Textbook Of Administrative Psychiatry

Today's practice of psychiatric administration is totally different from that in past years because of the vast changes sweeping the health care and behavioral health care sectors. Reflecting these changes, this completely revamped second edition contains all-new chapters by 68 contributors (most new to this edition). This definitive textbook provides the practitioner and student of administration in behavioral healthcare with an up-to-date compendium focused on five central issues that represent the framework of the debate that will guide the evolution of behavioral health care during the next few years An overview of the evolving behavioral health system, from the rich legacy of the community mental health movement mandated by federal legislation in the 1960s to today's paradigm, which is instead driven by the marketplace phenomena of managed care, information systems, and consumer empowerment. Core and new administrative psychiatry concepts and new roles for behavioral health players, including organizational theories, leadership requirements, planning models, and information system solutions, as well as new models of program evaluation and quality management and innovations in training and human resource development. How selected behavioral health systems are changing and the trend toward integrated systems, addressing the challenge of delivery system configuration and integrated service delivery as the system evolves from cost-based fee for service to managed care settings, as well as important new roles for psychiatric administrators in behavioral health network establishment and maintenance, staffing, capitated financing, population-based care, and outcome management. A comprehensive overview of the current system, from hospitals (including VA and military services) to county mental health departments, child and family service agencies, and HMOs, with new roles for everyone -- psychiatrists, administrators, and mental health clinicians as well as consumers and their families -- in the consumer-focused health care systems of the future. Law and ethics, which includes prisons and civil law issues and considers the special challenge of working within a field where innovation, science, and the marketplace are running well ahead of the legal and bioethics communities. Offering an in-depth study of areas never before covered, this extensively referenced volume concludes with a discussion of future issues in administrative psychiatry, as the "disruptive technologies" that forced the restructuring of banking, automobile manufacturing, consumer electronics, and other industries start to have an impact on health care. Broad in appeal as well as scope, this unique reference will find a worldwide audience -- from administrators facing the challenges of designing and administering a cost-efficient, effective care system to trainees studying for certification, and nearly everyone in between: from social workers to medical directors, staff psychiatrists, nurses, and middle managers of private and public psychiatric hospitals and behavioral health managed care organizations.

This textbook provides the practitioner and student of administration in behavioral healthcare an overview of the evolving behavioral health system, core and new administrative psychiatry concepts, new roles for behavioral health players, how selected behavioral health systems are changing, the trend toward integrated systems, and law and ethics.

With decreases in lengths of hospital stay and increases in alternatives to inpatient treatments, the field of hospital psychiatry has changed dramatically over the past 20 years. As the first comprehensive guide to be published in more than a decade, the Textbook of Hospital Psychiatry is a compilation of the latest trends, issues, and developments in the field. The textbook, written by 70 national experts and clinical specialists, covers a wide range of clinical and administrative topics that are central to today's practice of hospital psychiatry. This is the only textbook on the market today that provides information for psychiatric hospital clinicians and administrators in a single all-inclusive volume. It covers information not generally available in other textbooks and medical journals, touching on a variety of cutting-edge issues, such as safety improvement, use of seclusion and restraint, suicide prevention, and culturally competent psychiatric care. The book's 35 chapters are divided into four parts: Part I, Inpatient Practice -- focuses on specialty psychiatric units (e.g., acute stabilization unit, eating disorders unit, forensic unit, child unit), including the many psychopharmacological and psychosocial treatments used within each. This section also touches on specialized treatment for patients with co-occurring problems, such as substance abuse, developmental disabilities, and legal difficulties. Part II, Special Clinical Issues -- covers clinical issues from the perspective of different populations (consumers, families, suicidal patients). This section also examines the recent trend toward patient-centered care. Part III, The Continuum of Care -- addresses psychiatric services within the community, such as rehabilitation programs, day hospitals, and emergency services. It discusses the importance of understanding hospital-based treatment within the broader perspective of patients' lives. Part IV, Structure and Infrastructure -- focuses on such often-overlooked topics as financing of care, risk management, electronic medical records, and the actual architecture of psychiatric hospitals, as well as the roles of psychiatric hospital administrators, psychiatric nurses, and psychiatrists and psychologists. An invaluable resource for both clinicians and administrators, as well as a comprehensive teaching tool for residents, the Textbook of Hospital Psychiatry is a must-have for all professionals who work in psychiatric settings.

This text provides an overview on such need-to-know issues as cost containment, managed care, physicians' payment reform, and legislation. Administrators share ideas on preparing budgets, recruiting staff, and setting standards for quality assurance.

This new edition of Textbook of Suicide Assessment and Management follows the natural sequence of events in evaluating and treating patients: assessment, major mental disorders, treatment, treatment settings, special populations, special topics, prevention, and the aftermath of suicide.

The Textbook of Medical Psychiatry was written for the wide range of clinicians who grapple with the diagnostic and treatment challenges inherent in this clinical reality: medical and psychiatric illnesses do not occur in isolation from one another. Because assessment in these cases may be challenging, the book addresses general medical conditions that directly cause psychiatric illness and the medical differential diagnosis of common psychiatric illnesses. In addition, the book describes how the presentation and treatment of both psychiatric and medical disorders are modified by the presence of comorbid conditions. The editors, who are at the forefront of the field, have assembled an outstanding group of contributors, all of whom share the objective of helping psychiatrists, internists, neurologists, trainees, and other health care providers recognize the medical issues facing patients with psychiatric symptoms, and vice versa. Proper assessment and treatment are dependent on the skillful application of this knowledge. Written in down-to-earth, clinically grounded prose, this text Provides a comprehensive exploration of approaches to the patient, including perspectives from internists and neurologists on dealing with diagnostic uncertainty and special chapters on the neurological examination, cognitive testing, neuroimaging, laboratory testing, and toxicological syndromes. Presents a review of medical disorders that can directly or indirectly affect the clinical presentation and course of psychiatric disorders. Presents a review of psychiatric disorders that can be caused by medical illnesses or affect the clinical presentation and course of medical disorders. Includes chapters on pain, insomnia, and somatoform disorders, conditions that accompany many psychiatric and medical illnesses and that fall in the boundary between these practice settings. In clinics and offices every day, physicians encounter patients whose presentations are atypical or whose symptoms are not responsive to usual care. When facing the challenges of accurately assessing complicated symptoms and managing the care of complex patients, clinicians often seek advice from colleagues whose perspectives and expertise they trust. The chapters in the Textbook of Medical Psychiatry can be consulted in much the same fashion, expanding clinicians' knowledge base and helping them to more effectively diagnose and care for their patients.

Widely recognised as the standard text for trainee psychiatrists, the Shorter Oxford Textbook of Psychiatry stands head and shoulders above the competition. The text has been honed over five editions and displays a fluency, authority and insight which is not only rarely found but makes the process of assimilating information as smooth and enjoyable as possible. The book provides an introduction to all the clinical topics required by the trainee psychiatrist, including all the sub-specialties and major psychiatric conditions. Throughout, the authors emphasize the basic clinical skills required for the full assessment and understanding of the patient. Discussion of treatment includes not only scientific evidence, but also practical problems in the management of patients their family and social context. The text emphasizes an evidence-based approach to practice and gives full attention to ethical and legal issues. Introductory chapters focus on recognition of signs and symptoms, classification and diagnosis, psychiatric assessment, and aetiology. Further chapters deal with all the the major psychiatric syndromes as well as providing detailed coverage of pharmacological and psychological treatments. The book gives equal prominence to ICD and DSM classification - often with direct comparisons - giving the book a universal appeal. The Shorter Oxford Textbook of Psychiatry remains the most up-to-date secondary level textbook of psychiatry available, with the new edition boasting a new modern design and greater use of summary boxes, tables, and lists than ever before. The extensive bibliography has been brought up-to-date and there are targeted reading lists for each chapter. The Shorter Oxford Textbook of Psychiatry fulfils all the study and revision needs of psychiatric trainees, but will also prove useful to medical students, GPs, qualified psychiatrists, and those in related fields who need to be kept informed with current psychiatric practice.