Casebook of a Residential Care Psychiatrist: Psychopharmacosocioeconomics and the Treatment of Schizophrenia in Residential Care Facilities

Casebook of a Residential Care Psychiatrist: Psychopharmacosocioeconomics and the Treatment of Schizophrenia in Residential Care Facilities

by Martin Fleishman
     
 

The Casebook of a Residential Care Psychiatrist: Psychopharmacosocioeconomics and the Treatment of Schizophrenia in Residential Care Facilities addresses the problems involved in the onsite treatment of mentally ill patients in residential care facilities. This book is the first to identify the need for psychiatrists to be available to individuals in such

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Overview

The Casebook of a Residential Care Psychiatrist: Psychopharmacosocioeconomics and the Treatment of Schizophrenia in Residential Care Facilities addresses the problems involved in the onsite treatment of mentally ill patients in residential care facilities. This book is the first to identify the need for psychiatrists to be available to individuals in such facilities as adult homes, community care homes, transitional living facilities, and rest homes. This vital resource also contains specific recommendations as to how these visits should be conducted with regard to frequency, duration, space, and the types of Medicare procedure codes to utilize. In The Casebook of a Residential Care Psychiatrist, Dr. Fleishman uses his 40 years of experience as a psychiatrist to show you the ins and outs of practicing psychiatry in residential facilities. The book also discusses the profound changes psychiatric drugs have produced in the social, economic, and legal arenas. Using anecdotes, personal stories, and actual documents from Dr. Fleishman's files, this book provides you with a wealth of knowledge not found anywhere else.

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Editorial Reviews

3 Stars from Doody
Doody's Review Service
Reviewer: Raj Tummala, MD (Wyeth Pharmaceuticals)
Description: This is a thorough review of patient treatment in residential care facilities with a focus on patients with schizophrenia. This book is an absolute must for any clinician taking care of patients in private residential facilities.
Purpose: TThe purpose is to provide a comprehensive, easy to read, quick reference of the residential care system.
Audience: It is targeted at anyone dealing with patients in residential care settings such as psychiatrists, residents, social workers, case managers, etc.
Features: Psychopharmacological advances and economic legislations have led to the deinstitutionalization of psychiatry. As a result, chronically ill psychiatric patients now reside in residential facilities. Dr. Fleishman details his experiences in this well written review on the residential treatment system. He starts off with the history of residential care systems and outlines the facilities, the team responsible for the care of the patient with various intervention modalities. He uses case vignettes, and spreads his humor throughout. The section on space, time and techniques deserves special mention: in it, Dr. Fleishman outlines "The Ten Commandments of Residential Care Psychiatry." In view of the disparities that arise in the treatment of mentally ill patients, Dr. Fleishman outlines the various legal and economic problems and calls for a new definition of medical necessity. He does a wonderful job of explaining the Medicare audit process and the complexities associated with the Medicare system. The book has a focus on schizophrenic patients, as they comprise the majority of the patients in these settings. Special emphasis is placed on various pharmacoeconomic measures that reduce costs as a result of on-site services and new pharmacological advances. Dr. Fleishman states six goals for writing this book, including new legislation, Medicare reform, and guidelines for residential care. He has done a great job of making a case for all six of his goals.
Assessment: The book is written in a very practical, user-friendly format differentiating itself from other books in this category. It is an absolute must for anyone dealing with patients in residential care settings.

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Product Details

ISBN-13:
9780789023735
Publisher:
Taylor & Francis
Publication date:
02/28/2005
Pages:
476
Product dimensions:
6.00(w) x 8.30(h) x 1.30(d)

What People are saying about this

Lawrence B. Lurie
MUCH-NEEDED. . . . Sheds light on a formerly ignored subject. . . . A book of clinical wisdom and gems. . . . A DELIGHT TO READ AS WELL AS A PROFOUND LEARNING EXPERIENCE. . . . I learned from the clinical 'how-to' about when to give an IM injection and obtain the appropriate lab tests. I was educated on the bureaucratic 'how-to' of dealing with a Medicare audit and on the intricacies of coding. Dealing with the severely and chronically mentally ill, Dr. Fleishman gives us multiple vignettes that illustrate psychopharmacy. In his humorous way, as he discusses his own psychopathology, he helps improve our understanding of his/our patients.
MD, DFAPA, Chair, APA Committee on Managed Care; Clinical Professor of Psychiatry, University of California, San Francisco
Pedro Ruiz
Dr. Fleishman presents A UNIQUE AND RELEVANT PERSPECTIVE on the dehospitalization process that affected many severely ill psychiatric patients during the last half-century. Additionally, he offers an excellent description of the role of residential care in today's psychiatric practice in the United States. THIS BOOK MUST BE READ BY ALL PSYCHIATRIC PRACTITIONERS. It offers a CLEAR AND COMPREHENSIVE view of the current mental health system in the United States. I particularly enjoyed the series of chapters on the very important topic of psychopharmacosocioeconomics.
MD, Vice President, American Psychiatric Association; Past President, American College of Psychiatrists; Professor and Vice Chair, Department of Psychiatry and Behavioral Sciences, The University of Texas Medical School at Houston

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