentiality, privilege, informed consent and the right to refuse treatment to treatment boundaries, involuntary hospitalization, seclusion and restraint, management of violent as well as suicidal patients, and the additional requirements which apply to the treatment and evaluation of minors or persons with mental disabilities. It also includes the tort (i.e., negligence, intentional harm) claims that arise from a breach of the law's expectations. The content reflects the latest legal precedents concerning such topics as: Establishment of the doctor-patient relationship and liability for damages caused by its breach, including new rulings governing confidentiality and testimonial privileges Case law regarding informed consent -- especially the issue of competency when dealing with minors or persons with mental disabilities New rules and regulations restricting the use of seclusion and restraint Guides to the most recent laws regarding involuntary hospitalization and emergency commitment Insights into recent state court decisions concerning disclosures by therapists of threats of harm by patients against others, including such issues as conflicts between the duty to maintain confidentiality and the duty to protect Reviews of recent legislation proscribing sexual misconduct or prosecuting sexual exploitation of patients under existing rape or sexual assault laws Clinicians will find this wealth of knowledge immediately practical and lawyers will appreciate its in-depth treatment of complex psychiatric issues. With extensive references and a glossary of legal terms, Clinical Manual of Psychiatry and Law deserves a place among the top legal references for mental health professionals.