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I have spent the best part of the last quarter of a century working on the con sultation service at the Massachusetts General Hospital. Much of my satisfaction has stemmed from working with nonpsychiatric physicians, especially in having them come to realize the value of psychological methods in the treatment of their patients. It has always been my belief that learning to understand the patient's mental life was as much a part of medicine as the taking of vital signs. To treat adequately, certainly to treat well, a physician must know something of his patient's thought processes. Teaching others the value of this knowledge is the first step in educating them to seek ways of learning it themselves. Rarely can this be done in the lecture hall. One can best pique curiosity by demon strating worth, and that is done at the bedside or in whatever setting the con sultation is carried out. Every consultation then carries an implicit imperative to attest its value. It can be covert teaching at its best. I have found the practice of consultation psychiatry satisfying and compelling enough to want to remain in it for at least another quarter of a century .
Clinical Manual of Pediatric Consultation-Liaison Psychiatry offers a comprehensive guide for mental health clinicians, trainees, and students to pediatric consultation-liaison psychiatry (CLP), a specialized area of psychiatry whose practitioners have particular expertise in the diagnosis and management of psychiatric disorders in complex physically ill children and adolescents. Patients commonly fall into one of three descriptive categories: those with comorbid emotional and physical illnesses that complicate each other's management; those with distressing somatic symptoms plus abnormal thoughts, feelings, and behavior in response to these symptoms; and those with psychiatric symptoms that are a direct consequence of a physical illness and/or its treatment. The text, authored by two luminaries in pediatric psychiatry, thoroughly explores the challenges faced by these patients and pediatric practitioners and mental health professionals who together care for them, addressing, in a concrete and practical manner, the wide variety of issues encountered in the pediatric hospital. These concerns range from how to address treatment nonadherence in children to how to conduct a psychosocial assessment of a solid organ transplant recipient. The text's carefully chosen features and valuable content include: Historical context for the evolution of "pediatric psychosomatic medicine" to "pediatric consultation-liaison psychiatry," ensuring an accurate, up-to-date representation of the field and proper integration with DSM-5 classification. Detailed clinical assessment protocols, with guidance for exploring interrelated domains such as illness factors, emotional impact, family functioning, and social relationships. These practical, step-by-step guides assist the consultant in conducting a comprehensive psychiatric/psychological assessment. A target symptom-oriented chapter on psychopharmacology in the physically ill child, which offers guidance on management of acute agitation, insomnia, fatigue, depression, and anxiety. The treatment algorithms presented are designed to be easily understood by non-psychiatric clinicians. Guidance on the use of practical interventions to help physically ill children undergoing traumatic medical procedures, including hypnosis, progressive muscle relaxation, and breathing techniques. These specific techniques will help the clinician in assisting distressed patients. The previous edition was considered the gold standard for books in the field. This new, thoroughly revised iteration of Clinical Manual of Pediatric Consultation-Liaison Psychiatry will doubtless inspire similar acclaim for its rigor, accessibility, and clinical wisdom.
The Handbook of Child and Adolescent Systems of Care is a groundbreaking volume that presents the latest thinking in the field of child and adolescent psychiatry written by a stellar panel of child and adolescent psychiatrists. The Handbook shows that the best way to help at-risk children is not in isolated doctor and patient treatment rooms but with community-based systems of care (SOC) that incorporate an interagency integration of services based on a client-centered and family empowering orientation. This important resource offers psychiatrists, psychologists, social workers, counselors, pediatricians, nurses, educators, lawyers and judges, politicians, child advocates, parents, and families a guide to this dynamic new theory and practice. Comprehensive in scope, The Handbook of Child and Adolescent Systems of Care includes vital information on a wide variety of topics including Developmental and cognitive psychology in systems of care (SOCs) Social sciences, neurobiology, and prevention in SOC The best way to use psychopharmacology Family- and community-based interventions Culturally diverse populations Youth in juvenile justice and child welfare, school-based services Partnerships among parents, consumers, and clinicians
Originally published in 2006, this authoritative clinical handbook provides a detailed overview of the main disorders encountered by child and adolescent psychiatrists in clinical practice, ranging from eating, sleep and affective disorders to substance abuse, gender identity disorder and sexual abuse. The approach is evidence based and emphasis is on good clinical practice and quality control of patient care. In contrast to other books in the field, the authors' intention is not to cover exhaustively all the relevant science, but rather to present in condensed form any research findings that are significant for clinical practice. For coherence, each chapter is constructed in the same way: introduction, definition and classification, epidemiology, the clinical picture, aetiology, treatment and outcome. The disorders covered are based on the ICD- 10 and DSM-IV classifications, and appendices include documents for assessment of intervention planning and evaluation.
Community Child and Adolescent Psychiatry addresses questions to consider before assuming a staff or administrative position in a community agency; legal and ethical issues; roles for various disciplines and team members in today's multidisciplinary environment; general principles, tools, and issues; the overall mission of a particular type of agency; and--equally important--the wealth of opportunities to do good work.
"Dulcan's Textbook of Child and Adolescent Psychiatry provides in-depth, DSM-5-aligned evidence-based clinical guidance in such areas as neurodevelopmental and other psychiatric disorders; psychosocial treatments; pediatric psychopharmacology; and special topics, including cultural considerations, youth suicide, legal and ethical issues, and gender and sexual diversity. This third edition includes expanded information on telehealth, e-mental health, and pediatric consultation-liaison psychiatry"--
Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides expert guidance to practitioners responding to high-stakes situations, such as children considering or attempting suicide, cutting or injuring themselves purposely, and becoming aggressive or violently destructive. Children experiencing behavioral crises frequently reach critical states in venues that were not designed to respond to or support them -- in school, for example, or at home among their highly stressed and confused families. Professionals who provide services to these children must be able to quickly determine threats to safety and initiate interventions to deescalate behaviors, often with limited resources. The editors and authors have extensive experience at one of the busiest and best regional referral centers for children with psychiatric emergencies, and have deftly translated their expertise into this symptom-based guide to help non-psychiatric clinicians more effectively and compassionately care for this challenging population. The book is designed for ease of use and its structure and features are helpful and supportive: The book is written for practitioners in hospital or community-based settings, including physicians in training, pediatricians who work in office-based or emergency settings, psychologists, social workers, school psychologists, guidance counselors, and school nurses -- professionals for whom child psychiatric resources are few. Clear risk and diagnostic assessment tools allow clinicians working in settings without access to child mental health professionals to think like trained emergency room child psychiatrists--from evaluation to treatment. The content is symptom-focused, enabling readers to swiftly identify the appropriate chapter, with decision trees and easy-to-read tables to use for quick de-escalation and risk assessment. A guide to navigating the educational system, child welfare system, and other systems of care helps clinicians to identify and overcome systems-level barriers to obtain necessary treatment for their patients. Finally, the book provides an extensive review of successful models of emergency psychiatric care from across the country to assist clinicians and hospital administrators in program design. An abundance of case examples of common emergency symptoms or behaviors provides professionals with critical, concrete tools for diagnostic evaluation, risk assessment, decision making, de-escalation, and safety planning. Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a vital resource for clinicians facing high-risk challenges on the front lines to help them intervene effectively, relieve suffering, and keep their young patients safe.
First multi-year cumulation covers six years: 1965-70.
This issue of Child and Adolescent Psychiatric Clinics, guest edited by Drs. Ellen House and John Tyson, will cover key topics of importance surrounding Psychosis in Children and Adolescents. This issue is one of four selected each year by our series Consulting Editor, Dr. Harsh Trivedi. Topics discussed in this issue include but are not limited to: Prodrome, Autism, Trauma, Medical Etiologies, Mood/Anxiety, Childhood onset schizophrenia, Substance Induced, Genetics of childhood onset schizophrenia, Neurocognition in youth with psychosis, Psychopharmacologic approaches, Community Based interventions, Evidence-Based Therapies for psychosis, School based approach to yout
With the advance of evidence-based practice has come the publication of numerous dense volumes reviewing the theoretical and empirical components of child and adolescent treatment. There are also a variety of detailed treatment manuals that describe the step-by-step procedures to guide ongoing research and practice. The second edition of Craig Winston LeCroy's Handbook of Evidence-Based Child and Adolescent Treatment Manuals is a forceful combination of the two approaches, as he gathers fifteen varied treatment manuals and brief summaries of the research supporting each to ensure that practitioners will truly understand how to implement the treatments they are using. A completely revised and expanded edition of the handbook's first edition, this is an essential guide to some of the best programs for helping children and teens. Each chapter begins with an explanatory section that discusses the theoretical and empirical underpinnings of the programs. The treatment manual follows, leading readers through sessions with specific details about conducting the treatment that have been refined and improved through extensive testing and research. Organized into three sections: the major clinical disorders, social problems confronting children and teens, and preventive interventions the Handbook brings together some of the most esteemed researcher-practitioners in the child and adolescent field. The book presents an impressive variety of innovative treatment programs and techniques including: the SiHLE program (intended to prevent problems confronting children and teens, and preventive interventions the Handbook brings together some of the most esteemed researcher-practitioners in the child and adolescent field. The book presents an impressive variety of innovative treatment programs and techniques including: the SiHLE program (intended to prevent HIV through education and self-esteem building), the Children of Divorce Intervention Program (a therapy for younger children stressing resilience and skill-building), and Strengths Oriented Family Therapy (which reaches out to substance-involved adolescents and their families). The Handbook of Evidence-Based Child and Adolescent Treatment Manuals is an indispensable reference for researchers, graduate students, and practitioners working with children and adolescents in a multitude of settings, from schools and juvenile correction centers to group homes and family service agencies.