Working in an emergency department as a psychiatrist or mental health clinician requires an ability to gain a patient's rapport, establish a differential diagnosis, assess risk and make disposition decisions in a fast-paced and potentially chaotic setting. Patients may be medically ill, agitated, intoxicated, or suicidal, and resources for treatment may be difficult to access. A Case-Based Approach to Emergency Psychiatry provides the emergency department clinician with vivid and complex cases, discussed by psychiatrists who work daily in the emergency setting, that illustrate basic principles of assessment, diagnosis and treatment. These challenging and complex cases are based on the years of experience of the authors combined with current evidence-based practices and discussion. Risk assessment, psychosis, mood disorder, substance abuse, ethics, forensic issues, and personality disorders are discussed, along with child and adolescent, geriatric, and developmental disabilities. Special attention is also paid to alternatives to inpatient care, short-term crisis intervention, and the interface between medical and psychiatric illnesses. The case-based format allows the authors to link aspects of the clinical presentation to discussion and literature review in a memorable and compelling format.

Working in an emergency department as a psychiatrist or mental health clinician requires an ability to gain a patient's rapport, establish a differential diagnosis, assess risk, and make disposition decisions in a fast-paced and potentially chaotic setting. A Case-Based Approach to Emergency Psychiatry, written by psychiatrists who work daily in the emergency setting, will assist the emergency department clinician in learning these skills through vivid, complex cases that illustrate basic principles of assessment, diagnosis, and treatment.

Expert public psychiatrists use cases to share best-practice strategies in this clinically-oriented introduction to community mental health. This book provides clinicians with knowledge needed to combat serious mental illness in the context of trauma, poverty, and discrimination. Case studies bring to life foundational concepts and evidence-based treatment for diverse populations, affirming the potential of every individual to achieve recovery.

Written and edited by leading emergency psychiatrists, this is the first comprehensive text devoted to emergency psychiatry. The book blends the authors' clinical experience with evidence-based information, expert opinions, and American Psychiatric Association guidelines for emergency psychiatry. Case studies are used throughout to reinforce key clinical points. This text brings together relevant principles from many psychiatric subspecialties—community, consultation/liaison, psychotherapy, substance abuse, psychopharmacology, disaster, child, geriatric, administrative, forensic—as well as from emergency medicine, psychology, law, medical ethics, and public health policy. The emerging field of disaster psychiatry is also addressed. A companion Website offers instant access to the fully searchable text. (www.glickemergencypsychiatry.com)

In this issue of Emergency Medicine Clinics, guest editors Drs. Eileen F. Baker and Catherine A. Marco bring their considerable expertise to the topic of Psychiatric and Behavioral Emergencies. Top experts cover key topics such as the emergency psychiatric interview; the agitated patient; the suicidal or homicidal patient; excited delirium; substance use disorders; schizophrenia; depression; and more. - Contains 15 relevant, practice-oriented topics including bipolar affective disorder; geriatric and pediatric psychiatric emergencies; personality disorders; malingering; legal and ethical considerations; and more. - Provides in-depth clinical reviews on psychiatric and behavioral emergencies, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This book documents the ways that clinical practitioners and trainees have used the “structural competency” framework to reduce inequalities in health. The essays describe on-the-ground ways that clinicians, educators, and activists craft structural interventions to enhance health outcomes, student learning, and community organizing around issues of social justice in health and healthcare. Each chapter of the book begins with a case study that illuminates a competency in reorienting clinical and public health practice toward community, institutional and policy level intervention based on alliances with social agencies, community organizations and policy makers. Written by authors who are trained in both clinical and social sciences, the chapters cover pedagogy in classrooms and clinics, community collaboration, innovative health promotion approaches in non-health sectors and in public policies, offering a view of effective care as structural intervention and a road map toward its implementation. Structural Competency in Mental Health and Medicine is a cutting-edge resource for psychiatrists, primary care physicians, addiction medicine specialists, emergency medicine specialists, nurses, social workers, public health practitioners, and other clinicians working toward equality in health.

The second edition of Clinical Manual of Emergency Psychiatry is designed to help medical students, residents, and clinical faculty chart an appropriate course of treatment in a setting where an incorrect assessment can have life-or-death implications. Arranged by chief complaint rather than by psychiatric diagnosis, each chapter combines the fresh insights of an accomplished psychiatry trainee with the more seasoned viewpoint of a senior practitioner in the field, providing a richly integrated perspective on the challenges and rewards of caring for patients in the psychiatric emergency department. This newly revised edition presents current approaches to evaluation, treatment, and management of patients in crisis, including up-to-date guidelines on use of pharmacotherapy in the emergency setting; suicide risk assessment; evaluation of patients with abnormal mood, psychosis, acute anxiety, agitation, cognitive impairment, and/or substance-related emergencies; and care of children and adolescents. The editors have created an accessible text with many useful features: * A chapter devoted to effective strategies for teaching, mentoring, and supervision of trainees in the psychiatry emergency service.* Chapters focused on assessment of risk for violence in patients, determination of the need for seclusion or restraint, and navigation of the legal and ethical issues that arise in the emergency setting.* Clinical vignettes that contextualize the information provided, allowing readers to envision applicable clinical scenarios and thereby internalize important concepts more quickly* Constructive "take-home" points at the end of each chapter that summarize key information and caution against common clinical errors.* References and suggested readings to help readers pursue a deeper understanding of concepts and repair any gaps in knowledge. Emergency psychiatry is one of the most stressful and challenging areas of practice for the psychiatric clinician. The guidelines and strategies outlined in Clinical Manual of Emergency Psychiatry, Second Edition, will help psychiatric trainees and educators alike to make sense of the complex clinical situations they encounter and guide them to advance their skills as clinicians and educators.

This fully updated second edition focuses on mental illness, both globally and in terms of specific mental-health-related visits encountered in emergency department settings, and provides practical input from physicians experienced with adult emergency psychiatric patients. It covers the pre-hospital setting and advising on evidence-based practice; from collaborating with psychiatric colleagues to establishing a psychiatric service in your emergency department. Potential dilemmas when treating pregnant, geriatric or homeless patients with mental illness are discussed in detail, along with the more challenging behavioral diagnoses such as substance abuse, factitious and personality disorders, delirium, dementia, and PTSD. The new edition of Behavioral Emergencies for Healthcare Providers will be an invaluable resource for psychiatrists, psychologists, psychiatric and emergency department nurses, trainee and experienced emergency physicians, and other mental health workers.

A fascinating text that addresses the clinical and educational challenges of treating psychiatric patients from a truly multidisciplinary perspective using a case-based format, Approach to the Psychiatric Patient: Case-Based Essays is the only book of its kind and an indispensable addition to the mental health practitioner's library. The new edition builds upon the strengths that distinguished the first, with composite cases that are carefully constructed to capture real-world problems, followed by essays that provide clear and cogent perspectives on the case. These essays cover a wide range, from the more conventional (such as differential diagnosis of anxiety or the clinical characteristics of delirium) to the unusual and intriguing (such as creativity and mental illness or an analysis of the case in relation to the classic, Strange Case of Dr. Jekyll and Mr. Hyde). Every chapter has been revised, and the book boasts many new co-contributors, as well as the addition of completely new essays. For example, in the chapter on geriatric depression, several new essays have been added on the topics of collaborative care and the embedded psychiatrist, depression and medical illness, and biomarkers to identify depression subtypes, while the chapter on terminal illness features new essays on spirituality and meaning-centered therapy. In addition, there are new essays on co-occurring anxiety and alcohol use disorders, medication assisted treatment for stimulant use, treatment of body dysmorphic disorder, and more.The text possesses many useful attributes for the reader: The more than 100 essays were written by a broad range of specialists, each with particular expertise in their aspect of the case, and the resulting commentary is focused and concise. In addition to the case and discussions, each chapter offers an overview and summary points designed to facilitate further consideration of the patient and clinical situation and to focus on the key points. The book's unique structure enhances its flexibility, allowing the reader to read a case and accompanying essays straight through, or to pick and choose as the need or whim arises. The cases' clinical settings are diverse, ranging from inpatient hospitalizations and emergency room evaluations to outpatient assessments and long-term psychotherapies, maximizing relevance and resonance. Each essay has its own bibliography, which provides both rigorous documentation and additional sources for more exploration of the topic. Approach to the Psychiatric Patient: Case-Based Essays distinguishes itself from prior texts in both the richness of its cases and the ingenuity of its format, and its multidisciplinary wisdom and insight will be appreciated by a wide range of readers.