Mental Health Care of Children and Adolescents

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Publisher :
ISBN 13 : 9781610021500
Total Pages : 0 pages
Book Rating : 4.0/5 (215 download)

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Book Synopsis Mental Health Care of Children and Adolescents by : Jane Meschan Foy

Download or read book Mental Health Care of Children and Adolescents written by Jane Meschan Foy and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This indispensable resource provides vital guidance for integrating mental health care into your primary care practice. Learn from leading experts the latest information on enhancements to the medical home and on the care of children and adolescents with mental health symptoms that do not rise to the threshold for a diagnosis, as well as those that do"--Publisher's description.

Handbook Of Child And Adolescent Outpatient, Day Treatment A

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Author :
Publisher : Routledge
ISBN 13 : 1134869339
Total Pages : 416 pages
Book Rating : 4.1/5 (348 download)

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Book Synopsis Handbook Of Child And Adolescent Outpatient, Day Treatment A by : Harinder S. Ghuman

Download or read book Handbook Of Child And Adolescent Outpatient, Day Treatment A written by Harinder S. Ghuman and published by Routledge. This book was released on 2013-06-17 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past few years, there has been a major shift in the mental health care of child and adolescents from inpatient care to non-hospital community ambulatory settings. Economic pressures have primarily driven this change in service delivery. Insurance companies and managed care organizations have not only restricted access to hospitalization and limited length of stays but additionally have sharply reduced reimbursements for treatments. State and federal policies for inpatient treatment and reimbursement have followed similar trends. As a result, mental health planners have attempted to develop programs to deal with this trend of restricted inpatient care shifting treatment of children and adolescents to home and community settings. Some of these new programs are well planned and others are hastily planned and implemented. The pitfall to this community approach is that there is a population of chronically disturbed children and adolescents, and highly stressed parents often lacking adequate personal and family resource who may not respond to these new less restrictive, less costly community approaches which potentially may lead to an unsafe and dangerous situation for the child, adolescent, family and the community. With this in mind, the purpose of this book is to provide comprehensive and up-to-date information regarding child and adolescent outpatient, day treatment and community psychiatry. The emphasis of this book is to provide practical knowledge through clinical case illustrations and to explain various strategies in a detailed fashion.

Psychiatric Inpatient Care of Children and Adolescents

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Author :
Publisher : Wiley-Interscience
ISBN 13 :
Total Pages : 360 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Psychiatric Inpatient Care of Children and Adolescents by : Robert L. Hendren

Download or read book Psychiatric Inpatient Care of Children and Adolescents written by Robert L. Hendren and published by Wiley-Interscience. This book was released on 1991 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deals with inpatient treatment and the care of child and adolescent psychiatric patients. The orientation of the entire book is toward multicultural considerations and seeks to sensitize the psychiatric worker to cultural and ethnic variations in background, familial characteristics and cultural expectations. It also shows how to effectively integrate this into treatment programs. This unique work is written and edited by experienced practitioners in inpatient psychiatric treatment and the multicultural approach to child and adolescent psychiatric disorders.

In-patient Child Psychiatry

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Author :
Publisher : Routledge
ISBN 13 : 1134759894
Total Pages : 444 pages
Book Rating : 4.1/5 (347 download)

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Book Synopsis In-patient Child Psychiatry by : Jonathan Green

Download or read book In-patient Child Psychiatry written by Jonathan Green and published by Routledge. This book was released on 2013-04-15 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Helping Kids in Crisis

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Publisher : American Psychiatric Pub
ISBN 13 : 1585624829
Total Pages : 230 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Helping Kids in Crisis by : Ruth Gerson, M.D.

Download or read book Helping Kids in Crisis written by Ruth Gerson, M.D. and published by American Psychiatric Pub. This book was released on 2014-10-03 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a practical, easy-to-use guide for clinicians working with child and adolescent psychiatric emergencies across a range of settings -- from emergency rooms to schools to community pediatric or mental health clinics. More and more children struggle with psychiatric symptoms, while access to treatment remains limited, so pediatricians, social workers, school psychologists, guidance counselors, and school nurses often find themselves treating kids in crisis without available child psychiatric consultation. These crises are high-risk, high-liability situations that are often dangerous and intimidating. This book provides clinical case examples with concrete tools for assessment, de-escalation, and diagnosis, to help clinicians quickly stabilize the crisis and determine when a trip to the emergency room is necessary. Pragmatic and accessible, Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides the up-to-date tools and clinical guidance that practitioners in hospital and community-based settings need to intervene effectively, relieve suffering, and keep their young patients safe.

Child and Adolescent Behavioral Health

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 0813807867
Total Pages : 593 pages
Book Rating : 4.8/5 (138 download)

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Book Synopsis Child and Adolescent Behavioral Health by : Edilma L. Yearwood

Download or read book Child and Adolescent Behavioral Health written by Edilma L. Yearwood and published by John Wiley & Sons. This book was released on 2012-04-24 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: As an increasing number of children and adolescents with psychiatric symptoms go unrecognized in our current healthcare system, the ability to identify and treat these issues in multiple healthcare settings has become vitally important. With access to primary care providers increasing and a shortage of child psychiatric providers, collaboration between psychiatric, pediatric and family advanced practice nurses is essential to improving care for this vulnerable population. Child and Adolescent Behavioral Health provides a practical reference to aid in this endeavour. Written and reviewed by over 70 nurse experts, it is a must-have reference for all practitioners caring for children and adolescents.

Residential and Inpatient Treatment of Children and Adolescents

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Publisher : Springer Science & Business Media
ISBN 13 : 1489909273
Total Pages : 375 pages
Book Rating : 4.4/5 (899 download)

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Book Synopsis Residential and Inpatient Treatment of Children and Adolescents by : Stewart Gabel

Download or read book Residential and Inpatient Treatment of Children and Adolescents written by Stewart Gabel and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: Residential and inpatient treatment of children and adolescents is a field that is still in the process of defining itself and of demonstrating its effectiveness. Because of the continuous nature of the field's development, it is especially important that a broad range of its theoretical orientations and therapeutic techniques be considered and critically appraised. Residential and inpatient treatment is unique in its potential for both positive and negative outcomes. No other interventions can bring about the major changes in all aspects of a child's environment that inpatient hospitalization or residential treatment can. These changes may result in rapid and significant improvements in a child's condition, or they may conceivably lead to additional maladaptive behavioral patterns or inappropriate emotional and cognitive responses. Therefore, the obligation to consider the entire range of treatment alterna tives and to empirically determine the effectiveness of specific interventions is particularly great. Residential and inpatient treatment is also an expensive and limited resource, and our wise utilization of it should be guided by a comprehensive understanding of its benefits and limitations.

Handbook of Evidence-Based Inpatient Mental Health Programs for Children and Adolescents

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Author :
Publisher : Springer
ISBN 13 : 9783031627484
Total Pages : 0 pages
Book Rating : 4.6/5 (274 download)

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Book Synopsis Handbook of Evidence-Based Inpatient Mental Health Programs for Children and Adolescents by : Jarrod M. Leffler

Download or read book Handbook of Evidence-Based Inpatient Mental Health Programs for Children and Adolescents written by Jarrod M. Leffler and published by Springer. This book was released on 2024-08-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reviews the history of inpatient psychiatric hospital (IPH) and acute mental health services for youth. In addition, it highlights current IPH care models for children and adolescents, demonstrating an increase in the development and implementation of evidence-based-informed (EBI) treatments in IPH and acute care settings. The book offers insights into program development, implementation, and measurement as well as considerations for sustainability. Chapters describe interventions designed to enhance the well-being of youth and their families who are experiencing a range of mental health concerns. The book shares practicable strategies for measuring outcomes and applying these results to meaningful clinical outcomes in IPH and acute care settings. It also provides treatment referral resources and information about the process of accessing and using such services. Finally, the book reviews additional treatment resources that may be necessary in the continuum of mental health care for youth. Key areas of coverage include: Developing and constructing the physical and safety environment of an IPH unit and suicide and safety planning. Setting and monitoring treatment goals and discharge criteria. Equity, diversity, and inclusion considerations in psychiatric inpatient units. Program operations and therapy on a psychiatric inpatient unit for youth diagnosed with neurodevelopmental disorders. Disaster preparation and impact on inpatient psychiatric care. The Handbook of Evidence-Based Inpatient Mental Health Programs for Children and Adolescents is a must-have resource for researchers, professors, and graduate students as well as clinicians, therapists, and other professionals in developmental, clinical child, developmental, and school psychology, social work, public health, child and adolescent psychiatry, family studies, pediatrics, and all related disciplines.

Promoting Mental Health in Children and Adolescents

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Author :
Publisher :
ISBN 13 : 9781610022279
Total Pages : 0 pages
Book Rating : 4.0/5 (222 download)

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Book Synopsis Promoting Mental Health in Children and Adolescents by : Jane Meschan Foy

Download or read book Promoting Mental Health in Children and Adolescents written by Jane Meschan Foy and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This ground-breaking resource focuses on primary and secondary prevention, guiding pediatric care clinicians in incorporating mental health screening and surveillance into well child visits and provides evidence-based interventions to care for children and adolescents with mental health issues. Gain in-depth guidance on the care of special populations of children who may be at increased risk for mental health problems: those exposed to adverse childhood experiences; children in military families; lesbian, gay and bisexual youth; children with gender expression and identity issues; children affected by racism; adolescents who are pregnant or parenting, and much more. TOPICS INCLUDE Promoting healthy child development Children exposed to adverse childhood experiences Caring for families new to the United States Violence prevention Healthy sleep, weight, use of media, and active living Children in foster or kinship care or involved with child welfare Children of divorce Adopted children Children with chronic medical conditions And more...

Dulcan's Textbook of Child and Adolescent Psychiatry, Third Edition

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615373276
Total Pages : 1190 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Dulcan's Textbook of Child and Adolescent Psychiatry, Third Edition by : Mina K. Dulcan, M.D.

Download or read book Dulcan's Textbook of Child and Adolescent Psychiatry, Third Edition written by Mina K. Dulcan, M.D. and published by American Psychiatric Pub. This book was released on 2021-10-18 with total page 1190 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Dulcan's Textbook of Child and Adolescent Psychiatry provides in-depth, DSM-5-aligned evidence-based clinical guidance in such areas as neurodevelopmental and other psychiatric disorders; psychosocial treatments; pediatric psychopharmacology; and special topics, including cultural considerations, youth suicide, legal and ethical issues, and gender and sexual diversity. This third edition includes expanded information on telehealth, e-mental health, and pediatric consultation-liaison psychiatry"--

Day Treatment for Children with Emotional Disorders

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461567963
Total Pages : 242 pages
Book Rating : 4.4/5 (615 download)

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Book Synopsis Day Treatment for Children with Emotional Disorders by : G.K. Farley

Download or read book Day Treatment for Children with Emotional Disorders written by G.K. Farley and published by Springer Science & Business Media. This book was released on 2013-11-11 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: The life span of day treatment for children in the United States is relatively short, covering a period of about 50 years. Although the first 20 years saw little growth in the number of centers operating around the country, the concept of day treatment was recognized by the Joint Commission on Mental Illness and Health in 1961 as the most significant treatment innovation of this century. Enthusiasm for this treatment modality gained impetus from growing dissatisfaction among many mental health care providers who had no choice but to place children in a highly restrictive hospital environment. Day treat ment did not carry the stigma associated with inpatient placement. The children could now remain with their own families and within their own communities. The parents could be actively included in their child's treatment. This new modality avoided the short- and long-term negative effects of institutionalization, and there was a fa vorable cost discrepancy between day and inpatient mental health services. In more recent years, there has been growing evidence of the efficacy of day treatment as an intensive therapeutic environment for children and their parents. Despite these advantages, day treatment has continued to be underutilized in favor of inpatient treatment by both the psychiatric community and third-party payers. Only recently is it being acknowledged by some insurers as a therapeutically sound and financially advantageous alternative to inpatient services. Conse quently, it is showing signs of intense growth nationally.

Textbook of Hospital Psychiatry

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Publisher : American Psychiatric Pub
ISBN 13 : 1585628891
Total Pages : 544 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Textbook of Hospital Psychiatry by : Steven S. Sharfstein

Download or read book Textbook of Hospital Psychiatry written by Steven S. Sharfstein and published by American Psychiatric Pub. This book was released on 2009-02-20 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Inpatient Behavior Therapy for Children and Adolescents

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Publisher : Springer Science & Business Media
ISBN 13 : 1489923322
Total Pages : 442 pages
Book Rating : 4.4/5 (899 download)

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Book Synopsis Inpatient Behavior Therapy for Children and Adolescents by : D.J. Kolko

Download or read book Inpatient Behavior Therapy for Children and Adolescents written by D.J. Kolko and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: Behavior therapists on child and adolescent psychiatric inpatient units have played an increasing role in the treatment of a wide range of disorders. Indeed, behavioral assessment and treatment strategies in these settings have been applied to a diversity of problems, including depression, mental retardation, autism, conduct disorders, attention deficit hyperactivity disorder, anorexia, and bulimia. More recently, the heuristic value of behavioral methods with substance abuse, pediatric pain, and child maltreatment has been documented as well. Because of the multifaceted and complex challenges posed by children and adoles cents who reach inpatient units, behavioral clinicians have worked close ly with other professionals (e. g. , psychiatrists, social workers, psychi atric nurses) in an effort to provide broad-spectrum, comprehensive intervention. However, as a burgeoning body of clinical research attests, the significant contribution of behavior therapy to successful treatment outcome is now indisputable. Yet, surprisingly few texts have been published concerning inpa tient treatment of children and adolescents. The few extant efforts in this area have not covered the broad array of issues and diagnostic popula tions treated, nor have they considered the pragmatic day-to-day diffi culties encountered by behaviorally oriented practitioners working in child and adolescent inpatient settings. This text is an attempt to remedy such shortcomings by providing a comprehensive yet practical approach to the functions of behavior therapists on inpatient psychiatric services for children and youth.

The Evaluation and Care of Severely Disturbed Children and Their Families

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 9401162999
Total Pages : 133 pages
Book Rating : 4.4/5 (11 download)

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Book Synopsis The Evaluation and Care of Severely Disturbed Children and Their Families by : L. Hoffman

Download or read book The Evaluation and Care of Severely Disturbed Children and Their Families written by L. Hoffman and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, which proposes a developmental view of short-term inpatient treatment for severely disturbed children, is much needed in our field. It is particularly relevant, emotionally engaging, and a pleasure to read because the writers who are the actual participants and leaders in the milieu program, discuss their own experiences with a variety of children. The principles of milieu therapy are beautifully described and its application to a diverse ethnic population of sick children is clearly delineated. I congratulate Leon Hoffman and his co-workers for bringing to the field of child psychiatry a timely and helpful work. Irving N. Berlin, M. D. Professor of Psychiatry and Pediatrics Director, Division of Child and Adolescent Psychiatry, and Director, Children's Psychiatric Center, University of New Mexico School of Medicine, Albuquerque, New Mexico PREFACE Children who require hospital or residential treatment need an environment that provides a structure to their daily activities. Much of the literature on milieu treatment is inadequate because of a lack of integration between the various theoretical frames of reference and their practical application. Berlin has stressed the importance of a develop mental frame of reference in the organization of a hospital child psychiatry unit. * The Mount Sinai Medical Center is a large urban institution located on the fringes of a New York City ghetto.

Treating Children and Adolescents in Residential and Inpatient Settings

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Author :
Publisher : SAGE Publications, Incorporated
ISBN 13 :
Total Pages : 162 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Treating Children and Adolescents in Residential and Inpatient Settings by : Robert D. Lyman

Download or read book Treating Children and Adolescents in Residential and Inpatient Settings written by Robert D. Lyman and published by SAGE Publications, Incorporated. This book was released on 1996-09-03 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year more than 50,000 children and adolescents receive mental health treatment in residential and inpatient settings such as hospitals, group homes, and residential treatment centers. How is a decision made to disrupt a child's or teen's environment and place him or her in a program? What factors should be considered? What kinds of treatment are offered in these settings? How cost-effective and productive are these programs? Suggesting guidelines for how and when to use these special services, Treating Children and Adolescents in Residential and Inpatient Settings provides a useful assessment of current therapeutic models and inpatient/residential treatment options. The authors review the findings of published program evaluations and discuss effective alternatives to residential placement, such as part-time day and community-based treatment. The book also includes a list of relevant resources that both professionals and parents will find helpful, including information on locating professional and advocacy organizations, publications, and assessment materials. Referring a child or teen to an intensive residential or inpatient treatment program is a major decision that affects the whole family. Treating Children and Adolescents in Residential and Inpatient Settings will help both professionals and parents make better informed decisions about institutionalizing children and adolescents. Likewise, students, researchers, and scholars in clinical/counseling psychology, developmental psychology, nursing, behavioral psychology, and social work will find interesting and pertinent information in this volume.

Clinical Manual of Pediatric Consultation-Liaison Psychiatry

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615372792
Total Pages : 568 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Clinical Manual of Pediatric Consultation-Liaison Psychiatry by : Richard J. Shaw

Download or read book Clinical Manual of Pediatric Consultation-Liaison Psychiatry written by Richard J. Shaw and published by American Psychiatric Pub. This book was released on 2019-09-16 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Manual of Pediatric Consultation-Liaison Psychiatry offers a comprehensive guide for mental health clinicians, trainees, and students to pediatric consultation-liaison psychiatry (CLP), a specialized area of psychiatry whose practitioners have particular expertise in the diagnosis and management of psychiatric disorders in complex physically ill children and adolescents. Patients commonly fall into one of three descriptive categories: those with comorbid emotional and physical illnesses that complicate each other's management; those with distressing somatic symptoms plus abnormal thoughts, feelings, and behavior in response to these symptoms; and those with psychiatric symptoms that are a direct consequence of a physical illness and/or its treatment. The text, authored by two luminaries in pediatric psychiatry, thoroughly explores the challenges faced by these patients and pediatric practitioners and mental health professionals who together care for them, addressing, in a concrete and practical manner, the wide variety of issues encountered in the pediatric hospital. These concerns range from how to address treatment nonadherence in children to how to conduct a psychosocial assessment of a solid organ transplant recipient. The text's carefully chosen features and valuable content include: Historical context for the evolution of "pediatric psychosomatic medicine" to "pediatric consultation-liaison psychiatry," ensuring an accurate, up-to-date representation of the field and proper integration with DSM-5 classification. Detailed clinical assessment protocols, with guidance for exploring interrelated domains such as illness factors, emotional impact, family functioning, and social relationships. These practical, step-by-step guides assist the consultant in conducting a comprehensive psychiatric/psychological assessment. A target symptom-oriented chapter on psychopharmacology in the physically ill child, which offers guidance on management of acute agitation, insomnia, fatigue, depression, and anxiety. The treatment algorithms presented are designed to be easily understood by non-psychiatric clinicians. Guidance on the use of practical interventions to help physically ill children undergoing traumatic medical procedures, including hypnosis, progressive muscle relaxation, and breathing techniques. These specific techniques will help the clinician in assisting distressed patients. The previous edition was considered the gold standard for books in the field. This new, thoroughly revised iteration of Clinical Manual of Pediatric Consultation-Liaison Psychiatry will doubtless inspire similar acclaim for its rigor, accessibility, and clinical wisdom.

IICAPS

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Author :
Publisher : Yale University Press
ISBN 13 : 9780300112498
Total Pages : 198 pages
Book Rating : 4.1/5 (124 download)

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Book Synopsis IICAPS by : Joseph L. Woolston

Download or read book IICAPS written by Joseph L. Woolston and published by Yale University Press. This book was released on 2007-01-01 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a model of mental health treatment for children with serious psychiatric illnesses. The IICAPS (Intensive In-Home Child and Adolescent Psychiatric Services) program, initially implemented by the authors in 1996, offers an alternative treatment paradigm for families. Adopted at thirteen sites across Connecticut, IICAPS has proven effective in reducing the need for inpatient and other institutional-based services. Intended for health providers and planners, this book addresses the service system issues that confront child and adolescent mental health providers today. The authors fully explain and outline the IICAPS treatment approach. They conclude with a discussion of some of the unresolved challenges related to home-based care for children with serious psychiatric disorders.