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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)
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.
Emergency psychiatry is a broad field, covering situations in which a psychiatric problem, if untreated, could cause immediate harm to the patient or others. This book is a valuable, in-depth resource that is robustly rooted in clinical practice. Engaging and readable, it explores in practical detail topics often excluded from mainstream texts. Each chapter is written by an experienced clinician from that specialty. Topics covered include emergencies in child and adolescent psychiatry, violence and aggression, suicide risk, situations involving substance misuse, emergencies in liaison psychiatry, acute side-effects of antipsychotics, perinatal psychiatric emergencies. This is a useful resource for all junior doctors (especially core psychiatric trainees), nurses and multi-disciplinary healthcare professionals.
Principles of Inpatient Psychiatry is geared to psychiatrists working in inpatient settings: residents, psychiatrists who occasionally provide inpatient care, and psychiatric "hospitalists" who specialize in the inpatient arena. Inpatient settings contain the sickest psychiatric patients, such as those with a high risk of suicide, agitation requiring emergency management, or treatment-resistant psychosis and depression, all topics discussed in the book. Co-morbid general-medical illness is common, and the book focuses attention, supported by case examples, on medical and neuropsychiatric as well as general-psychiatric evaluation and management. Chapters address special clinical problems, including first-episode psychosis, substance abuse, eating disorders, and legal issues on the inpatient service. The editors bring expertise to bear on a wide range of treatments, including psychopharmacologic, psychodynamic, and milieu approaches.
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.
This is the definitive textbook on global mental health, an emerging priority discipline within global health, which places priority on improving mental health and achieving equity in mental health for all people worldwide.
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. A Case-Based Approach to Emergency Psychiatry, written by psychiatrists who work daily in the emergency setting, will assist the emergency department clinician in learning these skills through vivid, complex cases that illustrate basic principles of assessment, diagnosis, and treatment.
Although consultation liaison (CL) psychiatry has been practiced informally for many years, it has been recognized as a psychiatry subspecialty for less than two decades. This textbook addresses the important interface between the wide range of medical or surgical conditions and comorbid psychiatric disorders encountered in most hospital settings as well as outpatient sites. Because many patients admitted to a general hospital may have one or more psychiatric conditions that require attention and treatment to facilitate their recovery, this book will be an essential addition to any CL psychiatrist's library; it will be equally useful for consultation liaison psychiatry fellows, psychiatry residents, general psychiatrists who are interested in CL psychiatry or who perform psychiatric consultations from time to time, medical students on their CL psychiatry clerkships, psychiatric nurse practitioners, and attending neurologists and neurology residents and fellows.This book includes chapters that address the most prevalent, as well as rare medical conditions found among hospitalized patients and reviews assessment and treatment of the co-occurring psychiatric condition. For example, the Heart Disease chapter addresses patients' responses to a new, potentially life-threatening cardiac event, and explains the essential steps and interventions a CL consultant should take to optimize patient care and safety - as well as ways to help the care team to better understand and manage their own stress. Other chapters, among a total of 24, include Women's Health, Ethical and Legal Issues, and Eating Disorders. In addition, this book covers new areas or ones that are rarely or less comprehensively addressed in other CL texts, among them: Vulnerable Populations (including sections on psychiatric assessment and care of veterans, refugees, prisoners, LGBTQ-identified patients, and elders), Quality and Outcomes, Collaborative Care, and Telepsychiatry. This text includes more than 60 tables, and each chapter includes five multiple choice study questions with annotated answers. As a stand-alone reference, it is an inclusive, up-to-date, and state-of-the art database for this exciting and essential subspecialty. When paired with its sister text, Fundamentals of Consultation Liaison Psychiatry: Neuropsychiatry, these two volumes will empower readers to more precisely and comprehensively assess and treat medical or surgical patients suffering with one or more psychiatric conditions that may be adversely affecting their health and recovery.
Acute Psychiatric Emergencies is designed for all medical and healthcare professionals working with patients in mental health crisis. This manual is a key component of the Acute Psychiatric Emergencies (APEx) course, which uses a structured approach developed by leading psychiatry and emergency medicine specialists with years of practical experience. This valuable resource provides a practical approach for dealing with mental health emergencies, helping healthcare professionals from different specialties speak a common language and develop a shared understanding that expedites excellent care. The manual outlines the assessment and management of patients who have self-harmed, those that are apparently drunk, the patient behaving strangely, the patient with acute confusion, and those that are aggressive. Presents a structured, practical approach for the emergency care of patients presenting in acute psychiatric crisis Covers common presentations of psychiatric emergencies Emphasises close co-operation of emergency and mental health teams Offers content designed jointly by practicing psychiatrists and emergency physicians from the Advanced Life Support Group (ALSG) Acute Psychiatric Emergencies will be useful for practitioners of emergency medicine, psychiatry, emergency and mental health nursing as well as other mental health and crisis care professionals.