Doody's Review ServiceReviewer: John K. Larson, MD (Rush University Medical Center)
Description: This is a compilation of articles by eminent authors, mostly psychiatrists, dealing with the economic revolution in healthcare and its implications for the practice of psychiatry. The book is organized into three sections. Section one deals with psychiatric assessment and crisis intervention. Section two is divided into two parts; the first discusses specific disorders and the second outlines specific interventions and treatments, including case management and home-based care. Section three deals with the administrative aspects of acute care psychiatry, such as legal and ethical issues, training, treatment guidelines, quality assessment, and professional satisfaction and compensation.
Purpose: The purpose is to provide a comprehensive text for the study and practice of acute care psychiatry, which the authors define as the accurate diagnosis and formulation of the symptoms, signs, and painful experiences that patients present; the provision of the most worthwhile treatments in the least-restrictive, cost-effective sites of service; and the ability to prove that the care provided brings clinical improvement in a manner that meets the patient's definition of satisfaction and is also cost-effective.
Audience: The book is directed at psychiatrists, administrators of systems of mental health care, psychiatric residents, and other mental health professionals. It will be of special interest to those who work in managed care settings.
Features: This is an attractive book that contains cogently written, well-outlined chapters, numerous tables, extensive bibliographies, a useful appendix, index, and an appropriate number of helpful illustrations. The tone is remarkably consistent throughout the book, presumably because of the careful selection of contributors and attentive editing.
Assessment: The editors and contributors succeed admirably in this ambitious new text, which integrates theoretical, clinical, ethical, and practical concerns brought about by the economic forces currently affecting our work with patients. This book should be a valuable resource for any thoughtful clinician at any level of experience.