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During the past several decades, the field of mental health care has expanded greatly. This expansion has been based on greater recognition of the prevalence and treatability of mental disorders, as well as the availability of a variety of forms of effective treatment. Indeed, throughout this period, our field has witnessed the introduction and the wide spread application of specific pharmacological treatments, as well as the development, refinement, and more broadly based availability of behavioral, psychodynamic, and marital and family interventions. The community mental health center system has come into being, and increasing numbers of mental health practitioners from the fields of psychiatry, psychology, social work, nursing, and related professional disciplines have entered clinical practice. In concert with these developments, powerful sociopolitical and socioeconomic forces-including the deinstitutionalization movement of the late 1960s and early 1970s and the cost-containment responses of the 1980s, necessitated by the spiraling cost of health care-have shaped the greatest area of growth in the direction of outpatient services. This is particularly true of the initial assessment and treatment of nonpsychotic mental disorders, which now can often be managed in ambulatory-care settings. Thus, we decided that a handbook focusing on the outpatient treatment of mental disorders would be both timely and useful. When we first began outlining the contents of this book, the third edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disor ders (DSM-III) was in its fourth year of use.
This handbook provides a quick, portable, algorithm-based guide to diagnosis and management of common problems seen in adult patients. Written by experienced primary care practitioners, the book emphasizes efficient decision making necessary in the fast-paced realm of the medical office. It covers general considerations such as the physical examination, care of special populations, and pain management and palliative care. It also focuses on common symptoms and disorders by system, including endocrine, respiratory, cardiac, orthopedic, neurologic, genitourinary, and gynecologic. For each disorder, symptoms, red flags, algorithms for differential diagnosis, related symptoms and findings, laboratory workup, treatment guidelines, and clinical pearls are discussed. Handbook of Outpatient Medicine is a valuable resource for primary care physicians, residents, and medical students.
The handouts in this book will help you get the most out of your Matrix treatment. Some handouts ask questions and have spaces for your answers. Other handouts ask you to read and think about a subject or an idea, or they contain advice or reminders about recovery. It is a good idea to keep and review the handouts after you have used them. They will help you stay strong as you continue in your recovery. During each treatment session, your counselor will ask you to follow along on the handout while he or she goes over it with the group. The counselor will give you time to think about what it says and write your answers to questions it may ask. The group will then discuss the handout. You should share your thoughts and ask questions during this time. If you still have questions, there will be more time to ask questions during the last part of each session.
Geared to primary care practitioners, The Washington Manual® of Outpatient Internal Medicine focuses on common ambulatory medical problems encountered in each medical subspecialty. The book has a quick-reference format similar to The Washington Manual® of Medical Therapeutics, with a standard chapter template, a bulleted style, numerous tables and figures, and a two-color design. All chapters are written by house staff and faculty at Barnes-Jewish Hospital and Washington University School of Medicine. Coverage includes the traditional internal medicine subspecialties and other areas where problems are frequently seen in the ambulatory setting, such as dermatology, neurology, ophthalmology, otolaryngology, and psychiatry. Most subspecialties have separate symptom- and disease-based chapters. The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.
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Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
The Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders (IOP) pack-age provides a structured approach for treating adults who abuse or are dependent on stimulant drugs. The approach followed in the treatment package was developed by the Matrix Institute in Los Angeles, California, and was adapted for this treatment package by the Knowledge Application Program of the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration (SAMHSA).The Matrix Intensive Outpatient Treatment for People With Stimulant Use Disorders (IOP) pack-age provides a structured approach for treating adults who abuse or are dependent on stimulant drugs. The approach followed in the treatment package was developed by the Matrix Institute in Los Angeles, California, and was adapted for this treatment package by the Knowledge Application Program of the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration (SAMHSA).
Reflecting the work of an international panel of experts, the International Handbook on Psychopathic Disorders and the Law offers an in-depth and multidisciplinary look at key aspects of the development and etiology of psychopathic disorders, current methods of intervention, treatment and management, and how these disorders impact decision making in civil and criminal law.
Gain the unique approach to enhance relapse prevention in harmful behavior treatment Social Responsibility Therapy for Adolescents and Young Adults: A Multicultural Treatment Manual for Harmful Behavior is a crucial treatment manual that can be used by mental health professionals whose caseload includes a multicultural population of adolescents and young adults who exhibit multiple forms of harmful behavior. This unique therapy enhances relapse prevention in harmful behavior treatment by addressing the target behavior problem, negative social influence problem, and dose-response problem, along with acknowledging that harmful behavior is multicultural and addressing the key criticisms of multicultural therapy through a theory-driven treatment approach that utilizes methods and procedures from existing evidence-based treatments with known multicultural applications. Social Responsibility Therapy for Adolescents and Young Adults: A Multicultural Treatment Manual for Harmful Behavior provides a comprehensive explanation of Social Responsibility Therapy, its advantages, and the intervention evidence-base for multiple forms of harmful behavior. This text discusses in detail the multicultural intervention approach, its rationale, and content. Implementation methods and treatment protocol are explored. The book includes illustrated case studies, tables, figures, and references to additional available readings. Topics discussed in Social Responsibility Therapy for Adolescents and Young Adults: A Multicultural Treatment Manual for Harmful Behavior include: evidence-based procedures used in Structured Discovery learning experiences to target harmful behavior helping clients discover how they acquired, maintained, and generalized a broad range of harmful behavior addressing target behavior problems, negative social influence problems, and the dose-response problem five areas of human functioning that are critical to the wellbeing of self and others which can only be addressed through psychotherapy and forensic parenting developing prosocial behavior alternatives which contribute to both relapse prevention and personal development and much more! Social Responsibility Therapy for Adolescents and Young Adults: A Multicultural Treatment Manual for Harmful Behavior is an essential resource for social workers, counselors, psychologists, and psychiatrists whose caseloads include a multicultural population of young people who exhibit multiple forms of harmful, abusive behavior.