Community Child And Adolescent Psychiatry

The Handbook of Child and Adolescent Systems of Care is a groundbreaking volume that presents the latest thinking in the field of child and adolescent psychiatry written by a stellar panel of child and adolescent psychiatrists. The Handbook shows that the best way to help at-risk children is not in isolated doctor and patient treatment rooms but with community-based systems of care (SOC) that incorporate an interagency integration of services based on a client-centered and family empowering orientation. This important resource offers psychiatrists, psychologists, social workers, counselors, pediatricians, nurses, educators, lawyers and judges, politicians, child advocates, parents, and families a guide to this dynamic new theory and practice. Comprehensive in scope, The Handbook of Child and Adolescent Systems of Care includes vital information on a wide variety of topics including Developmental and cognitive psychology in systems of care (SOCs) Social sciences, neurobiology, and prevention in SOC The best way to use psychopharmacology Family- and community-based interventions Culturally diverse populations Youth in juvenile justice and child welfare, school-based services Partnerships among parents, consumers, and clinicians

Child psychiatrists and psychologists, clinical nurses, social workers, and other mental health practitioners working in the public sector -- where limited funds, poverty, social environments, and bureaucracy add to the daily challenges -- can now turn to Community Child and Adolescent Psychiatry for approaches and insights to make their work easier and more productive.Twenty chapters are divided into four main sections, where 31 seasoned clinicians and administrators detail the most useful tasks, strategies, and tactics for child and family-focused community mental health professionals: Multiple facets of public sector agency work with or consultation to community agencies from the major mental health disciplines employed in community settings, differentiating roles and responsibilities and detailing consultation phases, including pitfalls Basic community practice principles and issues commonly faced by public sector professionals, including particular types of agencies and differences between rural and urban practice Contemporary concerns about the impact of a managed care or cost-cutting environment on service delivery, including reimbursement, differentiating consultation from direct service, and the location of a system of care Descriptions of the setting or activity of each community agency, including the qualifications that allow the professional or trainee to enter and work in that system Practicalities of clinical practice or consultation or both in community settings in the current service environment Questions -- from differing perspectives -- that mental health care practitioners must consider before consulting to or assuming a staff or administrative position in a community agency, different types of demands -- and discussion of/for each role Managed care has forever altered the service system landscape of mental health care in both the private and public sectors. Community Child and Adolescent Psychiatry provides insight into the public system of care and the requisite tools to manage the rapidly changing clinical, political, and administrative landscape. As a resource guide to the profession, Community Child and Adolescent Psychiatry emphasizes the practical necessities of child psychiatrists and other professionals working with mentally ill youngsters and their families in the practice of community psychiatry and public mental health. Trainees, practitioners, and administrators alike will welcome this indispensable road-map to a higher level of practice in community settings.

Rutter’s Child and Adolescent Psychiatry has become an established and accepted textbook of child psychiatry. Now completely revised and updated, the fifth edition provides a coherent appraisal of the current state of the field to help trainee and practising clinicians in their daily work. It is distinctive in being both interdisciplinary and international, in its integration of science and clinical practice, and in its practical discussion of how researchers and practitioners need to think about conflicting or uncertain findings. This new edition now offers an entirely new section on conceptual approaches, and several new chapters, including: neurochemistry and basic pharmacology brain imaging health economics psychopathology in refugees and asylum seekers bipolar disorder attachment disorders statistical methods for clinicians This leading textbook provides an accurate and comprehensive account of current knowledge, through the integration of empirical findings with clinical experience and practice, and is essential reading for professionals working in the field of child and adolescent mental health, and clinicians working in general practice and community pediatric settings.

An easy read with a OC how-toOCO intent, this book provides the insights and process of a practical and viable community mental health team. The authors of the book have produced a book which is as close an account to the reality of making the REACH team a value add to the mental wellness of students. This is the first book in Singapore that details the synergy of the various levels of decision making to enable a child and adolescent community mental health team to take shape, allowing hospital staff to reach students and service providers in primary care."

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.

A need for comprehensive services for young people requiring more intensive mental health services has been identified and this book explores what works in Child and Adolescent Mental Health (CAMHS) at this level. Specialist Mental Healthcare for Children and Adolescents looks at intensive outpatient and community services; assertive outreach teams; inpatient residential and secure provision; and other highly specialised assessment, consultation and intervention services. Based on the best available evidence, each chapter provides key points, research summaries and an overview of available treatments. It outlines emerging good practice guidance, service models, assessment, and training and workforce development requirements. This accessible text is essential reading for commissioners and professionals – including psychiatrists, psychologists, nurses, therapists, social workers and teachers – working in specialist CAMHS services, as well as all those studying for qualifications in child and adolescent mental health.

It is clear that child and adolescent psychiatric disorders impose a heavy burden of suffering. Recent large-scale community epidemiological studies suggest that as many as 20% of children and adolescents in the general population may have clinically important mental disorders. These disorders are accompanied by associated impairments in various domains of the child's life, resulting in lowered life quality for the child and his or her family. In addition, for some conditions, the onset of the disorder in childhood heralds a lifetime of serious psychosocial disturbance for a significant subgroup of affected children. For instance, about 40% of children seen in clinic settings with conduct disorder in late childhood and early adolescence will have serious psychiatric disorders in adult life. Finally, the heavy burden of suffering of these conditions is indicated by the large amounts of both human and financial resources devoted to their assessment and treatment. There is a pressing need in the field for effective treatments (that is, those that have been shown to do more good than harm) that will result in a significant reduction in the burden of suffering resulting from these disorders. Further, these effective interventions must be readily available and acceptable to clini cians in the settings in which children with mental disorders (and their families) seek care. This book addresses an important need in the treatment field.