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Competency in Combining Pharmacotherapy and Psychotherapy: Integrated and Split Treatment

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Overview

This essential work provides the ideal text for psychiatry residents who need to develop and demonstrate competency in providing psychotherapy and pharmacotherapy in both integrated and split approaches — a competency required by the Residency Review Committee in Psychiatry.

Clinically and developmentally oriented, Competency in Combining Pharmacotherapy and Psychotherapy: Integrated and Split Treatment focuses on competencies in adult psychiatry in the outpatient setting. The authors detail guidelines for assessing residents' competency to provide both integrated treatment (delivered by one professional) and split treatment (delivered in collaboration by two or more professionals). They present these guidelines in two main standalone sections, which can and should be read separately. Both sections deal with similar problems and thus contain similar information, such as selection of medication and psychotherapy, evaluation and opening, sequencing and maintenance, and termination of integrated and split treatments.

Today, the combination of pharmacotherapy and psychotherapy is the most widely used treatment modality for a broad range of psychiatric disorders. Many clinicians believe that it is also far more efficacious and beneficial than either modality used alone. This volume ably addresses some of the more complicated aspects of combining treatments, such as how patient presentation affects pharmacotherapy and psychotherapy, the timing and staging of combined treatment, which therapies should be used in combination with pharmacotherapy, and which professionals should be included in split treatment.

This eminently practical volume will be welcomed by residents and training directors alike as an integral part of all psychiatric residency training programs, and will also be useful to nurse practitioners, physician assistants, social workers, and psychologists.

American Psychiatric Publishing

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Editorial Reviews

M.D.Psychiatrist.com Emile D. Risby

This practical and easy-to-read text clearly describes how to address the issues associated with combining pharmacotherapy and psychotherapy, either by the same provider(integrated treatment) or jointly by 2 providers ( split treatment). The text gives the reader clear objectives and skills that should be mastered to acquire competence in this arena. Clearly, this text is a useful resource for the beginning therapist, both psychiatrics and nonpsychiatrist. It broadly discusses combination of pharmacotherapy and psychotherapy is being considered. Like other texts in this series, competency in combining pharmacotherapy and psychotherapy: Integrated and split Treatment should be required reading for all-and-second-year psychiatry resident. Furthermore, I highly recommend this text to the nonpsychiatrits who will be referring patients for combination therapy.

M.D.Psychiatrist.com - Emile D. Risby
This practical and easy-to-read text clearly describes how to address the issues associated with combining pharmacotherapy and psychotherapy, either by the same provider(integrated treatment) or jointly by 2 providers ( split treatment). The text gives the reader clear objectives and skills that should be mastered to acquire competence in this arena. Clearly, this text is a useful resource for the beginning therapist, both psychiatrics and nonpsychiatrist. It broadly discusses combination of pharmacotherapy and psychotherapy is being considered. Like other texts in this series, competency in combining pharmacotherapy and psychotherapy: Integrated and split Treatment should be required reading for all-and-second-year psychiatry resident. Furthermore, I highly recommend this text to the nonpsychiatrits who will be referring patients for combination therapy.
The Journal of Nervous and Mental Disease
As a teaching manual, it presents the distilled clinical wisdom of the authors in a practical, common-sense way (avoiding reference to psychodynamics in favor of bio-psycho-social). Useful both to residents who prefer to have psychopharmacologically expert colleagues manage part of the treatment of their patients, as well as those, the majority, who handle all aspects themselves. This approach seems more open and more conducive to teaching therapeutic flexibility than the manual-driven approaches in vogue in some quarters. It deserves sympathetic attention.
Doody's Review Service
Reviewer: Regina Rosa Lopez, MD (University of Illinois at Chicago College of Medicine)
Description: This book is one of a series to address the six core areas of competency in each of the psychotherapies. The areas as outlined by the Psychiatry Residency Review Committee of the Accreditation Council for Graduate Medical Education (ACGME) include: patient care, medical knowledge, interpersonal and communication skills, practice-based learning and improvement, professionalism, and systems-based practice. This one focuses on the combined psychotherapy with psychopharmacology treatment modality. After a competency has been detailed, there is a suggested way to evaluate whether that competence has been achieved.
Purpose: The intended purpose is to serve as a basic text for residents and teaching faculty in addressing competency in combining psychotherapy and pharmacotherapy. These are worthy objectives, and this book will help to better evaluate and improve a resident's performance in residency.
Audience: Written for residents and faculty in the field of psychiatry, this book would be particularly helpful for the beginning resident. The authors are credible authorities.
Features: The book is divided into two parts, integrated and split treatment. Within each part, the process of, and the problems that occur with, each treatment are discussed in detail. The authors have made the information as clinically applicable as possible. In addition, the content is well organized and easy to read. The shortcoming is that this book may be too simplistic for the senior resident. Also, there seems to be a lot of overlap between the two sections, although I do understand the authors' intentions.
Assessment: This would be an excellent guide for the beginning resident, but it is a little too simplistic for the experienced resident. It uses a unique technique to detail the fundamentals of practice and ways to evaluate whether competence has been achieved.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781585621439
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 5/28/2005
  • Series: Core Competencies in Psychotherapy Ser.
  • Edition description: New Edition
  • Pages: 168
  • Sales rank: 1,148,018
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.35 (d)

Meet the Author

Michelle B. Riba, M.D., M.S., is Clinical Professor of Psychiatry in the Department of Psychiatry at University of Michigan in Ann Arbor, Michigan.

Richard Balon, M.D., is Professor of Psychiatry in the Department of Psychiatry and Behavioral Neurosciences at Wayne State University in Detroit, Michigan.

American Psychiatric Publishing

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Table of Contents

Preface. Introduction to integrated and split treatment. Part I: Integrated Treatment. Selection of medication and psychotherapy in integrated treatment. Evaluation and opening in integrated treatment. Sequencing in integrated treatment. Termination in integrated treatment. Part II: Split Treatment. Selection of medication, psychotherapy, and clinicians in split treatment. Evaluation and opening in split treatment. Sequencing and maintenance in split treatment. Termination in split treatment. Part III: Evaluation, Monitoring, and Supervision. Evaluation, monitoring, and supervision of integrated and split treatment. Index.

American Psychiatric Publishing

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