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Books > Medicine > Clinical & internal medicine > Paediatric medicine > General
As residential treatment centers and psychiatric hospitals are increasingly asked to document their effectiveness, it is essential for mental health care providers to demonstrate the efficacy and cost-effectiveness of the services they provide. Outcome Assessment in Residential Treatment helps health care providers demonstrate that their planned treatment is necessary and active rather than simply custodial. A practitioner s guide to conducting treatment outcome assessment projects, this innovative book presents readers with historical perspectives, current issues, and practical suggestions for implementing an outcome assessment project.Outcome Assessment in Residential Treatment guides psychiatrists, psychologists, mental health practitioners, and social program administrators in addressing which therapeutic components contribute to the goals and objectives of their programs and which may require modification, radical revision, or even elimination. It helps residential treatment centers and psychiatric treatment facilities document treatment successes and better understand which factors (within the client, family, environment, treatment setting, or combinations therein) predict successful outcome. This objective data empowers readers to influence government and industry, enhance public awareness of the needs of severely disturbed children and youth, and validate the usefulness of intensive psychiatric treatment.Unlike other books on treatment outcome, Outcome Assessment in Residential Treatment tells readers how to determine clinically significant improvement and not simply statistically significant change. It gives practical, detailed, proven advice on how to carry out studies that will benefit residential treatment centers and the psychiatric and mental health fields. Contributors provide tools to validate/demonstrate that psychiatric and mental health treatments are effective. They offer insight into: planning a treatment outcome project recognizing ethical, practical, methodological, logistical, and clinical considerations in implementing a treatment outcome project selecting instruments to assess treatment outcome and measuring success comparing different outcome measuresHealth care providers must have accurate information about treatment outcomes to demonstrate that specific services are beneficial, cost-effective, and well-received by the client. Outcome Assessment in Residential Treatment helps readers evaluate the impact a treatment program has on a client s clinical status and psychosocial and educational functioning, making it possible to provide an objective yardstick for the payer s evaluation of the quality of care provided.Psychiatrists, psychologists, mental health practitioners, and social program administrators will find Outcome Assessment in Residential Treatment an essential guide to evaluating and understanding the relative effects of specific interventions or procedures on the quality and effectiveness of their services. They will use this information to make appropriate changes which guarantee that they best meet their clients'mental health care needs.
This book is aimed at health professionals treating children who fail to develop adequate speech due to complex neurological conditions or learning disabilities and may require augmentative and alternative communication (AAC) systems. By presenting current research and accepted good practise in the field of AAC authors give detailed information on the neurology of speech and language, and offer guidelines for the assessment of non-speaking children. Issues of prognosis for speech, the timing of intervention and the importance of working within a multidisciplinary framework are discussed. The central role of families and schools in the successful introduction and support of AAC for social communication and curriculum access is recognised. A range of AAC systems and resources are described, and the views of AAC users and their families represented. This will be essential reading for clinicians who treat non-speaking children, and the therapists and other professionals who support these children.
Revised to reflect changes made in DSM-IV as they pertain to childhood psychiatric disorders, this updated DSM-IV Training Guide for Diagnosis of Childhood Disorders provides specific instructions for optimally using the DSM-IV. This meticulously researched companion guide will provide welcome clarification and definition of the terms and concepts included in the DSM-IV criteria for disorders pertaining specifically to children and adolescents. The volume encompasses both psychopathology specific to infancy, childhood, and adolescence and other psychiatric disorders, such as Anxiety, Obsessive-Compulsive Disorder, Depression, and Schizophrenia, that are more common as adult disorders by may appear in childhood. While the diagnostic criteria for these are largely the same for children and adults, there are differences that emerge when making differential diagnosis of these disorders for children, as illuminated in the Training Guide. This companion guide focuses on the manifestation of various disorders, differentiation among syndromes, and qualify of characteristics. Numerous and vivid case vignettes clearly illustrate clinical symptoms and demonstrate the application of diagnostic guidelines. The book highlights the multiaxial approach of DSM as a means of assessing the child from a variety of perspectives including exogenous factors influencing development, sources of a particular disorder, and the child's innate limitations and capabilities. Diagnostic criteria and main features of specific disorders are highlighted in numerous tables and figures interspersed throughout the volume. Most importantly, the Guide highlights the "gray areas" of diagnosis with the hope that increased clinical awareness and record keeping will lead to more accurate classification - and ultimately superior treatment - in the future. The DSM-IV Training Guide for Diagnosis of Childhood Disorders will serve clinicians well in the sometimes difficult and subjective quest for the appropriate diagnosis, treatment, and management of children and adolescents with psychiatric disorders. It will also serve to promote the kind of dialogue and research that will lead to even greater diagnostic consensus among practitioners and encourage a more reliable and valid diagnostic practice in the future.
This is Frances Tustin's first book and the original statement of her views on autistic states of mind and the genesis of varieties of childhood psychosis. In it, she tackles problems of diagnosis as these relate to therapeutic intervention. Autism and Childhood Psychosis was first published in 1972 by Hogarth, London, and a year later by Jason Aronson, New York. Subsequently, it was translated and published in France, Italy, Brazil and Argentina, where it is now in its third edition. In France, it is a livre de poche. Twenty years ago, the book was greeted by a group of Italian therapists working at a unit for psychotic children at the Institute of Childhood Neuropsychiatry, Rome University, as "a ship coming into harbor bearing precious cargo". Here was a theoretical model that provided an anchor for therapists bewildered by the array of bizarre behaviors that seemed to defy scientific explanation and human intervention.
Jones' Clinical Paediatric Surgery provides clear-sighted advice on the surgical options available for young patients. Building on the popular and successful style of previous editions, this fully revised seventh edition employs a systematic approach to the childhood diseases that need surgical treatment. It includes more case vignettes and colour photographs, expanded coverage on the use of imaging, and updated approaches to management including laparoscopic operations. Key subject areas are supported by case vignettes in a familiar format similar to what might appear in an OSCE viva. Jones' Clinical Paediatric Surgery is the ideal guide for paeditricians, surgeons and trainees, as well as primary care physicians, junior doctors and medical students.
This text links general skills difficulties to dyslexia. It examines the research which has found that dyslexic children have problems not just with their reading but in a range of skills including several (such as balance) unrelated to reading.
AutPlay Therapy is a behavioral play-based treatment approach to working with children and adolescents with autism spectrum disorder and other developmental disabilities. This innovative new model contains a parent-training component (wherein the therapist trains parents to do directive play therapy interventions in the home) and can be utilized in any setting where children and adolescents with an autism disorder, ADHD, dysregulation issues, or other neurodevelopmental disorders are treated. This comprehensive resource outlines the AutPlay Therapy process and offers a breakdown of treatment phases along with numerous assessment materials and over 30 directive play therapy techniques.
This groundbreaking book explores how the attachment- focused family therapy model works at a neural level. Investigation of the brain science of early childhood and developmental trauma offers clinicians new insights-and powerful new methods-to help neglected and insecurely attached children regain a sense of safety and security with caring adults.
By offering unique analysis and synthesis of theory, empirical research, and clinical guidance in an up-to-date and unbiased context, this book assists health and social care professionals in understanding the use of drugs and substances of abuse by children and adolescents. A comprehensive reference for health and social care professionals, the book identifies and corrects related false narratives and, with the use of the authors' combined experience of over 70 years of clinical and academic experience in drug and substance abuse, provides current pharmacotherapeutic and psychotherapeutic approaches for the treatment of alcohol or other dependence or use disorders among children and adolescents. The book also provides a useful reference for identifying brand/trade and street names of the drugs and substances of abuse commonly used by children and adolescents. Also included is a comprehensive, cross-referenced subject index. Clear, comprehensive, accessible, and fully referenced, this book will be an invaluable resource for professionals and students who aim to treat children and adolescents. Child and Adolescent Drug and Substance Abuse is the 19th clinical pharmacology and therapeutic text that the Pagliaros have written over the past 40 years and is the sixth that deals exclusively with drug and substance abuse.
Every year over a quarter of a million children die of AIDS. Another two million children currently live with HIV, most in sub-Saharan Africa. Millions more are affected when AIDS enters their families or their communities. Orphans are perhaps the most visible: 15 million children have lost one or both parents to AIDS; 12 million of them live in sub-Saharan Africa. The increasing burden of care due to HIV/AIDS falls mainly on extended family: first they care for the sick and dying relatives, and then they take responsibility for the children left behind. Today, the extended family cares for over 90% of double orphans. Adults who take on these immense caregiving burdens have less time for their own children, fewer financial resources, and greater difficulties securing food and shelter. Thus, children who have parents providing care to sick relatives or who share scarce resources with foster children may also experience disadvantage. In communities severely affected by AIDS, traditional safety nets are often eroded by cumulative mortality: teachers are absent from school because of their own illness or that of family members, and basic health facilities can be overwhelmed by AIDS care needs, all of which leave children increasingly vulnerable. The impact is most severe in environments where government- and state-level support is weakest-where universal education, health care, and social welfare are either partially available or not available at all. Protecting Childhood in the AIDS Pandemic will bring together lessons from experts around the world on what has worked, and what would need to be done to transform the outcomes of children of all ages whose lives have been affected by HIV/AIDS. Examining which public policies and programs have worked best to meet the full range of children's needs, from medical care to social support and from infancy to adolescence, this is the volume for academics, social scientists, policymakers, and on-the-ground practitioners.
First published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.
Interest in eye movement desensitization response (EMDR) is growing rapidly. It isn't a substitute for therapy; it's a useful tool for the psychotherapist. Since incompletely processed, upsetting experiences are primary sources of children's emotional problems, EMDR is valuable for those who work with children. This book is for therapists who know how to do therapy and want to understand how EMDR can fit in with what they already do. A Jason Aronson Book
Peripheral neuropathies are diseases which affect the neuromuscular apparatus between the muscles or sensory receptors and connections in the spinal cord and the brain. They affect approximately 20-30% of children attending neuromuscular clinics. Uniquely, this text deals exclusively with such disorders in children and draws together the rapidly expanding but widely scattered knowledge in the field. It is a highly practical text, written by clinical neurologists with long experience in physiology, histopathology and management of neuropathy. This new edition retains the basic structure of its successful predecessor and continues to be liberally illustrated with real case histories. However, extensive revisions and expansion of the text have enabled it to encompass the major developments over the past seven years, including particularly recent advances in molecular biology and therapy of metabolic and inflammatory neuropathies.
The recent widespread application of minimally invasive techniques has had a profound impact on the diagnosis and therapy of thoracic disorders, including in the pediatric age group. This book is intended as a practical guide to the current approaches in pediatric thoracic surgery. Up-to-date information is provided on the surgical techniques employed for diagnosis and therapy in a wide range of congenital and acquired thoracic pathologies from the prenatal age to adolescence. Among the disorders considered in detail are cystic malformations of the lung, chest wall deformities, diaphragmatic hernias, esophageal anomalies, mediastinal tumors, laryngeal anomalies, and thoracic infections. The authors are distinguished experts in the field from across the world. "Pediatric Thoracic Surgery" will be of value not only for pediatric thoracic surgeons but also for adult thoracic surgeons, pediatric anesthetists, and pediatric respiratory physicians.
A quick, non-invasive, non-intrusive and cost-effective method with high reliability and high validity is much in demand for the early detection of neurological anomalies which point to cerebral palsy and developmental deficits later on in life. Over his years as a distinguished developmental neurologist, Heinz Prechtl has devised such a method; a qualitative assessment of general movements (GMs) as a specific predictor for neurological impairments. His method is described in this book. GMs form part of a distinct pattern of movements in preterm babies, term newborns and young infants. They are complex, frequent, and usually of sufficient length. Changes in the normal quality of GMs are a reliable indicator of brain dysfunction.
This concise, introductory primer has been written specifically for clinician educators (CEs), particularly those new to the role and those working to further develop their experience and knowledge. Drawing on his dual roles as a pediatrician and medical educationalist, the author uses story-telling and personal experience alongside practical tips and tricks to support the reader in their teaching, patient care and educational scholarship, helping both junior faculty and more senior educators to avoid pitfalls in all segments of their careers.
This study describes the experience of severely deprived children referred for individual psychoanalytic psychotherapy. Most were living in children's homes, all came from chaotic and disrupted families, and many had been abused or neglected. Children from such backgrounds have previously been considered unsuitable for psychotherapy, and the theorectical and technical issues arising from their treatment are discussed here, and detailed case material is presented.
+Case-based format enhances learning and retention of core curriculum in pediatric orthopaedics +Reflects pediatric orthopaedic diagnosis and management on a global basis +Concise text and numerous illustrations aid understanding of a broad spectrum of cases +Includes access to additional material via the e-book for those readers requiring more in depth content.
A groundbreaking text for occupational therapists, Adaptation, Coping, and Resilience in Children and Youth: A Comprehensive Occupational Therapy Approach offers a different perspective in addressing the ways children and youth with a variety of conditions and personal contexts can have more optimized participation in everyday life. This text is essential for occupational therapy graduate students, instructors, and pediatric clinicians. Drs. Lenin C. Grajo and Angela K. Boisselle provide a comprehensive, strength-based approach in addressing the ability of children to adjust to a variety of challenges encountered in daily life across multiple environments and contexts. Adaptation, Coping, and Resilience in Children and Youth includes best and evidence-based practices for assessment and intervention. Included in the book: *Collaborative approach with families *How to build relationships through interprofessional collaboration (teachers, health care team, and community) *Global perspectives of adaptation, coping, and resilience *Case applications and essential considerations for occupational therapists The text also covers underexplored contexts such as those who have been bullied, children and youth who are LGBTQ and gender expansive, children and youth of color, those who live as a member of a migrant family, and those who have lived with and through adverse childhood experiences. Adaptation, Coping, and Resilience in Children and Youth: A Comprehensive Occupational Therapy Approach is a necessary text that offers timely best and evidence-based practices for assessment and intervention for occupational therapy students and professionals.
This is an indispensable companion to the 'Sunflower book' - the highly acclaimed Illustrated Textbook of Paediatrics (6th Edition). It is essential for those who wish to test or improve their learning, or for exam revision for undergraduate or early postgraduate speciality exams. It includes high quality questions, some including images or diagrams, on important topics covering the paediatrics and child health curriculum. Explanations about both correct and incorrect answers are provided. The authors are highly experienced examiners and question writers, ensuring that the questions are similar to those encountered in exams or help explain difficult topics. Over 250 Single Best Answer questions Over 200 question stems for Extended Matching questions Explanations provided not only of the correct but also of incorrect answers Clinical photographs included to ask questions about clinical signs
Paediatric Biomechanics and Motor Control brings together the very latest developmental research using biomechanical measurement and analysis techniques and is the first book to focus on biomechanical aspects of child development. The book is divided into four main sections – the biological changes in children; developmental changes in muscular force production; developmental changes in the biomechanics of postural control and fundamental motor skills and finally the applications of research into paediatric biomechanics and motor control in selected clinical populations.
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