Pathologist of the Mind

Author: S. D. Lamb
Publisher: JHU Press
ISBN: 1421414848
Format: PDF, ePub
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Weaving together private correspondence and uniquely detailed case histories, the author examines Adolf Meyer's efforts to institute a clinical science of psychiatry in the United States—one that harmonized the expectations of scientific medicine with his concept of the person as a biological organism and mental illness as an adaptive failure.

Psychiatric Services in Correctional Facilities

Author: American Psychiatric Association
Publisher: American Psychiatric Pub
ISBN: 9781585628117
Format: PDF
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For the past decade, the first edition of this unique book has lighted the way for those seeking to navigate the perilous shoals of providing mental health services in jails and prisons. These guidelines have been used and cited extensively in many contexts: educational, planning, and legal. They also have been used by surveyors and monitors of correctional facilities. Since the publication of the first edition, American jails and prisons have seen many changes, including considerable litigation, the development of consumer groups, and the creation of some exemplary programs. However, there has also been a dramatic increase in the population of U.S. jails and prisons. In September 1989, when the first edition of these guidelines was published, our nation's jails and prisons held an estimated 1.2 million men and women. This number is now 1.8 million. Many studies have consistently demonstrated that about 20% of these inmates have serious mental illnesses, and as many as 5% are actively psychotic. With upward of 700,000 men and women entering the U.S criminal justice system each year with active symptoms of serious mental disorders, with 75% of these people having co-occurring substance abuse disorders, and with these persons likely to stay incarcerated four or five times longer than similarly charged people without mental disorders, what are our duties and responsibilities? How do we live up to our personal moral principles, our professional ethics, and our public service obligations in the face of these overwhelming numbers? This is the question to which this book is addressed. This book is intended both to prod to action and to provide comprehensive guidance on how to fulfill these responsibilities to ourselves, our profession, and these badly underserved patients. We have the technologies for treatment and the knowledge and the skills, yet limited resources and public and professional resistance often impede appropriate response. We believe that these guidelines can help overcome many of these sources of resistance through informed action. More active involvement of our profession, as described in these guidelines, is needed, is possible, and will make a difference.

A Guide to Psychiatric Services in Schools

Author: Shawna S. Brent
Publisher: Routledge
ISBN: 1135197628
Format: PDF
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In order to provide comprehensive care to students with a wide variety of social and emotional challenges, close collaboration between psychiatrists and school-based mental health professionals is vital. This book provides practical information about psychiatric diagnoses and medications, as well as effective ways to communicate with physicians, to ensure that the needs of all students and their families are met. Brent reviews the process and content of a psychiatric evaluation, the general principles of psychopharmacology, and the various classes of medications. Subsequent chapters then focus on different psychiatric diagnoses and treatment options. Characteristics, evaluation, and treatment methods are discussed for mood, anxiety, psychotic, pervasive developmental, and externalizing behavior disorders with case examples provided throughout for illustration. A brief overview of mental health crises, including suicidal statements, physical aggression, and self-harm behaviors, and how these can best be handled in the educational setting is also provided. School-based mental health professionals will find this book to be a clear, concise, and practical guide to facilitating strong communication and collaboration amongst themselves, educators, and physicians.

Psychiatric Services in Correctional Facilities

Author: American Psychiatric Association
Publisher: American Psychiatric Pub
ISBN: 0890426740
Format: PDF, Kindle
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The long-awaited report of the APA's Work Group to Revise the APA Guidelines on Psychiatric Services in Correctional Facilities, Psychiatric Services in Correctional Facilities comes at a time of growing incarceration rates, more rigid sentencing policies, harsher sanctions, and tougher public attitudes toward crime. The result is a near-doubling of the incarcerated population since the first report was issued in 1989 and a significant increase of inmates with serious mental health issues. The work group members address the implications of this troubling state of affairs for psychiatrists and other mental health practitioners who diagnose and treat within the correctional environment. On the basis of extensive input from multiple sources and perspectives, they have developed clear guidelines that equip clinicians to navigate the special challenges they face. This edition has been thoroughly updated and is structured to flow from the foundational principles that govern the delivery of psychiatric care in correctional facilities, to the guidelines for screening, referral, evaluation, treatment, and community reentry planning, to special applications of the principles and guidelines to specific disorders/ syndromes, patient populations, housing locations, treatment modalities, and inmate special needs. Readers will find the book well written, with clear guidance for the clinician, as well as challenges to think beyond the needs of individual patients to the larger relationship between mental illness and incarceration. Approximately three of every four incarcerated people with a serious mental illness have a co-occurring substance use disorder, complicating both diagnosis and treatment. The book offers strategies for treating co-occurring disorders and explores the need for evidence-based screening tools. Because some inmate populations have unique evaluation and treatment needs because of their disorders, demographics, or other characteristics, separate sections are devoted to women; youths in adult correctional facilities; geriatrics; lesbian, gay, bisexual, and transgender patients; veterans; and patients with intellectual and developmental disabilities. New management and programmatic topics include hospice, mental illness and segregation, seclusion and restraint, telepsychiatry, and the spiritual lives of inmates. The appendix is a valuable resource that includes a selection of APA position statements on topics relevant to psychiatric services in correctional settings, such as capital punishment, access to care for transgender and gender-variant individuals, and the adjudication of youths as adults in the criminal justice system. Correctional psychiatry is an evolving field, and serious questions remain. The work group sees an expanded role for clinicians as physician leaders, managers, and directors, more effectively advocating for their patients and helping to shape optimal care delivery systems that empower patients and support successful transition back to the community. Psychiatric Services in Correctional Facilities provides the current knowledge and professional support clinicians need to meet these challenges.

Resilience and Mental Health

Author: Steven M. Southwick
Publisher: Cambridge University Press
ISBN: 113949886X
Format: PDF, ePub, Docs
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Humans are remarkably resilient in the face of crises, traumas, disabilities, attachment losses and ongoing adversities. To date, most research in the field of traumatic stress has focused on neurobiological, psychological and social factors associated with trauma-related psychopathology and deficits in psychosocial functioning. Far less is known about resilience to stress and healthy adaptation to stress and trauma. This book brings together experts from a broad array of scientific fields whose research has focused on adaptive responses to stress. Each of the five sections in the book examines the relevant concepts, spanning from factors that contribute to and promote resilience, to populations and societal systems in which resilience is employed, to specific applications and contexts of resilience and interventions designed to better enhance resilience. This will be suitable for clinicians and researchers who are interested in resilience across the lifespan and in response to a wide variety of stressors.

Integrated Mental Health Services

Author: William R. Breakey
Publisher: Oxford University Press, USA
ISBN: 9780195074215
Format: PDF, ePub
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Modern community psychiatry provides public sector psychiatric services to populations in efficient yet cost-effective ways. Increasingly, psychiatrists are applying the same methods and principles in the private sector as better organized managed systems of care are evolving. This book responds to this new interest by providing a thorough examination of community psychiatry. It places modern mental health services in their historical context, describes the methods and programs used to provide such services, and emphasizes integration between service components. With contributions from some of the foremost authorities in the field of psychiatry, the book discusses the public health principles that underlie community approaches, and present the methods used within the several components of a comprehensive service system in order to address the needs of specific populations, stressing interdisciplinary teamwork and coordination within an integrated service network. In addressing target populations, whether they be the residents of specific geographic areas, or special populations such as homeless people or AIDS victims, community psychiatry deals not only with interactions between clinicians and patients but also with the systems that enable these interactions and services to be provided effectively. In modern community psychiatry, success, measured by cost-effectiveness rather than by its faithfulness to any particular theoretical model, is achieved through interdisciplinary teamwork and the involvement of consumers. This book describes the history of public mental health services and the scientific underpinnings of modern community psychiatry in epidemiology, mental health services research and administration. It will be of interest to those in the field of psychiatry interested in the methods and strategies used to provide the range of services that constitute a comprehensive mental health porogram.

Psychiatric Services for Addicted Patients

Author: American Psychiatric Association
Publisher: American Psychiatric Pub
ISBN: 9780890422762
Format: PDF, Kindle
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The original task force report, completed in the summer of 1994, reflected the current state of addiction treatment and provided recommendations for improving these services in the future. That monograph is reproduced in this book, which accomplishes the following: * Define psychiatrists' current roles and practices in the treatment of substance-dependent patients in relationship to that of other practitioners, with particular attention to issues such as dual diagnosis, methadone treatment, and detoxification* Develop suggestions for appropriate funding mechanisms for the payment of addicted patients' treatment in the context of managed care and indemnity benefit programs* Examine issues related to the funding of public sector programs, including funding of Department of Veterans Affairs programs, block grant funding of state and city programs, as well as funding of voluntary treatment programs within and outside the criminal justice system. This book is divided into four sections. Chapter 1 reviews the history of American psychiatry's interest in addiction disorders and the development of the current network of addiction treatment services. Chapter 2 is a snapshot of the current addiction treatment system, with a description of the services provided in general medical settings, psychiatric hospitals, freestanding residential facilities, and private practice and other outpatient settings. Chapter 3 explores the economics of the treatment system: the costs of addictive diseases to American society and the costs and sources of support for their treatment. Chapter 4 examines the range of system modifications and resource allocations needed to bring high quality, cost-effective treatment to addicted patients and their families. These needs range from improving data collection and treatment research to increasing community involvement and the application of current research findings.