Emergency Psychiatry / Edition 1

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Overview

The field of emergency mental health care is evolving rapidly. In addition to continued widespread use of the traditional consultation model, in which psychiatrists provide on-call assistance to emergency department physicians, specialized psychiatric emergency services (PESs) are available in many cities, and newer models of integrated community psychiatric emergency care are being developed and implemented. With the spread of AIDS, the aging of the population, and the popularity of recreational substances of abuse, the scope and complexity of the field have increased as well. Emergency Psychiatry provides a snapshot of the current state of the art of this fast-paced discipline.

Readers of this volume will find • Survey of the major service models used in emergency psychiatry: the consultation model, the specialized PES model, and newer community models (crisis hospitalization, mobile teams, crisis residences)• Principles of triage of patients presenting to an emergency department with psychiatric problems, including a discussion of instruments used to assess psychosocial and cognitive functioning• Guidelines for assessing risk of suicide or violence• Standards for behavioral management of agitation and aggression aimed at reestablishing inner and outer controls for the patient in the least coercive manner• Discussion of legal and regulatory issues affecting emergency room practice• Guidance on application of psychotherapeutic technique to interviewing patients in crises so as to communicate concern, elicit cooperation and essential information about the patient's state, and foster an alliance that facilitates appropriate treatment

Psychiatric emergencies can occur at any time and in any setting; for this reason, every mental health clinician should be familiar with the principles of crisis management and the cutting-edge issues surrounding the provision of emergency psychiatric care. Intended for psychiatrists, psychiatric and emergency medicine residents, and all mental health practitioners, this book offers an accessible guide to current practice and thought in this exciting field.

American Psychiatric Publishing

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Editorial Reviews

Australia and New Zealand Journal of Psychiatry Robert Shields

As a practicing acute psychiatrist, there was much I found useful. The overview of models of psychiatric emergency service delivery was particularly interesting, given the tendency to myopic views from within one's own institution.

Brook Zitek

This book is a must-have primer for all clinicians at every level of training. It serves as an introduction to the literature for novices and review of the literature for the more seasoned clinician. All disciplines would benefit from this book; it is a quick way to get up to speed on the key issues in the growing field of emergency psychiatry.

Donna M. Moores

This small volume is an excellent resource for clinicians, teachers, students, and administrators interested in mental health crisis intervention and emergency psychiatry.... It is vital, resourceful, and timely -- the same attributes one would expect to find in all goof psychiatric emergency services.

Doody's Review Service
Reviewer: Nishad J. Nadkarni, MD (Rush University Medical Center)
Description: This book, part of the Review of Psychiatry series, attempts to delineate principles of emergency psychiatric management.
Purpose: The author feels that a strong and thorough understanding of psychiatric emergencies in various contexts is essential for safe and effective medical care.
Audience: A variety of mental health professionals are targeted, according to the authors, including psychiatrists, psychiatric social workers, and others involved in direct patient care.
Features: A chapter-by-chapter examination of various treatment strategies, ranging from psychopharmacology to behavioral interventions, is presented in the context of the emergency psychiatry service. A fair number of pertinent and relevant references support the material. A relative paucity of algorithmic approaches, however, mars this effort.
Assessment: A number of serious shortcomings characterize much of the material presented in this book. Specifically, medicolegal issues in the context of emergency care are extremely important, and yet are not addressed to any significant degree here. In addition, there is an overemphasis on management of psychiatric emergencies in a hospital setting, and little elaboration on management strategies in other contexts such as the community or consultation settings is offered.
Metapsychology Online Book Reviews

The book is recommended to mental health workers, and especially to students and especially to those new to psychiatric emergency work. It would be a useful resource in libraries for students of health and medical studies.

From The Critics
Allen (psychiatry, U. of Colorado School of Medicine) presents five chapters that provide an overview of the state of the field of emergency psychiatry. Chapters cover the structure and function of emergency services; medical, psychiatric, and cognitive assessment in the services; assessment and treatment of suicidal patients; treatment of agitation and aggression; and psychosocial interventions. Annotation c. Book News, Inc., Portland, OR (booknews.com)

2 Stars from Doody
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Product Details

  • ISBN-13: 9781585620708
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 4/28/2002
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 216
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.50 (d)

Meet the Author

Michael H. Allen, M.D., is Director of Inpatient Psychiatry at Colorado Psychiatric Health and Assistant Professor of Psychiatry at the University of Colorado School of Medicine in Denver, Colorado.

American Psychiatric Publishing

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Table of Contents

Preface. Structure and function of psychiatric emergency services. Medical, psychiatric, and cognitive assessment in the psychiatric emergency service. Assessment and treatment of suicidal patients in an emergency setting. Emergency treatment of agitation and aggression. Psychosocial interventions in the psychiatric emergency service: a skills approach. Index.

American Psychiatric Publishing

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