The Chronic Psychiatric Patient in the Community: Principles of Treatment

ISBN-13: 9789401163101 / Angielski / Miękka / 2012 / 570 str.

R. D. Budson; I. Barofsky

Opis

The purpose of this book is to present an integrated approach to the treatment of the chronic psychiatric patient living in the com- munity. This requires that topics as diverse as pharmacokinetics, psychotherapy and community organization be appropriately coor- dinated. Such an approach is partly complicated by the wide range of differences among patients, in terms of social skills, intellectual capacity and psychiatric diagnosis. In addition, unclear, insular or overlapping roles of various mental health disciplines further con- found integrated treatment efforts. Given such complexity, any single clinician's point of view is sub- ject to the distortion inherent in specialization. Too often a volume in the field of mental health focuses either on only one aspect or presents only one clinician's unique perspective of a task that is, in fact, multifaceted. We have tried to avoid this pitfall by having representatives from many of the concerned professions present a variety of treatment approaches and associated issues in one text. Further, the editors have attempted to illuminate the relevant clinical and/or administrative interrelationship between the subjects of each section through a succinct introductory commentary. The book is divided into five sections. The first section represents an attempt to address some of the interactive sociological, psycho- logical and pharmacological background issues common to all at- tempts at treatment of this population.

Spis treści

I. Background.- 1. Concepts and Issues in Deinstitutionalization.- 2. Preserving Chronic Patients’ Assets for Self Care.- 3. Social Networks and the Long Term Patient.- 4. Problems in Providing Effective Care for the Chronic Psychiatric Patient.- II. Psychosocial Treatment Principles.- 5. The Individual Psychotherapies and Their Relationship to the Therapeutic Community.- 6. The Management of the Family of the Chronic Psychiatric Patient.- 7. The Role of Crisis Intervention in the Management of the Chronic Psychiatric Patient.- 8. The Vocational Preparation of the Chronic Psychiatric Patient in the Community.- 9. The Place of the Partial Hospital in the Treatment of Chronic Psychiatric Patients.- 10. Psychosocial Rehabilitation Centers: Old Wine in a New Bottle.- 11. Residential Care for the Chronically Mentally Ill.- III. Pharmacologic Treatment Principles.- 12. Clinical Experiences and Principles in Selection of Medication.- 13. Clinical Pharmacology and Side-Effects of Antipsychotic and Mood-Stabilizing Drugs Used in the Treatment of Psychiatric Patients with Chronic or Recurrent Disorders.- 14. The Clinical Management of Noncompliance.- IV. Selected Applications of Treatment Principles.- 15. Serving Long-Term Patients in the Cities.- 16. Rural Care: Providing Care for the Chronic Patient Under Conditions of Dispersed Resources.- 17. The Community as the Treatment Arena in Caring for the Chronic Psychiatric Patient.- V. Administrative Issues in the Application of Treatment Principles.- 18. Benefit-Cost Analysis and the Care of the Chronic Psychiatric Patient in the Community.- 19. Advocacy in the Community.- 20. Judicial Decisions and the Chronic Psychiatric Patient.- VI. Overview.- 21. Essential Principles in the Delivery of Adequate Clinical Care to the Chronic Psychiatric Patient in the Community.- 22. Community Survival of the Chronic Psychiatric Patient: Research Priorities.