Substance Use And The Acute Psychiatric Patient


Substance Use And The Acute Psychiatric Patient
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Substance Use And The Acute Psychiatric Patient


Substance Use And The Acute Psychiatric Patient
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Author : Abigail L. Donovan
language : en
Publisher: Springer
Release Date : 2019-07-16

Substance Use And The Acute Psychiatric Patient written by Abigail L. Donovan and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-07-16 with Medical categories.


This book fills a gap in the existing medical literature by providing a best-practice approach to the evaluation and acute treatment of patients presenting for emergency care with identifiable substance use and/or co-occurring psychiatric disorders. As the first interdisciplinary book to integrate psychiatric and emergency care, the text uniquely covers a myriad of serious medical conditions, acute mental status and dangerous behavioral abnormalities. The book focuses on guidelines that support emergency room physicians with little formal medical training in addiction medicine. The first section focuses on the diagnosis and management of substance-specific intoxication and withdrawal states, as well as common medical co-morbidities and disposition considerations. The book lends particular attention to the identification and stabilization of high risk medical conditions associated with each substance of abuse. The second section is psychiatrically focused, addressing the most common psychiatric symptoms and syndromes, their association with SUDs, an approach to differential diagnosis, and discussion of crucial treatment considerations for both safe ED management and post-ED disposition. A final section includes other pertinent topics, for example, the assessment of patient safety, responding to the medication-seeking patient, assessment and treatment of pregnant patients and working with adolescents and their families around substance use. Substance Use and The Acute Patient is a unique and valuable contribution to the literature for both consulting psychiatrists, emergency medicine specialists, addiction medicine specialists, and all other medical professionals who provide care for these most complex and underserved patients.



Introduction To Mental Health


Introduction To Mental Health
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Author : David B. Cooper
language : en
Publisher: CRC Press
Release Date : 2017-11-22

Introduction To Mental Health written by David B. Cooper and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-11-22 with Medical categories.


Mental health-substance use is a complex interrelation, with equally complex implications for individuals and their families, health professionals and society. Although its international recognition as an issue of critical importance is growing, clear guidance for professionals on mental health-substance use and its treatment is hard to find. The Mental Health-Substance Use series has been written to address this need, concentrating on concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, and the future direction of practice, education, research, services, interventions, and treatment. This first book outlines the specific health issues, experiential aspects, treatment options and wider implications of mental health-substance use, as well as defining the field, through contributions from international experts and practitioners. This Introduction and the subsequent volumes will challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care responses, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educators.



Substance Abuse Disorders


Substance Abuse Disorders
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Author : Hamid Ghodse
language : en
Publisher: John Wiley & Sons
Release Date : 2011-04-08

Substance Abuse Disorders written by Hamid Ghodse and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-04-08 with Medical categories.


Substance abuse disorders are among the most prevalent psychiatric disorders and are frequently comorbid with other psychiatric and health conditions and accompanied by social problems; however, they remain under-recognized and under-treated. Many physicians and mental health practitioners receive little-to-no training in the identification and treatment of these disorders. Approaches to their prevention include some of the major success stories in modern public health as well as some of the deepest controversies in public life. This new title in the WPA series Evidence and Experience in Psychiatry informs psychiatrists and a wide range of professional groups from health and social services about these disorders and their treatment and control. 'Highly Commended' in the Psychiatry section of the 2012 BMA Book Awards



Assessment And Treatment Of Patients With Coexisting Mental Illness And Alcohol And Other Drug Abuse


Assessment And Treatment Of Patients With Coexisting Mental Illness And Alcohol And Other Drug Abuse
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Author : Richard Ries
language : en
Publisher: DIANE Publishing
Release Date : 1996-09

Assessment And Treatment Of Patients With Coexisting Mental Illness And Alcohol And Other Drug Abuse written by Richard Ries and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996-09 with categories.




The Difficult To Treat Psychiatric Patient


The Difficult To Treat Psychiatric Patient
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Author : Mantosh J. Dewan
language : en
Publisher: American Psychiatric Pub
Release Date : 2008-08-13

The Difficult To Treat Psychiatric Patient written by Mantosh J. Dewan and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-08-13 with Medical categories.


Why do some psychiatric patients fail to get better, even when in the care of competent clinicians? Treatment-refractory conditions are all too common in everyday clinical practice. Treatment resistance occurs across the full spectrum of psychiatric disorders, incurring enormous emotional, economic, and social costs. In the United States, treatment of depression alone costs more than $40 billion annually, and as many as 40% of patients with depression have a treatment-refractory form of the illness. This groundbreaking clinical guide starts where standard textbooks end, focusing on clinical strategies to be used after all basic treatment options, such as medication and psychotherapy, have failed. In this book expert contributors address the sequential clinical steps in treating difficult-to-treat psychiatric patients by offering a blend of evidence-based clinical recommendations, detailed case vignettes, treatment algorithms, and -- when necessary to go beyond the reach of evidence -- the clinical wisdom of leaders in the field. The chapters in this user-friendly, practical guide are organized by major disorder. Each chapter offers concrete recommendations on what to do when the usual first steps in therapy are ineffective, including evidence for biopsychosocial treatments alone versus in combination, generic versus specific therapies, and literature reviews and the latest expert wisdom. A sampling includes The management of the complex and often refractory bipolar disorder, which involves replacing or combining lithium treatment with anticonvulsants or atypical antipsychotic agents with adjuncts such as benzodiazepines, thyroid hormone, and electroconvulsive therapy, but also -- above all -- with careful attention to the therapeutic alliance. The importance of combined therapeutic modalities for patients with schizophrenia -- especially given managed care's cost-cutting strategies, which deprive many schizophrenic patients of effective treatment modalities such as family therapy or early use of an atypical antipsychotic. Combination treatments for anxiety, with medications adjusted over time as symptoms wax and wane, and early and appropriate interventions to mitigate internal and external environmental stressors. The emphasis on common sense, optimism, a sense of humor, and an iron constitution as the most important tools for clinicians wishing to work with the most severely ill patients with borderline personality disorder. The importance of individual differences in biological vulnerability, emotionality and expressiveness, cognitive schemas and beliefs, prior traumatic experience, resilience, and coping strategies for successful treatment of posttraumatic stress disorder. Packed with up-to-date information of immediate relevance, this volume will prove invaluable in both classroom and clinical practice, for everyone from beginning interns and residents to experienced psychiatric and medical practitioners and social workers.



Improving The Quality Of Health Care For Mental And Substance Use Conditions


Improving The Quality Of Health Care For Mental And Substance Use Conditions
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2006-03-29

Improving The Quality Of Health Care For Mental And Substance Use Conditions written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-03-29 with Medical categories.


Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.



Substance Misuse In Psychosis


Substance Misuse In Psychosis
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Author : Hermine L. Graham
language : en
Publisher: John Wiley & Sons
Release Date : 2003-02-07

Substance Misuse In Psychosis written by Hermine L. Graham and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003-02-07 with Psychology categories.


The prevalence of substance abuse in the severely mentally ill is higher than that in the general population, making this a serious issue for clinicians. Integrated treatment, although the most widely adopted approach, is subject to tremendous variation in its operationalisation, especially throughout different parts of the world. Substance Misuse in Psychosis presents the latest international developments and practical treatment interventions that can be used with co-morbid individuals and their families. Different social and cultural contexts are described and contrasted, along with treatment approaches that have been tailored to address the needs of the severely mentally ill. A final section considers sub-groups, e.g. the young, the homeless, outlining the special issues that need to be considered when providing services for these groups.



Co Occurring Mental Illness And Substance Use Disorders


Co Occurring Mental Illness And Substance Use Disorders
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Author : Jonathan D. Avery
language : en
Publisher: American Psychiatric Pub
Release Date : 2017-09-21

Co Occurring Mental Illness And Substance Use Disorders written by Jonathan D. Avery and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-09-21 with Medical categories.


Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment provides a clinically detailed, evidence-based, and exhaustive examination of a topic rarely plumbed in psychiatry texts, despite the fact that co-occurring mental illness and substance use disorders are common. The authors argue for a more holistic and integrated approach, calling for clinicians to tactfully but persistently evaluate patients for a broad range of co-occurring disorders before determining appropriate treatment. Focusing on a substance use disorder in isolation, without determining whether another psychiatric disorder is co-occurring, can doom treatment efforts, and the reverse also is true. To help clinicians keep the big picture in mind, the book is organized around 18 cases, each of which addresses a particular diagnostic skill (e.g., assessment), group of disorders commonly comorbid with substance use disorders (e.g., PTSD, eating disorders), specific treatment (e.g., pharmacological interventions), or special population (e.g., adolescents). This case-based approach makes it easy for readers to understand strategies and master transferable techniques when dealing with their own patients. Because the initial face-to-face sessions are especially important with this patient population, the book includes chapters on the diagnostic assessment and the initial interview, as well as offering interviewing tips throughout to help the clinician develop the necessary care and skill in this arena. Also included is a chapter on integrating motivational interviewing into the treatment. Each of the 18 cases stands alone, allowing the reader flexibility in using the text. For example, the 18 cases and discussions can be read sequentially, or as needed, depending on the reader's special interest or current need. The book also features chapters on how to effectively work with patients whose disorders might be affecting other members of a patient's family, since the likelihood of a successful outcome is enhanced if an integrated treatment plan is developed for their co-occurring disorders. The questions that accompany each chapter can be used as an organizational tool prior to reading or to test knowledge and comprehension afterward. The text is completely up-to date and provides DSM-5 diagnostic information essential to each case. Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment offers a straightforward approach to people with complicated presentations, offering mental health clinicians the skills they require to effectively assess, diagnose, and treat these patients and their families.



Co Occurring Addictive And Psychiatric Disorders


Co Occurring Addictive And Psychiatric Disorders
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Author : Geert Dom
language : en
Publisher: Springer
Release Date : 2014-11-24

Co Occurring Addictive And Psychiatric Disorders written by Geert Dom and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-11-24 with Medical categories.


This book provides a comprehensive, state of the art overview that covers both the diagnosis and the treatment of dual disorders – joint psychiatric and substance use disorders associated with a worse outcome and disease progression than single psychiatric or addictive disorders. The book is designed to be highly relevant to clinical work and the organization of care systems and meets the real need for a European perspective on dual disorders that takes into account the realities of European treatment organization. All chapters have been written by European authors on the basis of existing European treatment programs or guidelines and European research. The book will be invaluable for all health professionals working in mental health and addiction care, who are increasingly confronted with patients suffering from dual disorders.



New Directions In Treatment Education And Outreach For Mental Health And Addiction


New Directions In Treatment Education And Outreach For Mental Health And Addiction
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Author : Thalia MacMillan
language : en
Publisher: Springer
Release Date : 2018-02-20

New Directions In Treatment Education And Outreach For Mental Health And Addiction written by Thalia MacMillan and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-02-20 with Psychology categories.


This practice-enhancing volume assembles the latest innovative thinking on working with clients who have both mental health diagnoses and substance use disorders. Diagnosis is a central focus of the coverage, untangling the often-knotty considerations surrounding dual diagnosis and the complex issues surrounding treatment even in frequently seen combinations (e.g., depression/alcohol abuse). The section on practice emphasizes meeting patients where they are and making use of their community, cultural, and spiritual contexts in crafting interventions. And the book’s ambitious chapters on professional development describe training programs with the potential to produce the next generation of responsive, knowledgeable, and flexible therapists. Among the topics covered: · Comprehensive assessment of substance abuse and addiction risk in adolescents. · The relationship between attachment and addiction. · Addiction in the community: the role of emergency services. · Substance use during and after major crisis and disaster: a practitioner’s guide. · Practice, advocacy, and outreach: perspectives on addiction services. · Teaching the importance of developing the therapeutic relationship. New Directions in Treatment, Education, and Outreach for Mental Health and Addiction equips health and clinical psychologists, social workers, and addiction counselors and educators with a well-rounded understanding of a growing population, and a wealth of perspectives on effective new interventions.