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The Effects Of Integrating Comorbid Patients Such As Schizophrenics Heroin Addicts And Patients With Diagnostic Addictions And Dependences Into A Primary Care Environment
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Book Synopsis The Effects of Integrating Comorbid Patients Such as Schizophrenics, Heroin Addicts and Patients with Diagnostic Addictions and Dependences into a Primary Care Environment by : Matthew Hamilton
Download or read book The Effects of Integrating Comorbid Patients Such as Schizophrenics, Heroin Addicts and Patients with Diagnostic Addictions and Dependences into a Primary Care Environment written by Matthew Hamilton and published by Universal-Publishers. This book was released on 2005-03-17 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The results of previous investigations have revealed very sparse information concerning the real life effects of treating patients in a traditional pri-mary care facility. These patients were violent, hallucinatory, boisterous, and manipulative. In addition, the majority sought to avoid primary medical care on every occasion. The process by which they were admitted and treated has been observed and reported in detail. Two hundred and fifty-six patients were enrolled over a period of five months in an integrated medical facility design. This facility provided both primary medical care and behavioral healthcare services. All patients were diagnosed as Mentally Ill Chemically Addicted (MICA). These patients consisted of schizophrenics, heroin addicts and patients with a myriad of addictions. Their treatment plans consisted of medical, behavioral and pharmacotherapy services. Receipt of methadone hydro-chloride was contingent upon total treatment plan compliance. This integrated facility was the first of its kind in full operation in the state of New Jersey. Medical encounters consisted of comprehensive examinations, laboratory work and other medical tests. The length of time in treatment for patients in an integrated setting was compared to the State of New Jersey s mandatory ex-amination protocols and summarized in the New Jersey Alcohol and Drug Abuse Data System (ADADS) six-month report for the period of January 1, 1998 July 1, 1998. The ages ranged from 0-55 and the n =29,857. The ADADS data indi-cates that 66% of all patients who entered a treatment program other than an integrated system were discharged in as little as 14 days. Conversely, the mean of time for all patients admitted into the study was 56.41 days, and the standard deviation was 34.94 days. The ages of the patients in the integrated setting were the same and the n = 256. Medical services dominated behavioral treatment by a ratio of 2:1. The analyses of these differences clearly suggest that integrated treatment is the best form of comprehensive care for these patients.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309439124 Total Pages :171 pages Book Rating :4.3/5 (94 download)
Book Synopsis Ending Discrimination Against People with Mental and Substance Use Disorders by : National Academies of Sciences, Engineering, and Medicine
Download or read book Ending Discrimination Against People with Mental and Substance Use Disorders written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-09-03 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309682681 Total Pages :123 pages Book Rating :4.3/5 (96 download)
Book Synopsis Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings by : National Academies of Sciences, Engineering, and Medicine
Download or read book Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-30 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.
Book Synopsis Substance Use Disorder Treatment for People With Co-Occurring Disorders (Treatment Improvement Protocol) TIP 42 (Updated March 2020) by : U.S. Department of Health and Human Services
Download or read book Substance Use Disorder Treatment for People With Co-Occurring Disorders (Treatment Improvement Protocol) TIP 42 (Updated March 2020) written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2020-04-04 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Treatment Improvement Protocol (TIP) update is intended to provide addiction counselors and other providers, supervisors, and administrators with the latest science in the screening, assessment, diagnosis, and management of co-occurring disorders (CODs). For purposes of this TIP, CODs refer to co-occurring substance use disorders (SUDs) and mental disorders. Clients with CODs have one or more disorders relating to the use of alcohol or other substances with misuse potential as well as one or more mental disorders. A diagnosis of CODs occurs when at least one disorder of each type can be established independent of the other and is not simply a cluster of symptoms resulting from the one disorder. Many may think of the typical person with CODs as having a serious mental illness (SMI) combined with a severe SUD, such as schizophrenia combined with alcohol use disorder (AUD).
Book Synopsis Schizophrenia and Comorbid Conditions by : Michael Y. Hwang
Download or read book Schizophrenia and Comorbid Conditions written by Michael Y. Hwang and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Schizophrenia is one of the most difficult diagnoses to make. And, once made, it was once among the most limited, offering few options in the management of care for schizophrenia patients with comorbid conditions. It was not until 1994, with the publication of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), that diagnostic guidelines first permitted additional diagnoses on Axis I, such as anxiety disorder, in the presence of schizophrenia. Yet remnants of the old hierarchical diagnostic system remain, diverting attention from the pressing issue of managing what appear to be common -- and treatable -- disabling conditions, such as panic disorder and obsessive-compulsive disorder (OCD), that often occur with schizophrenia. Schizophrenia and Comorbid Conditions: Diagnosis and Treatment lays diagnostic oversimplification of schizophrenia to rest once and for all. All schizophrenia patients are not the same. The editors of this groundbreaking work criticize the reductionist view of schizophrenia as a single unitary disorder -- a view that has led many psychiatrists and mental health care professionals to overlook potentially important syndromes. Asserting that these patients should be managed on the basis of their individual clinical presentations, not just their categorical diagnosis, recognized experts in their specialties offer a fascinating array of topics. Chapter 1 goes straight to the heart of this assertion, beginning with epidemiology and showing how hierarchical diagnostic concepts keep associated psychiatric syndromes (APS) hidden from clinical and scientific attention. Also presented are the findings of the few treatment studies of APS in schizophrenia. Additional chapters feature the following topics: Chapter 2 takes an indepth look at the extensive literature on depression in patients with schizophrenia, including a discussion on differential diagnosis and treatment approaches. Chapters 3 and 4 detail obsessive-compulsive disorder and panic symptoms, using case vignettes to illustrate the clinical management of schizophrenia with these two conditions. Chapters 5 and 6 discuss the recognition and management of medical and surgical illness and the management of pregnancy in patients with schizophrenia, respectively. Chapter 7 reviews cognitive impairment in older patients with schizophrenia, including etiology, assessment, and treatment approaches. Chapter 8 presents old and new approaches to the treatment of aggressive behaviors and violence in patients with schizophrenia. Chapter 9 extensively reviews substance abuse in schizophrenia, with suggested practical approaches to assessing and treating the "dual-diagnosis" schizophrenia patient. Intended to help practitioners enhance their recognition of and improve treatment for the large -- and often neglected and clinically challenging -- group of schizophrenia patients with comorbid conditions, this unique collection combines a wealth of clinical and research experience of enduring value to practitioners and researchers alike.
Download or read book Cumulated Index Medicus written by and published by . This book was released on 2000 with total page 1764 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Comorbidity of Mental Disorders and Substance Use by :
Download or read book Comorbidity of Mental Disorders and Substance Use written by and published by . This book was released on 2003 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cormorbity means the co-occurrence of one or more diseases or disorders in an individual. The National Comorbity Project aims to highlight this type of comorbity and identify appropriate strategies and policies responses.
Download or read book Index Medicus written by and published by . This book was released on 2004 with total page 2452 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Book Synopsis First Episode Psychosis by : Katherine J. Aitchison
Download or read book First Episode Psychosis written by Katherine J. Aitchison and published by CRC Press. This book was released on 2022-03-26 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new edition of this popular handbook has been thoroughly updated to include the latest data concerning treatment of first-episode patients. Drawing from their experience, the authors discuss the presentation and assessment of the first psychotic episode and review the appropriate use of antipsychotic agents and psychosocial approaches in effective management. This is an authoritative text written by a team of highly respected authors for psychiatrists, neurologists, primary care practitioners and health care professional working in psychiatry. Drawing from their experience, the presentation and assessment of the first psychotic episode are discussed, details regarding antipsychotic drugs and their appropriate use are reviewed and psychosocial approaches are examined. The resulting book offers a concise and valuable guide to those wishing to review the latest proposals for the treatment of first-episode psychosis supported by up-to-date references, in a single publication.
Book Synopsis Companion to Psychiatric Studies E-Book by : Eve C Johnstone
Download or read book Companion to Psychiatric Studies E-Book written by Eve C Johnstone and published by Elsevier Health Sciences. This book was released on 2010-07-26 with total page 864 pages. Available in PDF, EPUB and Kindle. Book excerpt: * 2011 BMA Book Awards - Highly Commended in Psychiatry * A new edition of a classic textbook now published for the first time with colour. Covering the entire subject area [both basic sciences and clinical practice] in an easily accessible manner, the book is ideal for psychiatry trainees, especially candidates for postgraduate psychiatry exams, and qualified psychiatrists. New edition of a classic text with a strongly evidenced-based approach to both the basic sciences and clinical psychiatry Contains useful summary boxes to allow rapid access to complex information Comprehensive and authoritative resource written by contributors to ensure complete accuracy and currency of information Logical and accessible writing style gives ready access to key information Ideal for MRCPsych candidates and qualified psychiatrists Expanded section on psychology – including social psychology – to reflect the latest MRCPych examination format Discussion of capacity and its relationship to new legislation Text updated in full to reflect the new Mental Health Acts Relevant chapters now include discussion of core competencies and the practical skills required for the MRCPsych examination Includes a section on the wider role of the psychiatrist – including teaching and supervision, lifelong learning, and working as part of a multidisciplinary team (including dealing with conflict, discipline and complaints) Includes new chapter on transcultural aspects of psychiatry Enhanced discussion of the use of the best current management options, both pharmacological and psychotherapeutic, the latter including CBT (including its use in the treatment of psychosis) and group, couple and family therapy.
Author :National Collaborating Centre for Mental Health (Great Britain) Publisher :RCPsych Publications ISBN 13 :9781908020307 Total Pages :332 pages Book Rating :4.0/5 (23 download)
Book Synopsis Psychosis with Coexisting Substance Misuse by : National Collaborating Centre for Mental Health (Great Britain)
Download or read book Psychosis with Coexisting Substance Misuse written by National Collaborating Centre for Mental Health (Great Britain) and published by RCPsych Publications. This book was released on 2011 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text sets out clear recommendations for healthcare staff (based on the best available evidence) on how to assess and manage adults and young people (aged 14+) who have both psychosis and a substance misuse problem, in order to integrate treatment for both conditions and thus improve their care.
Book Synopsis Alcohol and Other Drug Screening of Hospitalized Trauma Patients by : Peter O. Rostenberg
Download or read book Alcohol and Other Drug Screening of Hospitalized Trauma Patients written by Peter O. Rostenberg and published by . This book was released on 1995 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Biomedical Index to PHS-supported Research by :
Download or read book Biomedical Index to PHS-supported Research written by and published by . This book was released on 1991 with total page 1104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Stigma of Addiction by : Jonathan D. Avery
Download or read book The Stigma of Addiction written by Jonathan D. Avery and published by Springer. This book was released on 2019-01-09 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the stigma of addiction and discusses ways to improve negative attitudes for better health outcomes. Written by experts in the field of addiction, the text takes a reader-friendly approach to the essentials of addiction stigma across settings and demographics. The authors reveal the challenges patients face in the spaces that should be the safest, including the home, the workplace, the justice system, and even the clinical community. The text aims to deliver tools to professionals who work with individuals with substance use disorders and lay persons seeking to combat stigma and promote recovery. The Stigma of Addiction is an excellent resource for psychiatrists, addiction medicine specialists, students across specialties, researchers, public health officials, and individuals with substance use disorders and their families.
Book Synopsis Opioid-Use Disorders in Pregnancy by : Tricia E. Wright
Download or read book Opioid-Use Disorders in Pregnancy written by Tricia E. Wright and published by . This book was released on 2018-05-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain guidance and support when treating the high-risk population of women confronting (or battling) opioid-use disorders during pregnancy.
Book Synopsis TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019) by : U.S. Department of Health and Human Services
Download or read book TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019) written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2019-11-19 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
Book Synopsis Absolute Addiction Psychiatry Review by : Carla Marienfeld
Download or read book Absolute Addiction Psychiatry Review written by Carla Marienfeld and published by Springer Nature. This book was released on 2020-03-06 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book serves as a tool for general psychiatrists, medical students, residents, and fellows looking for a clinically relevant and high-yield overview of addiction psychiatry in preparation for their board exams – or for everyday clinical practice. Written by expert educators in addiction psychiatry, the text is organized by substances misused and populations affected. This book serves as both a primary learning tool for those new to the field, as well as a reference for those working in addiction treatment. Each chapter begins with summaries of high yield clinical pearls, followed by general information including treatment, and then ends with accompanying board-style review questions. The scope includes understanding substances of misuse and substance use disorders (SUDs), how to evaluate, diagnose, and monitor SUDs, how to treat SUDs both pharmacologically and behaviorally, and critical information for specific populations of patients. Absolute Addiction Psychiatry for Clinical Practice and Review is an excellent resource for all medical students, residents, fellows, and professionals taking certification exams in addiction, including those in psychiatry, addiction medicine, emergency medicine, internal medicine, pain medicine, and others. The chapter "Laboratory Testing for Substance Use Disorders" is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
