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The Oxford Handbook of Behavioral Emergencies and Crises includes the most up-to-date and valuable research on the evaluation and management of the most challenging patients or clients faced by mental health providers-individuals who are at high risk of suicide, of other-directed violence, or of becoming the victims of interpersonal violence. These are cases in which the outcome can be serious injury or death, and there can be negative consequences not only for the patient, but also for the patient's family and friends, for the assessing or treating clinician, and for the patient's clinic or medical center. Virtually all mental health clinicians with an active caseload will see individuals with such issues. This Handbook is comprised of chapters by leading clinicians, researchers, and scholars in this area of practice. It presents a framework for learning the skills needed for assessing and working competently with such high-risk individuals. Chapters draw a distinction between behavioral emergencies and crises, and between emergency intervention and crisis intervention. The book examines the inter-related aspects of the major behavioral emergencies; that is, for example, the degree to which interpersonal victimization may lead an individual on a pathway to later suicidal or violent behavior, or the degree to which suicidal individuals and violent individuals may share certain cognitive characteristics. This resource is not simply a knowledge base for behavioral emergencies; it also presents a method for reducing stress and acquiring skills in working with high-risk people.
Focusing on acute clinical situations in which there is an imminent
risk of serious harm or death to self or others, this practical
resource helps clinicians evaluate and manage a wide range of
mental health emergencies. Authors examine how to distinguish
crises that are emergencies from those that are not, and provide
basic instruction in crisis theory and emergency interviewing. The
volume then provides guidelines for intervening with suicidal
patients, potentially violent patients, and vulnerable victims of
violence, as well as patients facing life-and-death medical
decisions, with careful attention to risk management and forensic
issues. Also addressed are emergency-related conditions including
self-mutilation, alcohol and drug-related crises, adverse reactions
to psychotropic medication, and psychological symptoms of medical
conditions. Finally, chapters consider the effects of emergency
intervention on clinicians and offer suggestions for managing
stress.
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