Acute Care Psychiatry

The hospital inpatient service is no longer the only site for acute psychiatric care. Instead, crisis units now receive and evaluate acute care patients. Many patients still go into hospital care, but many are held briefly, stabilized and "discharged" to intensive (not inpatient) levels of care. These include 24-hour residential programmes, partial hospital (day programmes) and intensive (more than twice a week) outpatient follow-ups. For those hospitalized, their stays are typically brief and patients are "stepped down" to other services. The domain of inpatient psychiatry has expanded. The value of this expansion has been to reduce the unnecessary utilization of hospital stays, which reduces the regressions common to lengthy internment and also reduces costs. This text aims to educate on the complex subject of managing acute patients across the spectrum of services. It begins by addressing the crucial subject of assessment, with a model of four questions - diagnosis, character diagnosis, formulation and focal problem. Assessment in the primary care is included as well as additional psychiatric setting. The specific disorders that represent the largest number of patients requiring acute care are covered. Specific interventional treatments are covered in a separate section.

ISBN 0683300067   DEWEY 616.89028 ISBN13 9780683300062 (What's this?)   DEWEY edition DC21 Publisher Lippincott Williams and Wilkins   Pages 500 Imprint Lippincott Williams and Wilkins   Volumes 000 Format Paperback   Weight (grammes) 1350 Publication date 01 May 1997   Published in Philadelphia Non-book description xviii, 577 p. :   Height (mm) 254 Illustrator Wayne Hubbel   Width (mm) 178 Library of Congress RC480.6.A2   Academic level Undergraduate, Postgraduate, Professional / Scholarly

		Contributors
		Introduction by Lloyd I. Sederer
1		The Four Questions by Lloyd I. Sederer		3
2		Suicide Risk Assessment by Anthony J. Rothschild		15
3		Risk Assessment - Violence by Douglas Hughes		29
4		Psychiatric Triage, Crisis Intervention, and Disposition by Trude Kleinschmidt and Kathy Sanders		47
5		Acute Psychiatric Disorders in Primary Care by Michelle Riba and Rachel Glick		67
6		Depression by Tana A. Grady and Lloyd I. Sederer and Anthony J. Rothschild		83
7		Panic and Obsessive-Compulsive Disorders by Patricia A. Harney and James M. Ellison		123
8		Mania by Mauricio Tohen		141
9		Schizophrenia by Lloyd I. Sederer and Franca Centorrino		167
10		Trauma and Dissociative Disorders by James A. Chu		195
11		Substance-Related Disorders by Gwen Zornberg and Roger Weiss		221
12		Disorders of the Geriatric Population by Stephen L. Pinals and Andrew Satlin		249
13		Disorders of Childhood and Adolescence by Gordon Harper		277
14		Borderline and Antisocial Personality Disorders by Joseph Triebwasser and Lloyd I. Sederer		293
15		Case Management by Lisa Dixon and Jack Scott		323
16		Family Support and Intervention by Ira D. Glick and John F. Clarkin		337
17		Focal Psychotherapy by Michael J. Bennett		355
18		Group Psychotherapy by Susan Kemker and Howard D. Kibel		375
19		Home-Based Care by David Fassler and Gail Hanson-Mayer and Elizabeth G. Brenner		391
		More...

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