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This book offers a unique glimpse into the startlingly complex world of acute children's psychiatry through 12 chapters, each inspired by the actual visit of a child in psychiatric crisis to one of the most well-known psychiatric emergency rooms in the nation. Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service: What Happens to Children with Acute Mental Illness takes the reader inside the child psychiatry emergency room at Massachusetts General Hospital (MGH) in Boston. Each chapter highlights both the child's dilemma and the doctors' thought processes, and stresses the elements of rapid assessment. The real-life patient stories also offer myriad teaching points about child development and the warning signs of illness, and provide compelling lessons regarding types of interactions with school systems, health care systems, and family systems. Each individual story presents the breadth and depth of the child psychiatric emergency evaluation at MGH, from initial assessment to disposition, presenting a genuine glimpse into the children's psychiatric emergency room at one of the nation's most famous psychiatric departments. This book demonstrates vividly how even the best-intentioned communities can fail to offer services to their neediest families. Each story presents a fascinating glimpse into the complex and sometimes tragic world of child psychiatry on the front lines.
"This is a book of Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service - What Happens to Children with Acute Mental Illness"--Provided by publisher.
"This is a book of Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service - What Happens to Children with Acute Mental Illness"--Provided by publisher.
This fully updated second edition focuses on mental illness, both globally and in terms of specific mental-health-related visits encountered in emergency department settings, and provides practical input from physicians experienced with adult emergency psychiatric patients. It covers the pre-hospital setting and advising on evidence-based practice; from collaborating with psychiatric colleagues to establishing a psychiatric service in your emergency department. Potential dilemmas when treating pregnant, geriatric or homeless patients with mental illness are discussed in detail, along with the more challenging behavioral diagnoses such as substance abuse, factitious and personality disorders, delirium, dementia, and PTSD. The new edition of Behavioral Emergencies for Healthcare Providers will be an invaluable resource for psychiatrists, psychologists, psychiatric and emergency department nurses, trainee and experienced emergency physicians, and other mental health workers.
This leading text is essential reading for all those working in the paediatric emergency medicine setting who require concise, highly practical guidance that incorporates the latest best practice and evidence-based guidelines. The Textbook of Paediatric Emergency Medicine provides clear, concise and comprehensive information to support clinicians in what can be a challenging area to provide care. It not only covers diagnosis and management of all common presentations, but it also includes practical tips on communicating with both patients and their families. As a companion book to Cameron’s Textbook of Adult Emergency Medicine, this volume is specifically tailored to the educational needs of emergency medicine trainees, but is also expected to benefit others working in the emergency setting including paramedics and emergency nurse specialists. Concise chapters and key point boxes allow for the quick and easy retrieval of information Comprehensive coverage of all major topics that present within paediatric emergency care Practical tips on communicating with patients and their families All key topics updated to include latest available evidence New section on COVID-19 and Infection control Expanded and enhanced coverage of the use of ultrasound in emergency care
This book is about modern politics and young people. Judith Bessant revises some long-standing myths about children and young people’s politics. She highlights the huge gap between the many ways young people and politics are talked about and how they have long been politically active. Bessant draws on a relational historical sociology to show how since the nineteenth century certain historical dynamics, political interests and social imaginaries have enabled social scientists, writers, political leaders and policymakers to imagine and ‘make up’ different kinds of young people. Given these representations of childhood, adolescence and youth, everyone knows that young people are cognitively immature, inexperienced, morally under-developed and lack good judgement. For these reasons they cannot possibly be allowed to engage in the serious, grown-up business of politics. Yet in just one of the many contradictions, young people are criticised by many of their elders for being politically apathetic and disengaged from politics. Many think recent global warming movements largely led by quite young people are a novel phenomenon. Yet young people have been at the forefront of political movements of all kinds since the French Revolution. Since the 1960s, children and young people increasingly played a major, if sometimes obscured, role in civil rights, anti-war, anti-globalisation, anti-austerity and global-warming movements. This accessible book is rich in theoretical and historical insight that is sure to appeal to sociologists, historians, youth studies scholars and political scientists, as well as to the general reader.
Falling Into the Fire is psychiatrist Christine Montross’s thoughtful investigation of the gripping patient encounters that have challenged and deepened her practice. The majority of the patients Montross treats in Falling Into the Fire are seen in the locked inpatient wards of a psychiatric hospital; all are in moments of profound crisis. We meet a young woman who habitually commits self-injury, having ingested light bulbs, a box of nails, and a steak knife, among other objects. Her repeated visits to the hospital incite the frustration of the staff, leading Montross to examine how emotion can interfere with proper care. A recent college graduate, dressed in a tunic and declaring that love emanates from everything around him, is brought to the ER by his concerned girlfriend. Is it ecstasy or psychosis? What legal ability do doctors have to hospitalize—and sometimes medicate—a patient against his will? A new mother is admitted with incessant visions of harming her child. Is she psychotic and a danger or does she suffer from obsessive thoughts? Her course of treatment—and her child’s future—depends upon whether she receives the correct diagnosis. Each case study presents its own line of inquiry, leading Montross to seek relevant psychiatric knowledge from diverse sources. A doctor of uncommon curiosity and compassion, Montross discovers lessons in medieval dancing plagues, in leading forensic and neurological research, and in moments from her own life. Beautifully written, deeply felt, Falling Into the Fire brings us inside the doctor’s mind, illuminating the grave human costs of mental illness as well as the challenges of diagnosis and treatment. Throughout, Montross confronts the larger question of psychiatry: What is to be done when a patient’s experiences cannot be accounted for, or helped, by what contemporary medicine knows about the brain? When all else fails, Montross finds, what remains is the capacity to abide, to sit with the desperate in their darkest moments. At once rigorous and meditative, Falling Into the Fire is an intimate portrait of psychiatry, allowing the reader to witness the humanity of the practice and the enduring mysteries of the mind
Physicians who choose to serve in public-sector mental healthcare settings and physicians-in-training assigned to public-sector mental health clinics may not be fully prepared for the many roles of the public and community psychiatrist. Public and Community Psychiatry is a concise guide for the resident and early-career psychiatrist called upon to serve in the roles of public-sector clinician, team member, advocate, administrator, and academician. Each chapter includes a concise description of these various roles and responsibilities and offers engaging examples of the public psychiatrist at work, as well as case-based problems typical of those faced by the public psychiatrist. Each chapter also features works of art and literature, usually from the public domain, in order to incorporate the core strengths of medical humanities into the dialogue of public-sector mental healthcare. This book aims to provide a level of support to psychiatrists that fosters their desire, individually and collectively, to serve the poor and the marginalized with grit and determination, and to broadly consider their potential to improve not only their patients' well-being, but also these patients' incorporation into their respective communities.
She helps people put their demons to rest. But she has a few of her own... In the lockdown ward of a psychiatric hospital, Dr. Nadine Lavoie is in her element. She has the tools to help people, and she has the desire—healing broken families is what she lives for. But Nadine doesn't want to look too closely at her own past because there are whole chunks of her life that are black holes. It takes all her willpower to tamp down her recurrent claustrophobia, and her daughter, Lisa, is a runaway who has been on the streets for seven years. When a distraught woman, Heather Simeon, is brought into the Psychiatric Intensive Care Unit after a suicide attempt, Nadine gently coaxes her story out of her—and learns of some troubling parallels with her own life. Digging deeper, Nadine is forced to confront her traumatic childhood, and the damage that began when she and her brother were brought by their mother to a remote commune on Vancouver Island. What happened to Nadine? Why was their family destroyed? And why does the name Aaron Quinn, the group's leader, bring complex feelings of terror to Nadine even today? And then, the unthinkable happens, and Nadine realizes that danger is closer to home than she ever imagined. She has no choice but to face what terrifies her the most...and fight back. Sometimes you can leave the past, but you can never escape. Told with the trademark powerful storytelling that has had critics praising her work as "Gripping" (Kirkus), "Jaw-dropping" (Publishers Weekly) and "Crackling with suspense" (People magazine), ALWAYS WATCHING shows why Chevy Stevens is one of the most mesmerizing new talents of our day.