Emergency Psychiatry

Written and edited by leading emergency psychiatrists, this is the first comprehensive text devoted to emergency psychiatry. The book blends the authors' clinical experience with evidence-based information, expert opinions, and American Psychiatric Association guidelines for emergency psychiatry. Case studies are used throughout to reinforce key clinical points. This text brings together relevant principles from many psychiatric subspecialties—community, consultation/liaison, psychotherapy, substance abuse, psychopharmacology, disaster, child, geriatric, administrative, forensic—as well as from emergency medicine, psychology, law, medical ethics, and public health policy. The emerging field of disaster psychiatry is also addressed. A companion Website offers instant access to the fully searchable text. (www.glickemergencypsychiatry.com)

A rapid reference for management of patients with psychiatric disorders for emergency department physicians, primary care and acute care providers.

The field of emergency psychiatry is complex and varied, encompassing elements of general medicine, emergency medicine, trauma, acute care, the legal system, politics and bureaucracy, mental illness, substance abuse and addiction, current social issues, and more. In one comprehensive, highly regarded volume, Emergency Psychiatry: Principles and Practice brings together key principles from psychiatric subspecialties as well as from emergency medicine, psychology, law, medical ethics, and public health policy. Leading emergency psychiatrists write from their extensive clinical experience, providing evidence-based information, expert opinions, American Psychiatric Association guidelines, and case studies throughout the text. This fully up-to-date second edition covers all of the important issues facing psychiatry residents and practitioners working in today’s emergency settings, or who encounter psychiatric emergencies in other medical settings.

This handbook is a practical, quick-reference guide to the evaluation and management of acute psychiatric symptoms seen in emergency departments and inpatient psychiatric and medical-surgical units. The book presents a step-by-step approach to each symptom, beginning with a list of questions necessary for initial assessment and proceeding to psychopharmacologic interventions, DSM-IV-TR criteria, differential diagnosis, and disposition guidelines. Additional chapters address safety concerns, the mental status examination, use of restraints and seclusion, child and elder abuse, and special needs of children, adolescents, geriatric patients, mentally retarded individuals, and patients with HIV. A chapter on legal and forensic issues is also included.

Psychiatric emergencies are encountered throughout the practice of medicine, in many clinical settings. They may range from a patient expressing suicidal thoughts in an outpatient medical visit to an agitated, threatening patient with psychosis who is acutely intoxicated brought to the Emergency Department by ambulance. Decisions regarding admission, discharge, treatment, and referral are time-sensitive in the emergency setting or when acute safety issues are at stake. A broad knowledge of psychiatry and an understanding of potential medical etiologies of behavioral changes are important, as well as skills navigating what can be a complicated consultation relationship with the emergency department and challenging systems-based issues. In a time when emergency department visits continue to grow, resources for inpatient beds remain scarce and outpatient care can be difficult to access, the demand for psychiatric care and evaluation in the emergency setting is crucial. This volume, the 12th in the Primer On series, provides a straightforward approach to evaluating and managing common psychiatric emergencies. Blending case examples with up-to-date evidence-based approaches, this book serves as both a reference and introductory text for clinicians who are working in an emergency department or emergency consult setting.

This eagerly awaited volume occupies an important place in the series Critical Issues in Psychiatry. Most mental health professionals are quite at home with ordinary day-to-day crises of clinical practice but relatively unprepared for the true psychiatric emergency. Such emergencies are too infrequent for most of us to experience a real sense of competence. On the other hand, emergency room psychiatrists as well as residents and other trainees have long wished for a truly comprehensive textbook that would cover the spectrum of emergency psychiatry. This book is just such a definitive and comprehensive volume for the specialist, while at the same time a clear, succinct, and comprehensive reference for the clinician. of emergency care, The authors consistently present a systematic model emphasizing the interconnection between the process of emergency interven tion and the specific features of clinical crisis. They are true to the principle that one's system of care should be built on priorities. It is immediately apparent that these are highly experienced clinicians as well as teachers. It is difficult to imagine a clinical situation that is not addressed by this book. It includes chapters on triage, assessment, and treatment planning; emer gencies associated with all the various psychopathologies; age groups from childhood to old age; the emergency management of violent and suicidal pa tients as well as rape and disaster victims; emergencies secondary to substance abuse and prescribed medications; psychotherapeutic and psychopharmacol ogic intervention; as well as the relevant legal, social, and community issues in emergency care.

This book describes a spectrum of possible solutions to providing comprehensive emergency psychiatric care. It discusses in detail all components of emergency psychiatric care, such as triage, security, management of suicide risk, violent patients, interdisciplinary treatment teams, administration, and telepsychiatry. It has been written by and is of interest to psychiatrists, emergency medicine physicians, nurses, social workers, administrators, the police and security staff.

Many healthcare providers based in primary care, emergency care or other acute care environments encounter patients with psychiatric problems. These presentations can be difficult to manage and often pose significant challenges. A better understanding of most common psychiatric problems can greatly aid both providers and patients. Emergency Psychiatry reviews a wide range of common psychiatric disorders and provides succinct management guidelines. Written by emergency physicians and psychiatrists, Emergency Psychiatry is a rapid reference for the acute management of psychiatric disorders for all care providers, including, but not limited to, emergency physicians, internists, psychiatrists, social workers, family practitioners and other primary care providers.