With decreases in lengths of hospital stay and increases in alternatives to inpatient treatments, the field of hospital psychiatry has changed dramatically over the past 20 years. As the first comprehensive guide to be published in more than a decade, the Textbook of Hospital Psychiatry is a compilation of the latest trends, issues, and developments in the field. The textbook, written by 70 national experts and clinical specialists, covers a wide range of clinical and administrative topics that are central to ...

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Textbook of Hospital Psychiatry

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With decreases in lengths of hospital stay and increases in alternatives to inpatient treatments, the field of hospital psychiatry has changed dramatically over the past 20 years. As the first comprehensive guide to be published in more than a decade, the Textbook of Hospital Psychiatry is a compilation of the latest trends, issues, and developments in the field. The textbook, written by 70 national experts and clinical specialists, covers a wide range of clinical and administrative topics that are central to today's practice of hospital psychiatry.

This is the only textbook on the market today that provides information for psychiatric hospital clinicians and administrators in a single all-inclusive volume. It covers information not generally available in other textbooks and medical journals, touching on a variety of cutting-edge issues, such as safety improvement, use of seclusion and restraint, suicide prevention, and culturally competent psychiatric care.

The book's 35 chapters are divided into four parts: • Part I, Inpatient Practice -- focuses on specialty psychiatric units (e.g., acute stabilization unit, eating disorders unit, forensic unit, child unit), including the many psychopharmacological and psychosocial treatments used within each. This section also touches on specialized treatment for patients with co-occurring problems, such as substance abuse, developmental disabilities, and legal difficulties.• Part II, Special Clinical Issues -- covers clinical issues from the perspective of different populations (consumers, families, suicidal patients). This section also examines the recent trend toward patient-centered care.• Part III, The Continuum of Care -- addresses psychiatric services within the community, such as rehabilitation programs, day hospitals, and emergency services. It discusses the importance of understanding hospital-based treatment within the broader perspective of patients' lives.• Part IV, Structure and Infrastructure -- focuses on such often-overlooked topics as financing of care, risk management, electronic medical records, and the actual architecture of psychiatric hospitals, as well as the roles of psychiatric hospital administrators, psychiatric nurses, and psychiatrists and psychologists.

An invaluable resource for both clinicians and administrators, as well as a comprehensive teaching tool for residents, the Textbook of Hospital Psychiatry is a must-have for all professionals who work in psychiatric settings.

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Editorial Reviews

Doody's Review Service
Reviewer: Michael Joel Schrift, DO, MA (University of Illinois at Chicago College of Medicine)
Description: In the Declaration of Independence, it is written: "We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness." Yet, ostensibly in the United States, this does not apply to individuals who suffer from mental illness. It is immoral how we in the U.S. treat people who suffer from psychiatric illnesses! There are many more people with untreated severe psychiatric illnesses living homeless on America's streets than are receiving care in hospitals. Approximately 90,000 individuals with schizophrenia or manic-depressive illness are in hospitals receiving treatment for their disease. However, there are between 150,000 and 200,000 individuals with schizophrenia or manic-depressive illness who are homeless, a number equivalent to the population of many major cities in the U.S. There has been a dramatic decline in psychiatric hospital beds over the past four decades, not due to a reduction in the number of mentally ill, but rather due to decreased funding. At the same time, approximately 10 percent of the individuals in our prisons have severe psychiatric disorders. Thus, approximately 218,000 individuals with severe psychiatric disorders are incarcerated in the nation's jails and prisons at any given time. This new book is not primarily about the above immorality. It is, as the editors' state, the "good news" of psychiatric hospital treatment. It is about the latest trends and developments in the field of hospital psychiatry. Written and edited by clinician-administrators in psychiatry, this book is an excellent resource on past, present, and future concepts regarding hospitals' involvement in the care of the mentally ill.
Purpose: The editors note, "Our hope is that this book will have an impact not only in improving care in hospitals that already provide needed treatment but also in expanding opportunities in new settings, both inpatient and nonhospital, to provide available and effective treatments, to do what we can and should do in the context of today's marketplace."
Audience: The intended audience includes clinicians, administrators, and trainees.
Features: The book opens with an excellent and informative chapter on the history of hospital psychiatry. Part 1 focuses on the hospital care of specific populations with chapters devoted to acute crisis stabilization, child and adolescent units, geriatric psychiatry units, eating disorder units, the trauma unit, psychotic disorders units, substance-related units, developmental neuropsychiatry units, ethnic/minority units, forensic units, state hospitals, VA hospitals, and consultation-liaison psychiatry services. Part 2 covers special clinical issues with chapters on the consumer perspective, working with families, safety issues, inpatient suicide, and discharge dilemmas. Continuum of care is covered in part 3 with chapters on residential programs for so-called treatment-resistant patients, for children and adolescents, hospital based emergency services, community mental health services, and day hospital/intensive outpatient programs. Part 4 reviews issues involved in administration and leadership, psychiatrists and psychologists, social and rehabilitation services, psychiatric nursing, the financing of care, risk management, quality indicators, EMR, and the design and architecture of psychiatric hospitals/units. The concluding chapter focuses on future trends for hospital psychiatry. Each chapter ends with relevant citations of the psychiatric literature.
Assessment: This is a helpful new and comprehensive book on hospital psychiatry. Clinicians, hospital administrators, and lawmakers, as well as all stakeholders, should be knowledgeable (as this book will help them to become) about the history and future role of the hospital in the care of patients suffering from psychiatric disorders. I highly recommend it.
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Product Details

  • ISBN-13: 9781585628896
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 2/20/2009
  • Sold by: Barnes & Noble
  • Format: eBook
  • Pages: 528
  • Product dimensions: 0.85 (w) x 1.10 (h) x 0.14 (d)
  • File size: 6 MB

Meet the Author

Steven S. Sharfstein, M.D., M.P.A., is President and Chief Executive Officer of Sheppard Pratt Health System, Baltimore, Maryland, and Clinical Professor and Vice Chair of the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Sharfstein served as President of the American Psychiatric Association from 2005 to 2006.

Deputy Editor Faith B. Dickerson, Ph.D., M.P.H., is Director of Psychology for Sheppard Pratt Health System, in Baltimore, Maryland and is Clinical Associate Professor in the Department of Psychiatry, University of Maryland School of Medicine. She also heads the Stanley Research Program at Sheppard Pratt.

Deputy Editor John M. Oldham, M.D., M.S., is Senior Vice President and Chief of Staff at The Menninger Clinic in Houston, Texas. He is also Professor of Psychiatry and Executive Vice Chair of the Menninger Department of Psychiatry and Behavioral Sciences of Baylor College of Medicine in Houston, Texas.

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Table of Contents

Preface. Introduction. History of hospital psychiatry and lessons learned. Section I: Inpatient Practice. The acute crisis stabilization unit for adults. The child unit. The adolescent unit. The geriatric unit. The eating disorder unit. The trauma disorders unit. The psychotic disorders unit. The co-occurring (substance abuse/mental illness) disorders unit. The adolescent neuropsychiatric unit: developmental disabilities and mental illness. The ethnic/minority psychiatric inpatient unit. The forensic unit. The state hospital. The veterans hospital. Consultation-liaison psychiatry. Section II: Special Clinical Issues. From within: a consumer perspective on psychiatric hospitals. Working with families. Improving safety in mental health treatment settings: preventing conflict, violence, and the use of seclusion and restraint. Inpatient suicide: risk assessment and prevention. Discharge dilemmas. Section III: The Continuum of Care. Residential psychotherapeutic treatment: an intensive psychodynamic approach for patients with treatment-resistant disorders. Residential treatment programs for children and adolescents. Hospital-based psychiatric emergency services. Outpatient community mental health services. Day hospitalization and intensive outpatient care. Section IV: Structure and Infrastructure. Administration and leadership. Psychiatrists and psychologists. Social work and rehabilitation therapies. Psychiatric nursing: creating and maintaining a therapeutic inpatient environment. Financing of care. Risk management. Quality indicators. The electronic medical record. Design and architecture. Section V: The Future of Hospital Psychiatry. Hospital psychiatry for the future. Index.

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