Handbook Of Psychiatric Consultation With Children And Youth

I have spent the best part of the last quarter of a century working on the con sultation service at the Massachusetts General Hospital. Much of my satisfaction has stemmed from working with nonpsychiatric physicians, especially in having them come to realize the value of psychological methods in the treatment of their patients. It has always been my belief that learning to understand the patient's mental life was as much a part of medicine as the taking of vital signs. To treat adequately, certainly to treat well, a physician must know something of his patient's thought processes. Teaching others the value of this knowledge is the first step in educating them to seek ways of learning it themselves. Rarely can this be done in the lecture hall. One can best pique curiosity by demon strating worth, and that is done at the bedside or in whatever setting the con sultation is carried out. Every consultation then carries an implicit imperative to attest its value. It can be covert teaching at its best. I have found the practice of consultation psychiatry satisfying and compelling enough to want to remain in it for at least another quarter of a century .

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.

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 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.

The authors offer a practical method of mental health consultation in the medical setting and cover topics not included in standard child psychiatry and psychology texts, such as treatment adherence and organ transplantation. Overview chapters include a hands-on approach to the consultation process and pragmatic assessment guidelines. Succeeding chapters then address specific clinical situations, from delirium and mood disorders to organ transplantation and cancer. Additional chapters consider issues related to treatment and intervention: both individual and family psychotherapy, including cop

This handbook provides a comprehensive discussion of the key elements which should be part of any successful program tailored to the needs of children with diagnosable mental, behavioral, or emotional disorders. The overall goal of the book is to provide an overview of the psychological services available to children and adolescents in school and community settings. The book is divided into five parts: "Framing the Issues," "Delivering Psychological Services in Diverse Settings," "Preventive Interventions," "Treatments with Specific Populations," and "System-Level Consultation." Settings," "Preventive Interventions,"

Social, economic, and theoretical changes in the current clinical landscape are adding up to profound changes in children’s services--not the least of which is an expanded need for mental health services. Professionals--novices and veteran clinicians alike--wonder how to fill this demand in the present climate of turf wars, reorganizations, and budget cuts. The Handbook of Mental Health Services for Children, Adolescents, and Families cogently analyzes the issues and provides the answers, from current issues and emerging therapeutic trends to new avenues of treatment. Thoroughly researches and documented buy industry experts, it presents the widest range of mental health services available to youth and their families. Areas of coverage include: Specific modalities in service delivery, including in-patient and day treatment facilities, pediatric hospitals, and community mental health centers as well as rural, school, and primary care settings. Services tailored to special populations, such as adolescent sex offenders, homeless children and their families, children with chronic illness, oppositional teens, abuse situations, and children exposed to traumatic events. Details on preventative programs for child abuse, substance abuse, STD’s, and gang violence. An in-depth examination of the latest developments in children’s services, including therapeutic camping and Internet-based treatment. Approaches and methods for evaluating service organization, delivery, and efficacy. Few areas of mental health care demonstrate the need for complementary services as much as child and family practice does. With this need firmly in mind, the Handbook encourages creativity and collaboration within practice settings and across agencies. For clinicians, administrators, school practitioners, and advanced-level students, this is a reference certain to have lasting impact on the field.

Written by the training director of Yale Child Study Center's world-renowned psychiatry program, this practical handbook is a quick, concise guide for professionals on the front lines of child and adolescent mental health care. Using the conversational style and clinical vignettes found in all Practical Guides in Psychiatry titles, Dr. Stubbe takes clinicians through each step of the psychiatric care process, delivering essential fast facts and effective patient care strategies. Sections cover psychiatric evaluation; disorders seen in infants, children, and adolescents; treatment modalities and treatment planning; and special circumstances including psychiatric emergencies, child neglect and abuse, and family issues. Easy-to-use appendices include rating scales and resource information. The Practical Guides in Psychiatry series provides quick, concise information for professionals on the front lines of mental health care. Written in an easy-to-read, conversational style, these invaluable resources take you through each step of the psychiatric care process, delivering fast facts and helpful strategies that help you provide effective and compassionate care to your patients.