Scales for Assessment of Diagnosis and Severity of Mental Disorders

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Publisher :
ISBN 13 :
Total Pages : 96 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Scales for Assessment of Diagnosis and Severity of Mental Disorders by : Per Bech

Download or read book Scales for Assessment of Diagnosis and Severity of Mental Disorders written by Per Bech and published by . This book was released on 1993 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

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Publisher : American Psychiatric Publishing
ISBN 13 : 9781955245180
Total Pages : pages
Book Rating : 4.2/5 (451 download)

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Book Synopsis Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by : American Psychiatric Association

Download or read book Diagnostic and Statistical Manual of Mental Disorders (DSM-5) written by American Psychiatric Association and published by American Psychiatric Publishing. This book was released on 2021-09-24 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Cambridge Handbook of Clinical Assessment and Diagnosis

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Publisher : Cambridge University Press
ISBN 13 : 1108245021
Total Pages : pages
Book Rating : 4.1/5 (82 download)

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Book Synopsis The Cambridge Handbook of Clinical Assessment and Diagnosis by : Martin Sellbom

Download or read book The Cambridge Handbook of Clinical Assessment and Diagnosis written by Martin Sellbom and published by Cambridge University Press. This book was released on 2019-12-19 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This Handbook provides a contemporary and research-informed review of the topics essential to clinical psychological assessment and diagnosis. It outlines assessment issues that cross all methods, settings, and disorders, including (but not limited to) psychometric issues, diversity factors, ethical dilemmas, validity of patient presentation, psychological assessment in treatment, and report writing. These themes run throughout the volume as leading researchers summarize the empirical findings and technological advances in their area. With each chapter written by major experts in their respective fields, the text gives interpretive and practical guidance for using psychological measures for assessment and diagnosis.

Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health

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Publisher : Springer Science & Business Media
ISBN 13 : 1597453870
Total Pages : 334 pages
Book Rating : 4.5/5 (974 download)

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Book Synopsis Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health by : Lee Baer

Download or read book Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health written by Lee Baer and published by Springer Science & Business Media. This book was released on 2009-10-03 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychiatric clinicians should use rating scales and questionnaires often, for they not only facilitate targeted diagnoses and treatment; they also facilitate links to empirical literature and systematize the entire process of management. Clinically oriented and highly practical, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an ideal tool for the busy psychiatrist, clinical psychologist, family physician, or social worker. In this ground-breaking text, leading researchers provide reviews of the most commonly used outcome and screening measures for the major psychiatric diagnoses and treatment scenarios. The full range of psychiatric disorders are covered in brief but thorough chapters, each of which provides a concise review of measurement issues related to the relevant condition, along with recommendations on which dimensions to measure – and when. The Handbook also includes ready-to-photocopy versions of the most popular, valid, and reliable scales and checklists, along with scoring keys and links to websites containing on-line versions. Moreover, the Handbook describes well known, structured, diagnostic interviews and the specialized training requirements for each. It also includes details of popular psychological tests (such as neuropsychological, personality, and projective tests), along with practical guidelines on when to request psychological testing, how to discuss the case with the assessment consultant and how to integrate information from the final testing report into treatment. Focused and immensely useful, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an invaluable resource for all clinicians who care for patients with psychiatric disorders.

Selected Health Conditions and Likelihood of Improvement with Treatment

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Publisher : National Academies Press
ISBN 13 : 0309670950
Total Pages : 319 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Selected Health Conditions and Likelihood of Improvement with Treatment by : National Academies of Sciences, Engineering, and Medicine

Download or read book Selected Health Conditions and Likelihood of Improvement with Treatment written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-07-12 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide disability benefits: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. SSDI provides disability benefits to people (under the full retirement age) who are no longer able to work because of a disabling medical condition. SSI provides income assistance for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force. Both programs share a common disability determination process administered by SSA and state agencies as well as a common definition of disability for adults: "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." Disabled workers might receive either SSDI benefits or SSI payments, or both, depending on their recent work history and current income and assets. Disabled workers might also receive benefits from other public programs such as workers' compensation, which insures against work-related illness or injuries occurring on the job, but those other programs have their own definitions and eligibility criteria. Selected Health Conditions and Likelihood of Improvement with Treatment identifies and defines the professionally accepted, standard measurements of outcomes improvement for medical conditions. This report also identifies specific, long-lasting medical conditions for adults in the categories of mental health disorders, cancers, and musculoskeletal disorders. Specifically, these conditions are disabling for a length of time, but typically don't result in permanently disabling limitations; are responsive to treatment; and after a specific length of time of treatment, improve to the point at which the conditions are no longer disabling.

Common Mental Health Disorders

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Publisher : RCPsych Publications
ISBN 13 : 9781908020314
Total Pages : 316 pages
Book Rating : 4.0/5 (23 download)

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Book Synopsis Common Mental Health Disorders by : National Collaborating Centre for Mental Health (Great Britain)

Download or read book Common Mental Health Disorders written by National Collaborating Centre for Mental Health (Great Britain) and published by RCPsych Publications. This book was released on 2011 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Measuring Specific Mental Illness Diagnoses with Functional Impairment

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Publisher : National Academies Press
ISBN 13 : 030939239X
Total Pages : 107 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Measuring Specific Mental Illness Diagnoses with Functional Impairment by : National Academies of Sciences, Engineering, and Medicine

Download or read book Measuring Specific Mental Illness Diagnoses with Functional Impairment written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-05-06 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: The workshop summarized in this report was organized as part of a study sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Office of the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services, with the goal of assisting SAMHSA in its responsibilities of expanding the collection of behavioral health data in several areas. The workshop brought together experts in mental health, psychiatric epidemiology and survey methods to facilitate discussion of the most suitable measures and mechanisms for producing estimates of specific mental illness diagnoses with functional impairment. The report discusses existing measures and data on mental disorders and functional impairment, challenges associated with collecting these data in large-scale population-based studies, as well as study design and estimation options.

Psychological Testing in the Service of Disability Determination

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Publisher : National Academies Press
ISBN 13 : 0309370930
Total Pages : 233 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Psychological Testing in the Service of Disability Determination by : Institute of Medicine

Download or read book Psychological Testing in the Service of Disability Determination written by Institute of Medicine and published by National Academies Press. This book was released on 2015-06-29 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States Social Security Administration (SSA) administers two disability programs: Social Security Disability Insurance (SSDI), for disabled individuals, and their dependent family members, who have worked and contributed to the Social Security trust funds, and Supplemental Security Income (SSSI), which is a means-tested program based on income and financial assets for adults aged 65 years or older and disabled adults and children. Both programs require that claimants have a disability and meet specific medical criteria in order to qualify for benefits. SSA establishes the presence of a medically-determined impairment in individuals with mental disorders other than intellectual disability through the use of standard diagnostic criteria, which include symptoms and signs. These impairments are established largely on reports of signs and symptoms of impairment and functional limitation. Psychological Testing in the Service of Disability Determination considers the use of psychological tests in evaluating disability claims submitted to the SSA. This report critically reviews selected psychological tests, including symptom validity tests, that could contribute to SSA disability determinations. The report discusses the possible uses of such tests and their contribution to disability determinations. Psychological Testing in the Service of Disability Determination discusses testing norms, qualifications for administration of tests, administration of tests, and reporting results. The recommendations of this report will help SSA improve the consistency and accuracy of disability determination in certain cases.

SCID-5-CV

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Publisher : American Psychiatric Pub
ISBN 13 : 9781585624614
Total Pages : 0 pages
Book Rating : 4.6/5 (246 download)

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Book Synopsis SCID-5-CV by : Michael B. First

Download or read book SCID-5-CV written by Michael B. First and published by American Psychiatric Pub. This book was released on 2015-11-05 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Structured Clinical Interview for DSM-5 --Clinician Version (SCID-5-CV) guides the clinician step-by-step through the DSM-5 diagnostic process. Interview questions are provided conveniently along each corresponding DSM-5 criterion, which aids in rating each as either present or absent. A unique and valuable tool, the SCID-5-CV covers the DSM-5 diagnoses most commonly seen in clinical settings: depressive and bipolar disorders; schizophrenia spectrum and other psychotic disorders; substance use disorders; anxiety disorders (panic disorder, agoraphobia, social anxiety disorder, generalized anxiety disorder); obsessive-compulsive disorder; posttraumatic stress disorder; attention-deficit/hyperactivity disorder; and adjustment disorder. It also screens for 17 additional DSM-5 disorders. Versatile in function, the SCID-5-CV can be used in a variety of ways. For example, it can ensure that all of the major DSM-5 diagnoses are systematically evaluated in adults; characterize a study population in terms of current psychiatric diagnoses; and improve interviewing skills of students in the mental health professions, including psychiatry, psychology, psychiatric social work, and psychiatric nursing. Enhancing the reliability and validity of DSM-5 diagnostic assessments, the SCID-5-CV will serve as an indispensible interview guide.

Posttraumatic Stress Disorder

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Publisher : National Academies Press
ISBN 13 : 0309102073
Total Pages : 86 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Posttraumatic Stress Disorder by : Institute of Medicine

Download or read book Posttraumatic Stress Disorder written by Institute of Medicine and published by National Academies Press. This book was released on 2006-09-08 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: In response to growing national concern about the number of veterans who might be at risk for posttraumatic stress disorder (PTSD) as a result of their military service, the Department of Veterans Affairs (VA) asked the Institute of Medicine (IOM) to conduct a study on the diagnosis and assessment of, and treatment and compensation for PTSD. An existing IOM committee, the Committee on Gulf War and Health: Physiologic, Psychologic and Psychosocial Effects of Deployment-Related Stress, was asked to conduct the diagnosis, assessment, and treatment aspects of the study because its expertise was well-suited to the task. The committee was specifically tasked to review the scientific and medical literature related to the diagnosis and assessment of PTSD, and to review PTSD treatments (including psychotherapy and pharmacotherapy) and their efficacy. In addition, the committee was given a series of specific questions from VA regarding diagnosis, assessment, treatment, and compensation. Posttraumatic Stress Disorder is a brief elaboration of the committee's responses to VA's questions, not a detailed discussion of the procedures and tools that might be used in the diagnosis and assessment of PTSD. The committee decided to approach its task by separating diagnosis and assessment from treatment and preparing two reports. This first report focuses on diagnosis and assessment of PTSD. Given VA's request for the report to be completed within 6 months, the committee elected to rely primarily on reviews and other well-documented sources. A second report of this committee will focus on treatment for PTSD; it will be issued in December 2006. A separate committee, the Committee on Veterans' Compensation for Post Traumatic Stress Disorder, has been established to conduct the compensation study; its report is expected to be issued in December 2006.

The Wiley Handbook of Obsessive Compulsive Disorders

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Publisher : John Wiley & Sons
ISBN 13 : 1118890256
Total Pages : 1276 pages
Book Rating : 4.1/5 (188 download)

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Book Synopsis The Wiley Handbook of Obsessive Compulsive Disorders by : Jonathan S. Abramowitz

Download or read book The Wiley Handbook of Obsessive Compulsive Disorders written by Jonathan S. Abramowitz and published by John Wiley & Sons. This book was released on 2017-06-12 with total page 1276 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Wiley Handbook of Obsessive Compulsive Disorders, 2 volume set, provides a comprehensive reference on the phenomenology, epidemiology, assessment, and treatment of OCD and OCD-related conditions throughout the lifespan and across cultures. Provides the most complete and up-to-date information on the highly diverse spectrum of OCD-related issues experienced by individuals through the lifespan and cross-culturally Covers OCD-related conditions including Tourette’s syndrome, excoriation disorder, trichotillomania, hoarding disorder, body dysmorphic disorder and many others OCD and related conditions present formidable challenges for both research and practice, with few studies having moved beyond the most typical contexts and presentations Includes important material on OCD and related conditions in young people and older adults, and across a range of cultures with diverse social and religious norms

Unmet Need in Psychiatry

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Publisher : Cambridge University Press
ISBN 13 : 1139429760
Total Pages : 464 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Unmet Need in Psychiatry by : Gavin Andrews

Download or read book Unmet Need in Psychiatry written by Gavin Andrews and published by Cambridge University Press. This book was released on 2000-01-06 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book considers ways to resolve the imbalance between the demand and supply of mental health services. Treatment services in most countries reach only a minority of people identified as suffering from a mental disorder. Few countries can provide adequate health services for all the mentally ill, yet none has developed a rational system to decide who should be treated. The questions are clear. Could we develop a staged treatment process to reach all in need? If not, how do we decide who to treat? What should the criteria be for deployment of scarce treatment resources? How do we determine such criteria? What are the ethical implications of applying such criteria? In this pioneering work, an international team of eminent psychiatrists, epidemiologists, health administrators, economists and health planners examine these questions. The result will inform and encourage all concerned with the equitable provision of mental health care.

Body Dysmorphic Disorder

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Publisher : Oxford University Press
ISBN 13 : 0190254157
Total Pages : 601 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Body Dysmorphic Disorder by : Dr Katharine Phillips

Download or read book Body Dysmorphic Disorder written by Dr Katharine Phillips and published by Oxford University Press. This book was released on 2017-07-12 with total page 601 pages. Available in PDF, EPUB and Kindle. Book excerpt: This landmark book is the first comprehensive edited volume on body dysmorphic disorder (BDD), a common and severe disorder. People with BDD are preoccupied with distressing or impairing preoccupations with non-existent or slight defects in their physical appearance. People with BDD think that they look ugly -- even monstrous -- although they look normal to others. BDD often derails sufferers' lives and can lead to suicide. BDD has been described around the world since the 1800s but was virtually unknown and unstudied until only several decades ago. Since then, research on BDD has dramatically increased understanding of this often-debilitating condition. Only recently, BDD was considered untreatable, but today, most sufferers can be successfully treated. This is the only book that provides comprehensive, in-depth, up-to-date information on BDD's clinical features, history, classification, epidemiology, morbidity, features in special populations, diagnosis and assessment, etiology and pathophysiology, treatment, and relationship to other disorders. Numerous chapters focus on cosmetic treatment, because it is frequently received but usually ineffective for BDD, which can lead to legal action and even violence toward treating clinicians. The book includes numerous clinical cases, which illustrate BDD's clinical features, its often-profound consequences, and recommended treatment approaches. This volume's contributors are the leading researchers and clinicians in this rapidly expanding field. Editor Katharine A. Phillips, head of the DSM-V committee on BDD, has done pioneering research on many aspects of this disorder, including its treatment. This book will be of interest to all clinicians who provide mental health treatment and to researchers in BDD, anxiety disorders, eating disorders, and other obsessive-compulsive and related disorders. It will be indispensable to surgeons, dermatologists, and other clinicians who provide cosmetic treatment. Students and trainees with an interest in psychology and mental health will also be interested in this book. This book fills a major gap in the literature by providing clinicians and researchers with cutting-edge, indispensable information on all aspects of BDD and its treatment.

A Research Agenda For DSM V

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Publisher : American Psychiatric Pub
ISBN 13 : 1585627720
Total Pages : 332 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis A Research Agenda For DSM V by : David J. Kupfer

Download or read book A Research Agenda For DSM V written by David J. Kupfer and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the ongoing quest to improve our psychiatric diagnostic system, we are now searching for new approaches to understanding the etiological and pathophysiological mechanisms that can improve the validity of our diagnoses and the consequent power of our preventive and treatment interventions -- venturing beyond the current DSM paradigm and DSM-IV framework. This thought-provoking volume -- produced as a partnership between the American Psychiatric Association, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse -- represents a far-reaching attempt to stimulate research and discussion in the field in preparation for the eventual start of the DSM-V process, still several years hence. The book Explores a variety of basic nomenclature issues, including the desirability of rating the quality and quantity of information available to support the different disorders in the DSM in order to indicate the disparity of empirical support across the diagnostic system. Offers a neuroscience research agenda to guide development of a pathophysiologically based classification for DSM-V, which reviews genetic, brain imaging, postmortem, and animal model research and includes strategic insights for a new research agenda. Presents highlights of recent progress in developmental neuroscience, genetics, psychology, psychopathology, and epidemiology, using a bioecological perspective to focus on the first two decades of life, when rapid changes in behavior, emotion and cognition occur. Discusses how to address two important gaps in the current DSM-IV: (1) the categorical method of diagnosing personality disorders and their relationship with Axis I disorders, and (2) the limited provision for the diagnosis of relational disorders -- suggesting a research agenda for personality disorders that considers replacing the current categorical approach with a dimensional classification of personality. Reevaluates the relationship between mental disorders and disability, asserting that research into disability and impairment would benefit from the diagnosis of mental disorders be uncoupled from a requirement for impairment or disability to foster a more vigorous research agenda on the etiologies, courses, and treatment of mental disorders as well as disabilities and to avert unintended consequences of delayed diagnosis and treatment. Examines the importance of culture in psychopathology and the main cultural variables at play in the diagnostic process, stating that training present and future professionals in the need to include cultural factors in the diagnostic process is a logical step in any attempt to develop comprehensive research programs in psychology, psychiatry, and related disciplines. This fascinating work, with contributions from an international group of research investigators, reaches into the core of psychiatry, providing invaluable background and insights for all psychology and psychiatry professionals -- food for thought and further research that will be relevant for years to come.

Mental Disorders and Disabilities Among Low-Income Children

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Author :
Publisher : National Academies Press
ISBN 13 : 0309376882
Total Pages : 397 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Mental Disorders and Disabilities Among Low-Income Children by : National Academies of Sciences, Engineering, and Medicine

Download or read book Mental Disorders and Disabilities Among Low-Income Children written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-10-28 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits in 2013, about 50% were disabled primarily due to a mental disorder. An increase in the number of children who are recipients of SSI benefits due to mental disorders has been observed through several decades of the program beginning in 1985 and continuing through 2010. Nevertheless, less than 1% of children in the United States are recipients of SSI disability benefits for a mental disorder. At the request of the Social Security Administration, Mental Disorders and Disability Among Low-Income Children compares national trends in the number of children with mental disorders with the trends in the number of children receiving benefits from the SSI program, and describes the possible factors that may contribute to any differences between the two groups. This report provides an overview of the current status of the diagnosis and treatment of mental disorders, and the levels of impairment in the U.S. population under age 18. The report focuses on 6 mental disorders, chosen due to their prevalence and the severity of disability attributed to those disorders within the SSI disability program: attention-deficit/hyperactivity disorder, oppositional defiant disorder/conduct disorder, autism spectrum disorder, intellectual disability, learning disabilities, and mood disorders. While this report is not a comprehensive discussion of these disorders, Mental Disorders and Disability Among Low-Income Children provides the best currently available information regarding demographics, diagnosis, treatment, and expectations for the disorder time course - both the natural course and under treatment.

The Medical Model in Mental Health

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Publisher : Oxford University Press
ISBN 13 : 0192534092
Total Pages : 384 pages
Book Rating : 4.1/5 (925 download)

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Book Synopsis The Medical Model in Mental Health by : Ahmed Samei Huda

Download or read book The Medical Model in Mental Health written by Ahmed Samei Huda and published by Oxford University Press. This book was released on 2019-05-16 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.

Measurement-Based Care in Mental Disorders

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Author :
Publisher : Springer
ISBN 13 : 3319466518
Total Pages : 102 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Measurement-Based Care in Mental Disorders by : Per Bech

Download or read book Measurement-Based Care in Mental Disorders written by Per Bech and published by Springer. This book was released on 2016-12-10 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative monograph introduces a measurement-based framework for effective treatment of patients with mood disorders, personality disorders, and schizophrenia. Rooted firmly in principles of pharmacotherapy and clinical psychometrics, the book’s signature diagram balances rating scale results and patient self-reported progress along three angles: therapeutic effects, adverse effects, and quality of life. The author’s choices of measures are brief, valid, widely used, and easy for clinicians to administer and patients to understand. But rather than being a mechanistic or an impersonal formula, this system is shown as a science-based means of fostering constructive collaboration between patient and therapist, leading to greater patient well-being. Included in the coverage: · Negative mental health: the ordinary symptom-orientated mental disorders. · The basic diagram of personality dimensions. · Self-reported symptom scales within the basic diagram. · Clinician-administered symptom scales within the basic diagram. · The pharmacopsychometric triangle in measurement-based care. · Diagnostic rating scales. · A practical outcome evaluation plan. Offering a medical level of precision to mental health, Measurement-Based Care in Mental Disorders should interest health care providers at all levels, particularly physicians and staff in primary care settings, and in psychiatric in- and outpatient clinics, including psychiatrists, psychologists, nurses, and social workers.