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Doody ReviewsReviewer: Aaron Plattner, MD (Rush University Medical Center)
Description: This is a comprehensive guide to applying evidence-based psychiatric treatment in a psychiatric emergency setting.
Purpose: Because the psychiatric emergency setting is a vital part of psychiatric treatment and training of psychiatrists, the authors strive to educate readers on the various conditions they will encounter in patients in this setting and give them the tools for providing the best possible care.
Audience: Although the audience includes any healthcare providers who directly care for patients with mental health disorders in an emergency setting, psychiatric resident physicians and attending psychiatrists who work in these settings will derive the most benefit.
Features: The book reviews several chief psychiatric complaints in an emergency room including suicide, violence, catatonia, various mood disorders, psychosis, and patients under the influence of substance abuse. Chapters are devoted to specific age groups, such as children and adolescents and the elderly. Other chapters cover the practical topics of the general approach in an emergency room, restraints, discharge planning, legal issues, the transfer of patients from an outpatient setting to an emergency setting, and supervision of medical students and resident physicians. Each chapter has helpful charts and graphs with appropriate case examples that enable readers to follow a case as it progresses. Chapters end with a summary of the key points, references, and suggestions for further reading, and the book ends with a helpful index.
Assessment: During my training, I was provided with a variety of articles and chapters on this topic from several different sources. This book efficiently summarizes the various issues that arise in a psychiatric emergency setting, with additional chapters that provide more practical information that is not specifically covered in other books. The arrangement of the chapters, based on chief complaints rather than specific psychiatric diagnoses, enables readers to better translate the information into clinical practice. Based on my experience, both as a resident in an academic setting and moonlighting at a county hospital, the majority of the cases I encountered are adequately covered in this book, However, a separate chapter on how to properly address and treat patients with malingering behavior should be included in subsequent editions.