Child psychiatrists and psychologists, clinical nurses, social
workers, and other mental health practitioners working in the
public sector& mdash;where limited funds, poverty, social
environments, and bureaucracy add to the daily challenges&
mdash;can now turn to "Community Child and Adolescent Psychiatry"
for approaches and insights to make their work easier and more
productive. Twenty chapters are divided into four main sections,
where 31 seasoned clinicians and administrators detail the most
useful tasks, strategies, and tactics for child and family-focused
community mental health professionals: Multiple facets of public
sector agency work with or consultation to community agencies from
the major mental health disciplines employed in community settings,
differentiating roles and responsibilities and detailing
consultation phases, including pitfalls Basic community practice
principles and issues commonly faced by public sector
professionals, including particular types of agencies and
differences between rural and urban practice Contemporary concerns
about the impact of a managed care or cost-cutting environment on
service delivery, including reimbursement, differentiating
consultation from direct service, and the location of a system of
care Descriptions of the setting or activity of each community
agency, including the qualifications that allow the professional or
trainee to enter and work in that system Practicalities of clinical
practice or consultation or both in community settings in the
current service environment Questions& mdash;from differing
perspectives& mdash;that mental health care practitioners must
consider before consulting to or assuming a staff or
administrativeposition in a community agency, different types of
demands& mdash;and discussion of/for each role
Managed care has forever altered the service system landscape of
mental health care in both the private and public sectors.
"Community Child and Adolescent Psychiatry" provides insight into
the public system of care and the requisite tools to manage the
rapidly changing clinical, political, and administrative
landscape.
As a resource guide to the profession, "Community Child and
Adolescent Psychiatry" emphasizes the practical necessities of
child psychiatrists and other professionals working with mentally
ill youngsters and their families in the practice of community
psychiatry and public mental health. Trainees, practitioners, and
administrators alike will welcome this indispensable road-map to a
higher level of practice in community settings.
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