In-patient Child Psychiatry: Modern Practice, Research and the Future / Edition 1

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Essential Reading for clinicians, managers and researchers in child psychiatry, this authoritative book provides accessible coverage of essential theory as well as clear practical guidance to inpatient child psychiatric treatment. This method of treatment has fallen out of fashion in recent years in favour of community-based care, but remains a useful setting for treating more seriously ill patients.
Bringing together contributions from across the profession, this book covers the 'state-of-the-art' in current clinical treatment, and sets a bold new agenda for the future, arguing that inpatient child psychiatric units retain great potential for creative, effective, relevant treatment.

Offers a challenging program for in-patient mental health care & desc. how therapeutic intervention is being developed

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Product Details

  • ISBN-13: 9780415145251
  • Publisher: Taylor & Francis
  • Publication date: 11/10/1998
  • Edition number: 1
  • Pages: 464
  • Product dimensions: 6.14 (w) x 9.21 (h) x 0.94 (d)

Table of Contents

List of figures
List of tables
List of contributors
Pt. I The current context 1
Introduction 1
1 Current challenges 3
2 Current practice: a questionnaire survey of in-patient child psychiatry in the United Kingdom 9
3 Historical themes 22
Pt. II Treatment process 37
4 The process of admission 39
5 Goal setting 51
6 Initial assessment 56
7 The treatment and discharge phases of admission 66
Pt. III Therapeutic elements in in-patient treatment 73
8 Engaging and working with the family 75
9 The ward as a therapeutic agent 93
10 Behavioural and cognitive therapies 110
11 Psychodynamic psychotherapy in the in-patient setting 124
12 Educational management 143
Pt. IV Team organisation and dynamics 155
13 The in-patient team: models from management theory 157
14 Team dynamics in different phases of admission 170
15 Staff supervision and support 182
Pt. V Critical areas of management 187
16 Managing oppositional and aggressive behaviour 189
17 Child maltreatment and in-patient units 201
18 Unwanted effects of in-patient treatment: anticipation, prevention, repair 212
19 Externalising disorders: conduct disorder and hyperkinetic disorder 220
20 Affective disorders and psychosis 232
21 Obsessive compulsive disorder 247
22 Neuropsychiatry in childhood: residential treatment 258
23 Pervasive developmental disorder 284
24 Severe breakdown in the parenting of infants 297
25 Attachment disorders 307
26 Some cognitive-behavioural approaches to parenting used in children's in-patient unit settings 322
Pt. VI Research 331
27 Research into efficacy and process of treatment 333
28 Methodological issues and future directions for in-patient research 339
Pt. VII Management and finance 347
29 Childhood, mental health and the law 349
30 Economic evaluation and child psychiatric in-patient services 363
31 Commissioning and contracting: implications of the National Health Service reorganisation 374
Pt. VIII Other residential options 385
Introduction 385
32 Therapeutic children's homes 387
33 A therapeutic school 399
Pt. IX Conclusions 413
34 Summary and conclusions: implications for the future 415
Subject index 427
Name index 436
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