The psychiatric profession must ensure that its next generation of leaders has the appropriate skills to provide mental health services in the face of globalization and urbanization, new technologies, and competing demands for shrinking resources. Developing leadership skills and leaders is critical in order to optimise the use of resources, their application, service planning and delivery of services for patients and their families. This is the first book on leadership (rather than management skills) to focus on psychiatry and mental health care. Contributions from international experts with clinical and non-clinical backgrounds pull together the theories and practical skills required to be a successful leader. The aim is to guide mental health professionals in general and psychiatrists in particular on how to gain the relevant skills and on how to utilise these skills and training to take on leadership roles in clinical and organisational settings. The book covers the role of the leader and the skills required for leadership, including chapters on communication, decision-making, team development, mentoring, gender issues in leadership, burnout and more. It includes a section on assessment tools and learning material. Essential reading for all those who aspire to lead in psychiatry!
"When it was originally published in 2009, the Textbook of Hospital Psychiatry was the first comprehensive guide to hit the market in more than a decade. This updated edition includes new material in each of the 30 chapters, with a focus on treatment, staffing, and quality of care changes, and includes new, forward-looking chapters on consumer and family perspectives, collaborative care, measurement-based care, safety, and more. Providers and policymakers agree that integrating behavioral treatments into regular courses of patient care helps address post-discharge needs, including safe housing, reliable transportation, and nutrition. Behavioral wellness is currently benefitting from increased public attention, but disparities in access continue. There is a significant need for dedicated psychiatric hospitals and dedicated units in general hospitals to meet America's mental health needs. Progress is happening, but many familiar challenges remain. Inadequate healthcare coverage and reimbursement for services has left both patients and medical providers desperate for reform. Staffing shortages are worsening as practitioners in the baby boomer generation retire and those roles go unfilled by new graduates. Despite these challenges, psychiatric hospitals continue to evolve and discover new solutions to provide transformative care for patients. This updated textbook contains valuable knowledge and novel insights for clinicians regarding treatment, staffing, and care, and features new chapters on family involvement and safety, federal and local financing, and information on collaborative care and LEAN. Forward-looking chapters focus on the integration of treatment across settings and providers and examine new strategies such as telemedicine to extend the reach of clinicians. Together, and with expert guidance, readers of this must-have resource will find a roadmap for clinical, administrative, and financial steps to help providers take advantage of these unprecedented times to develop services and advance hospital psychiatry in the United States"--
Originally published in 1997, this title describes therapeutic applications of simple to complex combinations of medications to treat common psychiatric disorders among adults. Dr Joseph discusses practical, clinical guidelines that both the beginner and experienced practitioner will find useful. The 100 psychopharmacological cases presented in Part 2 illustrate the application of the diagnostic and treatment concepts described in Part 1. The cases are grouped into simple, moderately complex, and complex cases. The clinical cases, besides evoking a "hands-on" feeling which facilitates learning, can be used to compare your current treatment approach to that of an experienced and highly successful practicing psychiatrist. A vital addition to every psychiatrist's library, this guidebook is indispensable to those seeking a better understanding of patients’ problems from a psychopharmacological perspective that is both practical and effective. Numerous and varied clinical presentations are reduced to treatable symptoms so that even physicians who lack experience with a specific medication or combination of medications will be able to use these interventions successfully. For each of the 100 clinical cases presented in the book, the clinical history, treatment course, medication doses, and treatment outcome are carefully detailed in a step-by-step analysis. Unique features of this book that will be useful to psychiatrists, primary care physicians, and all mental health clinicians include: its symptom-focused approach; its discussion of modern rational polypharmacy; specific dosing guidelines; office management of severe disorders; treatment of special patients, such as celebrities and other doctors; clinical cases; and sample answers to common questions asked by patients. Psychiatrists, psychiatric residents, psychotherapists, psychiatric nurses, and other physicians will find thorough and clear explanations of treatment strategies and their nuances in this volume. Physicians interested in learning balanced and rational use of various psychotropic medication combinations will find themselves turning to this book again and again as they strive to alleviate psychiatric symptoms in patients and exercise techniques that minimize or avoid inpatient psychiatric hospitalization.
Clinical Management in Mental Health Services is a practical guide to the day to day operational management of mental health teams. It explores both the theoretical aspects of management plus strategies for dealing with the wide range of management issues faced by managers working in mental health. It looks at issues such as leading a multidisciplinary team, Communication and Public Relations, the importance of clinical supervision, evidence-based practice, and quality assurance. It addresses the issue of workload management, clinical information management, how to plan a budget and how to manage stress.
DSM-5® Self-Exam Questions: Test Questions for the Diagnostic Criteria elucidates DSM-5® through self-exam questions designed to test the reader's knowledge of the new edition's diagnostic criteria. Mental health professionals, ranging from clinicians and students to psychiatric nurses and social workers, will benefit from this substantive text's 300-plus questions. This book is a "must have" for anyone seeking to fully understand the changes brought about by the groundbreaking launch of DSM-5®. Some of the book's most beneficial features include: Self-exam questions and cases designed to test the reader's knowledge of conceptual changes to DSM-5® (e.g., autism spectrum disorder), specific changes to diagnoses (e.g., the integration of childhood disorders within main disorders), and diagnostic criteria (e.g., the diagnostic criteria for major depressive disorder and bipolar disorders). Questions about each diagnosis in DSM-5®, including the proposed diagnoses in Section III, which enable readers to teach themselves about new and potential future diagnoses. A contrast of DSM-5® diagnoses with DSM-IV-TR® to assist readers in quickly learning about the changes in diagnostic classes and criteria. Short answers that explain the rationale for each correct answer (diagnostic criteria sets from DSM-5® are included as appropriate, and readers are directed to DSM-5® for further information). Question answers containing important information on diagnostic classifications, criteria sets, diagnoses, codes, and severity, dimension of diagnosis, and culture, age, and gender. Straightforward, practical, and illustrative, DSM-5® Self-Exam Questions: Test Questions for the Diagnostic Criteria will successfully test and broaden the DSM-5® knowledge of all mental health professionals.
Valuable patient-centered ideas for treating mental illness Traditional forms of mental health care can often center more on simply avoiding hospitalization than on promoting wellness by focusing on a patient’s personal feelings and hopes. In fact, these established methods can even have a dehumanizing and devaluing effect on a patient. Solution-Focused Brief Practice with Long-Term Clients in Mental Health Services is a practical introduction and guide that provides practitioners an alternative way of thinking about and working with individuals who have been long-term users of the mental health system. Through interviews, case studies, and actual client testimony, this valuable text demonstrates the most effective ways to establish patient-centered conversations that forge collaborative relationships, realize strengths, and use them to move toward healing. Solution-Focused Brief Practice with Long-Term Clients in Mental Health Services is a strength-based approach that utilizes a client’s personal and social resources to help them find a satisfactory solution to the sources of their need for professional help. This book offers a unique approach that can be applied to those who have been in the mental health system for many years and may remain so. Accessible and useable, this guide explores the meaning of conventional diagnosis and treatment and how both can actually reinforce the client’s disability, chronicity, and sense of helplessness as a person. Topics Solution-Focused Brief Practice with Long-Term Clients in Mental Health Services covers include: the tools of solution-focused brief practice working with borderline personality disorder adaptability and application to different contexts “reading” the client during discussion sessions emphasizing an individual’s healthy parts the role of community support rethinking the medical model implementing solution-focused practices in agencies and hospitals poststructuralism, social constructionism, and language games and many more! Solution-Focused Brief Practice with Long-Term Clients in Mental Health Services is extensively referenced with a detailed bibliography. It is an essential resource for psychiatrists, social workers, psychologists, family therapists, counselors, nurse practitioners, and schools of social work and family therapy training programs. Staff of inpatient psychiatric hospitals, psycho-social clubs, and community mental health clinics will also benefit from this indispensable text.
