The Casebook Of A Residential Care Psychiatrist

Discover an alternative realm of psychiatry—without offices or couches! The Casebook of a Residential Care Psychiatrist: Psychopharmacosocioeconomics and the Treatment of Schizophrenia in Residential Care Facilities addresses the problems involved in the onsite treatment of mentally ill patients in residential care facilities. This book is the first to identify the need for psychiatrists to be available to individuals in such facilities as adult homes, community care homes, transitional living facilities, and rest homes. This vital resource also contains specific recommendations as to how these visits should be conducted with regard to frequency, duration, space, and the types of Medicare procedure codes to utilize. In The Casebook of a Residential Care Psychiatrist, Dr. Fleishman uses his 40 years of experience as a psychiatrist to show you the ins and outs of practicing psychiatry in residential facilities. The book also discusses the profound changes psychiatric drugs have produced in the social, economic, and legal arenas. Using anecdotes, personal stories, and actual documents from Dr. Fleishman’s files, this book provides you with a wealth of knowledge not found anywhere else. With this book, you’ll learn more about: time-saving interview/assessment techniques the importance of psychopharmacology in residential care and how it has changed the practice of psychiatry Dr. Fleishman’s method for appropriately creating and using progress notes and other records during treatment ways to work with other members of the residential facility professional community—including psychologists, social workers, pharmacists, and administrators—to make everyone’s job easier the best ways to control paperwork obligations the impact that federal, state, and local government agencies have had on mental health spending, services, and practitioners In The Casebook of a Residential Care Psychiatrist, you will find wisdom, knowledge, and advice along with case studies, tables and examples. While focused on psychiatry and schizophrenia, this book will be of interest to mental health workers, long-term caregivers, and residential facility administrators as well as psychiatrists and psychologists.

Reviewing the breadth of current knowledge on schizophrenia, this handbook provides clear, practical guidelines for effective assessment and treatment in diverse contexts. Leading authorities have contributed 61 concise chapters on all aspects of the disorder and its clinical management. In lieu of exhaustive literature reviews, each chapter summarizes the state of the science; highlights key points the busy practitioner needs to know; and lists recommended resources, including seminal research studies, invaluable clinical tools, and more. Comprehensive, authoritative, and timely, the volume will enable professionals in any setting to better understand and help their patients or clients with severe mental illness.

Schizophrenia is a chronic, severe, and disabling psychosis, which is an impairment of thinking in which the interpretation of reality is abnormal. Psychosis is a symptom of a disordered brain. Approximately One percent of the population worldwide develops schizophrenia during their lifetime. Although schizophrenia affects men and women with equal frequency, the disorder often appears earlier in men, usually in the late teens or early twenties, than in women, who are generally affected in the twenties to early thirties. People with schizophrenia often suffer symptoms such as hearing internal voices not heard by others, or believing that other people are reading their minds, controlling their thoughts, or plotting to harm them. The current evidence concerning the causes of schizophrenia are many. It is quite clear that multiple factors are involved. These include changes in the chemistry of the brain, changes in the structure of the brain, and genetic factors. Viral infections and head injuries may also play a role. New molecular tools and modern statistical analyses allow focusing in on particular genes that might make people more susceptible to schizophrenia by affecting, for example, brain development or neurotransmitter systems governing brain functioning. State-of-the-art imaging techniques are being used to study the living brain. They have recently revealed specific, subtle abnormalities in the structure and function of the brains of patients with schizophrenia. In other imaging studies, early biochemical changes that may precede the onset of disease symptoms have been noted, prompting examination of the neural circuits that are most likely to be involved in producing those symptoms. This book presents new and important research in the field.

Stop intimate partner violence before it starts Intimate partner violence touches everyone. With more than 1 million cases reported each year, this pervasive social problem has devastating effects on victims, families, and communities. Prevention of Intimate Partner Violence presents a comprehensive overview of the wide range of efforts and approaches that have been successful in preventing physical, emotional, and verbal abuse. A growing frustration with the limits of therapeutic intervention and with the costs imposed on society by intimate partner violence has created a need for greater emphasis on state-of-the-art prevention programs that really work. Prevention of Intimate Partner Violence addresses the challenges of conducting and evaluating such programs, gaps that exist in programming and research, and future trends in those areas. A panel of domestic violence experts, researchers, and healthcare professionals examines how to change the ways individuals and the current health care system think about, and respond to, intimate partner violence; how to change the ways young people deal with anger in intimate relationships; and the ways society can support families to reduce the occurrence of violence in intimate relationships. Prevention of Intimate Partner Violence examines: identifying risk factors the cost-benefit of universal and targeted programs the effectiveness of parenting, stress management, and substance abuse programs community capacity theory community development social networks media and public awareness campaigns healthcare screening programs and much more Prevention of Intimate Partner Violence documents the effectiveness of prevention interventions, encouraging prevention specialists to use evidence-based interventions to enhance the effectiveness of their own work. This powerful book is an invaluable professional resource for social workers, family life educators, researchers, and practitioners.

In today's environment of managed care, practitioners face more daunting challenges than ever: treatment authorizations are becoming more difficult to obtain, as are referrals to other healthcare practitioners, which are increasingly performance based. Into this competitive environment comes Casebook for Managing Managed Care: A Self-Study Guide for Treatment Planning, Documentation, and Communication. Dedicated to helping mental healthcare practitioners clearly articulate and prove the value of what they provide patients within the managed care system, this foundational text uniquely fills a gap in the literature by providing a user-friendly, self-contained tutorial for the Patient Impairment Profile (PIP) documentation method. The PIP combines impairment terminology, the impairment profile, and the various treatment plan components to create a common language for describing behavior-based patient dysfunction and communicating the clinical rationale for treatment. As a model for treatment plan development, the PIP system trains the practitioner (or treatment team) in the "must-have" skills needed for todays managed care environment. Here practitioners will find explicit instructions about how to Communicate treatment needs convincingly Distinguish effectively between goals, objectives, and interventions Track progress over time Document treatment summaries efficiently Using clear language and a wide array of case vignettes, the Casebook demonstrates how using PIPS can streamline the documentation, communication, and decision-making processes. The Casebook continues the groundbreaking tradition of its predecessors: Managing Managed Care: The Mental Health Practitioner's Survival Guide (Goodman et al. 1992) and Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition (Goodman et al. 1996). It is uniquely valuable both as a stand-alone instructional text and as a companion to the second edition, which introduced the Patient Impairment Lexicon and the PIP system itself. The Casebook's updates to the Impairment Lexicon definitions that first appeared in Managing Managed Care II are based on the authors' ongoing psychometric evaluation and research. This practical text will find its way onto the bookshelves of mental healthcare practitioners and managed care personnel alike. Psychiatrists, clinical psychologists, clinical social workers, marriage and family therapists, and psychiatric nurses -- especially those participating as managed care providers -- and case managers and utilization reviewers within managed care organizations, regardless of background, will find a framework for success within these pages. The Casebook's broad appeal also extends to both students in healthcare disciplines and the graduate programs that train them, and to psychiatric/behavioral healthcare organizations and facilities (inpatient, outpatient, and residential), where it will be used for treatment planning.

The highly anticipated Ending Child Abuse: New Efforts in Prevention, Investigation, and Training presents an exciting vision: to end or significantly reduce child abuse. Respected social scientists and legal scholars discuss empirically sound short- and long- term multidisciplinary strategies that can be implemented in every community. Innovative and well-established concepts and approaches are clearly presented, such as specialized education, rational preventative methods, effective investigation and prosecution strategies, and the analysis of factors that influence law enforcement investigations and child abuse prevention efforts. This collection is impeccably referenced, soundly supported with research, and includes an appendix of other useful sources of information.