دانلود کتاب Models of Emergency Psychiatric Services That Work (Integrating Psychiatry and Primary Care)

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Introduction: Models of Psychiatric Emergency Services That Work Contents Part I: Models of Emergency Psychiatry Care 1: Models of Emergency Psychiatric Care 1.1 Introduction 1.2 Hospital-Based PES 1.3 Regional Dedicated Emergency Psychiatric Facility 1.4 Community-Based PES 1.5 Systems Integration and Crisis Prevention 1.6 Comprehensive Psychiatric Emergency Program 1.7 Summary References 2: Business as Usual: Emergency Rooms with No Psychiatric Coverage at All 2.1 Introduction 2.2 Limitations and Capabilities of This System 2.3 Personnel and Staffing Needed 2.4 Patient and Staff Safety Concerns 2.5 Collaboration Needed 2.6 Expertise Needed 2.7 Resources Needed 2.8 Consideration of Coordination of Care 2.9 Interaction with Probate Courts and Criminal Justice System 2.10 Security Needed 2.11 Special Considerations 2.12 Summary References 3: Psychiatric Consultation to the Emergency Department and Co-Management Model 3.1 Introduction 3.2 Liabilities and Capabilities of the System 3.3 Limitations of the System 3.4 Personnel and Staffing Needed 3.5 Patient and Staff Safety Concerns 3.6 Collaboration Needed 3.7 Expertise Needed 3.8 Considerations of Coordination of Care 3.9 Interactions with Probate Courts and the Criminal Justice System 3.10 Security Needed 3.11 Special Considerations 3.12 Summary References 4: Adjacent Psychiatric Emergency Services to the Main Emergency Room 4.1 Introduction 4.2 Liabilities and Capabilities of the System 4.3 Limitations of the System 4.4 Personnel and Staffing Needed 4.5 Patient and Staff Safety Concerns 4.6 Collaboration Needed 4.7 Expertise Needed 4.8 Resources Needed 4.9 Considerations of Coordination of Care 4.10 Interactions with Probate Courts and Criminal Justice System 4.11 Security Needed 4.12 Summary References 5: Crisis Stabilization Services 5.1 Introduction 5.2 Liabilities and Capabilities of This System 5.3 Limitations of This System 5.4 Personnel and Staffing Needed 5.5 Patient and Staff Safety Concerns 5.6 Collaboration Needed 5.7 Expertise Needed 5.8 Resources Needed 5.9 Considerations of Coordination of Care 5.10 Interactions with Probate Courts and Criminal Justice System 5.11 Security Needed 5.12 Summary References 6: Crisis Intervention Team 6.1 Introduction 6.2 Liabilities and Capabilities of the System 6.3 Limitations of the System 6.4 Personnel, Staffing, and Expertise Needed 6.5 Patient and Staff Safety Concerns 6.6 Collaboration and Resources Needed 6.7 Considerations of Coordination of Care 6.8 Interactions with Probate Courts and the Criminal Justice System 6.9 Special Considerations 6.10 Summary References 7: Alternative Models of Emergency Psychiatric Care: Regional Emergency Psychiatric Facilities, Freestanding Emergency Departments, and Urgent Care Centers 7.1 Introduction 7.2 Liabilities and Capabilities of These Systems 7.3 Limitations of These Systems 7.4 Personnel and Staffing Needed 7.5 Patient and Staff Safety Concerns 7.6 Collaboration Needed 7.7 Expertise Needed 7.8 Resources Needed 7.9 Considerations of Coordination of Care 7.10 Interactions with Probate and the Criminal Justice System 7.11 Security Needed 7.12 Special Considerations 7.13 Summary References 8: Transition Clinic: Reducing Recidivism 8.1 Introduction 8.2 Transitional Clinic Models 8.3 Liabilities and Capabilities of This System 8.4 Limitations of the System 8.5 Personnel and Staffing Needed 8.6 Patient and Staff Safety Concerns 8.7 Collaboration Needed 8.8 Expertise Needed 8.9 Resources Needed 8.10 Considerations of Coordination of Care 8.11 Interactions with Probate Courts and the Criminal Justice System 8.12 Special Considerations 8.13 Summary References Part II: So What Do I need? 9: What Physical Facilities Are Needed: The Question of Medical Clearance in Emergency Psychiatric Settings 9.1 Introduction 9.2 Medical Clearance 9.3 History and Physical Examination 9.4 Screening Tests 9.5 Laboratory Testing 9.6 Summary References 10: Administration in Emergency Psychiatry 10.1 Introduction 10.2 Determine Scope of Practice 10.3 Develop Clinical Policies 10.4 Cultivate Relationships with Stakeholders 10.5 Collaborate with Community Partners 10.6 Conduct Quality Improvement 10.7 Manage Personnel 10.8 Satisfy Regulatory Requirements 10.9 Educate the Team 10.10 Generate Knowledge 10.11 Manage with Financial Acumen 10.12 Summary: Bringing It All Together References 11: Nursing Staff in Psychiatric Emergency Services 11.1 Introduction 11.2 Safety 11.3 Teamwork 11.4 Quality 11.5 Summary References 12: Safety and Security in Emergency Psychiatry 12.1 Introduction 12.2 Safety as a Common Challenge 12.3 Leadership Issues 12.4 Staff Issues 12.5 Resident Issues 12.6 Nursing Issues 12.7 Patient Issues 12.8 Violence Assessment 12.9 Communication 12.10 Physical Environment 12.11 Summary References 13: Supervision of Ancillary Personnel 13.1 Introduction 13.2 The Rationale for Psychiatric Emergency Clinicians (PECs) 13.3 Essential Skills for PECs 13.4 Clinical Example 13.5 Psychiatric Trainees (Residents/Students) as PECs 13.6 Summary References 14: Financial Considerations for Emergency Psychiatry Services 14.1 Introduction 14.2 Financing Psychiatric Emergency Service: The Intersection of Psychiatry and the Emergency Room 14.3 The Hidden Costs of Not Having Psychiatric Emergency Services 14.4 The Direct Costs of Running a Psychiatric Emergency Service 14.5 Selecting an Appropriate Model of Psychiatric Emergency Services 14.6 Outside Funding and Community-Wide Collaboration 14.7 Summary References 15: Telepsychiatry 15.1 Introduction 15.2 Benefits of Telepsychiatry 15.3 Technical Considerations 15.4 Legal Considerations 15.5 Cost Considerations 15.6 Emergency Considerations 15.7 Summary References 16: Identifying and Understanding Legal Aspects of Emergency Psychiatry Unique to Different Jurisdictions 16.1 Introduction 16.2 Considerations on Risk 16.3 Understanding the Clinical Context 16.4 Getting Good Advice 16.5 Critical Questions 16.6 Summary References 17: Special Populations in Psychiatric Emergency Services: Children and Adolescents 17.1 Introduction 17.2 The Challenges of Pediatric Psychiatric Patients in the ED 17.3 Making Emergency Services Work for Children in Crisis 17.4 Staffing the ED to Serve Youth in Psychiatric Crisis 17.5 Caring for Special Populations in the ED 17.6 Summary References 18: Special Populations in Psychiatric Emergency Services: The Geriatric Patient 18.1 Introduction 18.2 The Challenges of Older Patients 18.3 Aggression and Agitation 18.4 Depression 18.5 Suicidality 18.6 Elder Abuse and Neglect 18.7 Making Emergency Services Work for Geriatric Individuals in Crisis 18.8 Training in Geriatric Psychiatry/Medicine 18.9 Summary References 19: Special Populations in Psychiatric Emergency Care: Forensic Patients 19.1 Introduction 19.2 Definitions of Confinement Facilities and Forensic Patients 19.3 Psychiatric Decompensation in Forensic Patients 19.4 Recreational Abuse of Psychotropic Medications 19.5 Forensic Patients, Suicide Risk, and Violence Risk 19.6 Cooperating with Law Enforcement 19.7 Summary References Part III: Selected International Models of Psychiatric Emergency Care 20: International Models of Psychiatric Emergency Care: Canada 20.1 Introduction 20.2 Emergency Psychiatry Service Structure 20.3 Emergency Psychiatry Service Systems Flow 20.4 Personnel and Staffing: The Psychiatric Emergency Services Team 20.5 Considerations of Coordination of Care 20.6 Health Care Funding and Resources 20.7 Mental Health Legislation 20.8 Education 20.9 Quality Initiatives and Quality Assurance 20.10 Summary References 21: International Models of Psychiatric Emergency Care: United Kingdom 21.1 Introduction 21.2 Emergency Psychiatry Service Structure 21.3 Emergency Psychiatry Service Systems Flow 21.4 Patient and Staff Safety Concerns 21.5 Personnel and Staffing: The Psychiatric Emergency Services Team 21.6 Considerations of Coordination of Care 21.7 Health Care Funding and Resources 21.8 Mental Health Legislation 21.9 Education 21.10 Quality Initiatives and Quality Assurance 21.11 Summary References 22: International Models of Emergency Psychiatric Care: The Republic of Serbia 22.1 Introduction 22.2 Emergency Psychiatry Service Structure 22.3 Emergency Psychiatry Service Systems Flow 22.4 Patient and Staff Safety Concerns 22.5 Personnel and Staffing: The Psychiatric Emergency Services Team 22.6 Considerations of Coordination of Care 22.7 Healthcare Funding and Resources 22.8 Mental Health Legislation 22.9 Education 22.10 Quality Initiatives and Quality Assurance 22.11 Summary References 23: International Models of Psychiatric Emergency Care: The State of Qatar 23.1 Introduction 23.2 Emergency Psychiatry Service Structure 23.3 Emergency Psychiatry Service Systems Flow 23.4 Patient and Staff Safety Concerns 23.5 Personnel and Staffing: The Psychiatric Emergency Services Team 23.6 Considerations of Coordination of Care 23.7 Healthcare Funding and Resources 23.8 Mental Health Legislation 23.9 Education 23.10 Quality Initiatives and Quality Assurance 23.11 Summary References 24: International Models of Emergency Psychiatric Care: Pakistan 24.1 Country Demographics and Information 24.2 Emergency Psychiatry Service Structure 24.3 Emergency Psychiatry Service Systems Flow 24.4 Patient and Staff Safety Concerns 24.5 Personnel and Staffing: The Psychiatric Emergency Services Team 24.6 Considerations for Coordination of Care 24.7 Health Care Funding and Resources 24.8 Mental Health Legislation 24.9 Education 24.10 Quality Initiatives and Quality Assurance 24.11 Summary References