Psychiatric and Mental Health Essentials in Primary Care


Book Description

Psychiatric and Mental Health Essentials in Primary Care addresses key mental health concepts and strategies for time-pressured practitioners in various healthcare settings serving diverse populations. It offers theoretically sound and succinct guidelines for compassionate, efficient, and effective service to people in emotional and physical pain and distress, capturing the essentials of mental health care delivered by primary care providers. The text provides a theoretical overview, discussing mental health assessment, crisis care basics, alternative therapies, and vulnerable groups such as children, adolescents and older people. It includes chapters that focus on the following topics in Primary Care Practice: Suicide and Violence Anxiety Mood disorders Schizophrenia Substance Abuse Chronic illness and mental health. This invaluable text is designed for primary care providers in either graduate student or practice roles across a range of primary care practice, including nurse practitioners and physician assistants.




Essentials of Psychiatry in Primary Care: Behavioral Health in the Medical Setting


Book Description

An innovative psychiatry textbook that presents behavioral disorders from the perspective of what is seen in medical settingsThe goal of Essentials of Psychiatry in Primary Care is not to make psychiatrists out of medical clinicians, but rather, to help clinicians manage common behavioral conditions that most often present in a medical setting. Essentials of Psychiatry in Primary Care seeks to integrate medicine and psychiatry --- as the authors’ systems-based biopsychosocial model proposes. The book identifies physical symptoms as a common mode of presentation of mental health problems and describes how to integrate them with psychological symptoms to make diagnoses of mental disorders. Essentials of Psychiatry in Primary Care also details a behaviorally defined, evidence-based mental healthcare model that can be effectively used in a medical setting. The combined experiences in primary care of the authors --- who specialize in both general internal medicine and psychiatry --- provide the perfect background for a book of this nature. Having trained medical students, as well as internal and family medicine residents since 1986, their experience and research demonstrates the information they outline is effective and associated with improved mental and physical health outcomes.







Lippincott's Primary Care Psychiatry


Book Description

This book helps family practitioners, internists, nurse practitioners, physician assistants, and mental health practitioners understand, diagnose, and effectively treat the most common psychiatric problems seen in the primary care office setting. The introductory chapter addresses the primary care psychiatric interview. Subsequent chapters cover specific disorders and follow a consistent format: Introductory Case; Clinical Highlights; Clinical Significance; Diagnosis; Differential Diagnosis, including "Not to Be Missed" points; Biopsychosocial Treatment, including "When to Refer"; Practice Pointers case studies; ICD-9 codes; and Practical Resources. Appendices include time-saving strategies and medication tables. An anatomical wall chart for the office is also included. A companion Website includes fully searchable text and patient handouts for various psychiatric disorders.




Psychiatry for Primary Care Physicians


Book Description

Guide helps primary care physicians treat the whole patient. As the main point of contact between patients and the medical system, primary care physicians represent the first line of defense in recognizing patients' mental health problems. But while an estimated 25 percent of primary care patients suffer from significant mental disorders, most primary care physicians are not prepared to deal with these types of problems. Psychiatry for Primary Care Physicians, Second Edition, provides a practical resource to integrate essential psychiatric care into the clinical primary care setting. This easy-to-use guide addresses the most common adult mental health problems in primary care, covering assessment, diagnosis, treatment, and prevention of psychiatric conditions. Logically organized by condition, each chapter is co-written by a psychiatrist and a practicing primary care physician so you get a specialist's knowledge tailored to your actual practice climate. Filled with tables, case studies, and checklists, most chapters cover relevant epidemiology, differential diagnosis, and referral issues. Special sections also explain various diagnostic models and screening tools. Building on the strengths that made the first edition a Brandon/Hill selection and one of DPI's "250 Best Books of the Year," Psychiatry for Primary Care Physicians, Second Edition, has added new chapters on psychological frameworks, development, emergencies in psychiatry, childhood disorders, women's health disorders, geropsychiatry, and resources in psychiatric care. This revised and updated second edition responds to the heightened awareness of the number of significant psychiatric conditions seen in primary care settings and the additional pressure on the primary care practitioner (PCP) to assess and manage them. Chapters cover relevant epidemiology, differential diagnosis, management strategies to be employed by the PCP, and specific criteria for patient refe




Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings


Book Description

Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.




Primary Care Mental Health in Older People


Book Description

This book is a practical resource that will support the delivery of holistic mental health interventions in the primary and community care setting for older people. Primary care delivery is discussed in relation to both functional mental health problems, such as anxiety, depression, and psychotic and personality disorders, and acquired organic mental disorders of old age, such as dementia, cognitive impairments, and delirium. Careful consideration is paid to the complex relationship between mental and somatic health problems, as well as the impacts of multimorbidity and polypharmacy. Further topics include, for example, epidemiology, wider determinants of health, different care models, history taking, neurocognitive and capacity assessment, and pharmacological, psychological, and physical interventions. The wider goals of the book are to support the development of community resilience and self-care in older people; to promote universal access and equity for older people in order to enable them to achieve or recover the highest attainable standard of health, regardless of age, gender, or social position; and to promote pathways to care for older people with mental health problems respecting their autonomy, independence, human rights, and the importance of the life-course approach. This book will be an invaluable resource for all professionals who work with older adults with mental health problems and those training in these fields including physicians, psychiatrists, family doctors, geriatricians, general practitioners, nurses, psychologists, neurologists, occupational therapists, social workers, support workers and community health and social care workers.




Integrated Care


Book Description

The goals of Integrated Care: Working at the Interface of Primary Care and Behavioral Health are to educate psychiatrists about the fundamental shift underway in health care and to prepare them to be successful and effective in the new health care arena. The passage and implementation of the Patient Protection and Affordable Care Act presents an opportunity for newly insured patients and for funding models of integrated care, enabling psychiatrists to have a more significant population-level impact. The only book of its kind, the guide defines integrated care, reviews the evidence base, and addresses the three potential benefits of this model of care: improved outcomes, cost containment, and enhanced patient experience (also known as the "triple aim"). The new models of integrated care presented in this book are population-based, which is the key to improved outcomes, and they represent a change in how medicine in general and psychiatry in particular will approach health care delivery moving forward. The book's features are both high-impact and user-friendly: The book is divided into two sections, "Behavioral Health in Primary Care Settings" and "Primary Care in Behavioral Health Care Settings," with Section 1 focused on improving the detection and treatment of behavioral health conditions by integrating behavioral health services into primary care settings and Section 2 focused on improving the health status of patient populations with serious mental illness by integrating primary care into behavioral health treatment. Each chapter presents a set of "core principles of effective collaborative care," which serve as a guide for the structure and provision of care for the varying models, regardless of the setting. Contributors provide dozens of examples that highlight the impact psychiatrists can make in achieving the triple aim of improved outcomes, cost containment, and enhanced experience. Detailed case vignettes integrated throughout the book bring concepts to life and help clinicians to understand and improve the patient-provider relationship. The information presented in these chapters allows both practicing psychiatrists and those in training to develop a skill set essential to designing, working in, teaching, or promoting an integrated care program within a health care system. Evidence based and timely, Integrated Care: Working at the Interface of Primary Care and Behavioral Health is a must read for clinicians in the brave new world of health care reform.




Child and Adolescent Behavioral Health


Book Description

As an increasing number of children and adolescents with psychiatric symptoms go unrecognized in our current healthcare system, the ability to identify and treat these issues in multiple healthcare settings has become vitally important. With access to primary care providers increasing and a shortage of child psychiatric providers, collaboration between psychiatric, pediatric and family advanced practice nurses is essential to improving care for this vulnerable population. Child and Adolescent Behavioral Health provides a practical reference to aid in this endeavour. Written and reviewed by over 70 nurse experts, it is a must-have reference for all practitioners caring for children and adolescents.




Mental Disorders in Primary Care


Book Description

Mental disorders are highly prevalent in the primary care setting, yet are frequently misdiagnosed and often inappropriately treated. The presence of unrecognized or misdiagnosed mental disorders is associated with increased service utilization and health care costs, and can significantly impact the patient's quality of life and risk of suicide. Written by experts from around the world, Mental Disorders in Primary Care offers readers with a comprehensive and evidence-based guide to the diagnosis and treatment of mental disorders in the primary care setting. Containing 21 chapters on a variety of psychiatric disorders, such as depressive disorders and substance use disorders, and key topics for discussion such as drug interactions, and collaborative care, Mental Disorders in Primary Care is essential reading for clinicians treating patients in a primary care setting. Fully up-to-date to reflect DSM-5's taxonomy of psychiatric disorders, this resource provides readers with a global and comprehensive guide to the diagnosis and treatment of patients with mental disorders.