The shifting demographic toward a "graying" population -- coupled with today's reality of managed care -- makes the need for high-quality, cost-effective psychiatric services within the nursing care setting more urgent than ever. As we increase the number of our years, it is also imperative that we enhance the quality of those years. The product of the American Psychiatric Association's (APA's) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the "how" -- not the "why" -- of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities. Divided into six sections, this "how to" volume contains practical information readers can use right away, from getting reimbursed by insurance companies to handling nursing facility politics: Clinical -- History; evaluation and management of psychiatric problems in long-term care patients; an overview of the MDS; sexuality within the nursing home care setting Regulatory -- Introduction to the Nursing Home Reform Act of 1987 (part of OBRA-87) and its implications for psychiatric care; details about the Resident Assessment Instrument (RAI), which includes the MDS, the Resident Assessment Protocols (RAPs), and Utilization Guides specified in the State Operations Manual (SOP) Financial -- Documentation, reimbursement, and coding; what to look for when contracting with nursing homes Legal and ethical -- The dehumanizing effect of diagnostic labels and the ethical issues inherent in regulating daily schedules (e.g., bed, meal, and bath times); nursing home placement; competence and decision-making ability; comfort care for end-stage dementia; coping with Alzheimer's disease; and the role of caregivers Summary and Future Perspectives -- A detailed vision about how psychiatrists can improve the diagnosis and treatment of nursing home patients Appendixes and bibliography -- Staffing recommendations and assessment instruments Edited by a distinguished authority and former chair of the APA's Committee on Long-Term Care and Treatment of the Elderly, this comprehensive volume will appeal to a wide audience of professionals: from general psychiatrists, nurse practitioners, and clinical nurse specialists, to primary care physicians and residents.

Explores the range of diagnoses found on inpatient psychiatric units providing practical advice in an accessible format for managing patients.

Revised version of the 1981 publication includes over 100 new cases to aid the clinician using the concepts and terminology of the DSM-III-R. Organized into: adult, child, and adolescent cases, international and historical cases. No bibliography. Annotation copyrighted by Book News, Inc., Portland, OR

Poverty, substandard medical care, social neglect or withdrawal, unhealthy lifestyle -- these are just some of the contributors to the substantial morbidity of patients with severe mental illness. Medical deteriorations are often unexpected and severe, and particularly difficult to evaluate in the context of psychotic disorders. For this new edition, the Handbook of Medicine in Psychiatry has been updated and streamlined to provide a realistic approach to the medical issues encountered in psychiatric practice by helping clinicians answer whether their patient: Is at risk of dying or becoming severely disabled. Requires an immediate therapeutic intervention for a potentially life-threatening condition. Needs to be transferred to an emergency medicine setting. Requires urgent investigations. Must have changes made in the current medication regimen. Clinical vignettes for each chapter illustrate the complexity of the presentation of abnormal vital signs and somatic disorders in psychiatric settings, including fever, hypertension, seizures, and nausea and vomiting. The guide also provides risk stratification for major complications -- from abnormal thyroid function and acute kidney injury to myocarditis and venous thromboembolism -- enabling readers to determine the need for a transfer of the patient to an emergency medicine setting. A brand-new section features thorough discussions of topics requiring interdisciplinary collaboration with geriatricians, neurologists, anesthesiologists, addiction medicine, and adolescent medicine specialists. Clinicians working in today's busy inpatient and outpatient psychiatric settings will find in these pages a cognitive framework and knowledge base that will aid them in accurate decision making in the conditions of uncertainty created by potentially major medical deteriorations of the vulnerable populations under their care.

Manual of Clinical Psychopharmacology for Nurses offers a holistic approach to psychopharmacological prescribing from a nursing perspective and is the only text designed especially for Psychiatric Mental Health Advanced Practice Registered Nurses (P.M.H.-A.P.R.N.s). The Manual is grounded in the belief that given their nursing background and their personalized approach to the individual, P.M.H.-A.P.R.N.s are uniquely qualified to offer symptom-based treatment within the context of an individual's medical and psychological care. A comprehensive resource for advanced practice nurses, mental health practitioners, general practitioners, and consumers, this book possesses many useful features, including the following: A logical, easy-to-use format that guides the reader through the most common psychiatric conditions, presenting the diagnostic criteria and neurobiology of the relevant disorder, pharmacological choices and recommendations on monitoring, side effects to consider, and treatment of special populations, including those with medical illnesses. A special chapter devoted to culturally sensitive psychopharmacology that offers information on the role of culture in mental health, wellness, and illness and provides culturally sensitive assessment techniques and other treatment strategies PMH nurses can use to minimize stigma; address health care disparities; and improve patient adherence, satisfaction, and outcomes. A chapter that addresses complementary and alternative pharmacotherapies -- vital because a significant percentage of patients may be using herbal preparations, which present serious implications for the prescribing clinician. Appendices covering drug dosing equivalencies, pharmacogenetics, psychiatric rating scales, and other helpful resources. The core philosophy of the advanced practice nursing field is that health care should be individualized, focusing not only on patients' conditions but also on the effects those conditions have on patients' lives and the lives of their families. The Manual of Clinical Psychopharmacology for Nurses offers readers the most current information on psychopharmacological treatment in an accessible, easy-to-use format grounded in the principles and practices of holistic nursing.

Today's rapidly changing mental health care environment has created both complex challenges and unique opportunities for the community psychiatrist. Practicing Psychiatry in the Community: A Manual is an indispensable resource for practitioners and psychiatric residents. Clinically active psychiatrists will find this manual invaluable as they adopt new roles in this dynamic and exciting field. This comprehensive work by leading experts in the field addresses the major issues currently facing community psychiatrists. It even includes a user-friendly guide to the development of a research program in a community setting. Organized into three main sections, this manual provides essential information on treatment settings, target populations, and special topics in the community psychiatry domain. The Treatment Continuum explores the varied environments in which community psychiatric services may be offered, including outpatient treatment, crisis resolution services, and psychiatric rehabilitation programs. Populations such as mentally disordered children, adolescents, and the elderly; HIV-infected patients; the homeless mentally ill; the developmentally disabled; chemically dependent patients; dually diagnosed patients; violent patients; and the chronically mentally ill have unique needs requiring skilled clinical care. The Target Populations section provides the community psychiatrist with useful and practical guidelines for the treatment of each of these patient groups. The Special Topics section ushers the community psychiatrist into the era of contemporary community psychiatric practice with vital information on emerging issues like cultural diversity, the principles of effective collaboration with advocacy and family/self-help groups, the role of the multidisciplinary team, and legal and training issues.

Updated to reflect all of the latest research in psychology and neurology, Psychiatry Test Preparation and Review Manual, 2nd Edition precisely mirrors the written ABPN board exam so you can expertly prepare and achieve your highest score. Enhance your preparation with recommended readings from key textbooks in the field. Understand why your answers are correct or incorrect through detailed explanations of each possible response.