Patients with mental and substance use disorders have shown higher rates of morbidity and mortality from medical illnesses than the general population, and physicians are also increasingly aware of adverse effects of psychiatric medications on metabolic and cardiovascular health. In light of these problems, this book addresses an important unmet need of patients with mental disorders -- namely, the lack of integration of general medical care with psychiatric care and the related problem of barriers to collaboration and communication among health care providers. Managing Metabolic Abnormalities in the Psychiatrically Ill is the first book to provide a current review of the relationships among psychiatric illnesses, metabolic abnormalities, and treatment, focusing on how clinicians can tailor care to those doubly-afflicted patients.

The book integrates research findings into practical clinical guidelines that spell out what psychiatrists need to know when their patients with mental illness suffer from -- or are at risk of developing -- obesity, diabetes, cardiovascular disease, or the metabolic syndrome. The contributors address those risks that need to be considered in the overall context of treatment, background risks of medical illnesses associated with specific psychiatric disorders themselves, and the means of applying these data to treatment recommendations, monitoring, and clinical practice. Among the specific topics addressed are: - Potential effects of psychotropics on appetite, body weight, and metabolic parameters in obese patients, and the potential effects of anti-obesity agents on psychotic, manic, and depressive syndromes- Increased risk of type 2 diabetes among individuals with psychotic and mood disorders due to neurobiological changes and behavioral effects associated with these disorders- Greater risk for cardiovascular disease among the mentally ill, stressing the importance of mental health providers understanding cardiovascular risk classification and modification strategies- An association between dysregulation of glucose and lipid metabolism and the related risk of type 2 diabetes during treatment with any of the eight second-generation antipsychotics currently available in the United States- Guidance in choice of medications and appropriate monitoring strategies for hyperlipidemia, along with recognition of which antipsychotics pose the greatest risk and an understanding of the common dyslipidemia patterns seen with their use

Chapters include key clinical concepts, quick-reference tables, and extensive references, and a final chapter provides an assessment tool for evaluating patients' metabolic risk. Together, the chapters in this book constitute an authoritative clinical guide that enables psychiatrists to better integrate the treatment of patients' mental disorders with their metabolic conditions.

Societies around the world face an increasingly uncertain future as social and ecological changes create pressure on resource governance, and this uncertainty calls for new models that illuminate the intersections of civil society, public sector, and private sector resource management. This volume presents a diversity of collaborations between various governance actors in the management of the Food-Energy-Water (FEW) nexus. It analyses the ability of emergent governance structures to cope with the complexity of future challenges across FEW systems. Divided into two sections, chapters in the first half of the book present a collection of case studies from around the world exemplifying how FEW nexus challenges are addressed in a multitude of ways and by a variety of actors. Chapters in the second half offer broader perspectives on the management of FEW and underline the lessons that emerge from applying a FEW lens to the question of natural resource governance. The varied examples in this book highlight that the management of FEW is often a question of reinventing, adapting, and building upon existing practices. Such practices are deeply embedded in unique socio-cultural, environmental, and political contexts as well as 'hard' infrastructures. Most of all, this edited volume seeks to communicate the wealth of ideas from committed individuals who continue to work to improve natural resource governance and our sustainable futures.

Societies around the world face an increasingly uncertain future as social and ecological changes create pressure on resource governance, and this uncertainty calls for new models that illuminate the intersections of civil society, public sector, and private sector resource management. This volume presents a diversity of collaborations between various governance actors in the management of the Food-Energy-Water (FEW) nexus. It analyses the ability of emergent governance structures to cope with the complexity of future challenges across FEW systems. Divided into two sections, chapters in the first half of the book present a collection of case studies from around the world exemplifying how FEW nexus challenges are addressed in a multitude of ways and by a variety of actors. Chapters in the second half offer broader perspectives on the management of FEW and underline the lessons that emerge from applying a FEW lens to the question of natural resource governance. The varied examples in this book highlight that the management of FEW is often a question of reinventing, adapting, and building upon existing practices. Such practices are deeply embedded in unique socio-cultural, environmental, and political contexts as well as 'hard' infrastructures. Most of all, this edited volume seeks to communicate the wealth of ideas from committed individuals who continue to work to improve natural resource governance and our sustainable futures.

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