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Study Guide to Preventive Medical Care in Psychiatry: A Case
Approach is an indispensable companion to Preventive Medical Care
in Psychiatry: A Practical Guide for Clinicians. Like the primary
text, the study guide was written by experts in the field-many with
dual training in psychiatry and medicine-and it reflects the text's
focus on clinical care for psychiatrists and other mental health
care providers who work in outpatient mental health and integrated
clinics. It is critical that mental health providers and trainees
learn how to prevent and detect common medical conditions in their
patients, who typically have higher rates of adverse health risk
behaviors and may lack a primary care physician. Through the deft
use of clinical cases, the study guide helps providers and trainees
acquire the knowledge and skills necessary to view the patient
holistically and improve outcomes. The study guide's authors employ
effective organizational strategies and pedagogic features to
achieve these objectives: * The study guide's structure mirrors
that of the primary text, with eight, multi-chapter sections
authored by a team of leading experts in the respective areas.
Chapter content is embodied in a series of clinical cases, each of
which is followed by several multiple-choice questions, allowing
readers to test their knowledge of the material. * In the answer
guide, the correct answer to each question is presented, along with
an explanation and the corresponding page numbers from the primary
text where more complete coverage can be found. This
cross-referencing allows readers to contextualize the question and
answer and provides them with the opportunity to consolidate their
learning of important information.* The original cases are well
written and compelling, offering readers a level of detail and
complexity that is both realistic and illustrative of key concepts
in prevention, assessment, and treatment.* In all, the study guide
offers 93 cases and 290 multiple-choice questions covering every
chapter in the text. In addition, more than 50 tables and figures
are included to summarize vital information and illustrate
important ideas. Mental health clinicians in practice or training
will find Study Guide to Preventive Medical Care in Psychiatry: A
Case Approach an essential, evidence-based tool for learning and
translating a holistic, integrated model of care into the clinical
arena.
With the book Borderline Personality Disorder in Older Adults:
Emphasis on Care in Institutional Settings, Drs. Hategan,
Bourgeois, and Xiong address an often underappreciated clinical
problem that is likely increasing with the aging of the population.
Geriatric patients with borderline personality disorder, like their
younger counterparts, experience social and relationship
challenges, comorbid psychiatric illness (including but not limited
to substance use disorders), comorbid systemic illness, and are
high utilizers of medical and social services. With the aging of
the population worldwide, more older patients with
chronic/progressive illnesses are to be found in various
institutional settings such as skilled nursing facilities,
rehabilitation units, and residential care, as well as in the
general hospital. However, these patients' habitual patterns of
behavior (including affective dyscontrol, externalizing of blame,
"splitting" the external world into groups who are "all good" and
"all bad") make the compromises and need for collectivity in
institutional settings more challenging than for any other easily
defined and demarcated patient group. The Editors have assembled a
large team of authors and co-authors to produce a clinical handbook
that addresses the clinical, social, and administrative needs of
this particular group of patients. They include an overview of the
development of the diagnosis of borderline personality disorder
over several issues of the Diagnostic and Statistical Manual of
Mental Disorders classification system; the epidemiology and
comorbidity, personality and aging, clinical diagnosis and
productive use of psychometrics; clinical interventions including
psychotherapy, psychopharmacology and advanced somatic treatments;
and chapters devoted to medical-legal matters, systems of care,
therapeutic alliance, and palliative care approaches. In all
chapters, the authors have endeavored to focus specifically on the
challenges posed for the patient, the clinician, and the larger
system for geriatric patients with borderline personality disorder.
The authors and the editors hope that this volume summarizes the
current clinical literature pertinent to the care of this
population, with a focus on clinical encounters, clinical decision
making, and techniques for interventions with patients and clinical
systems of care to enhance the opportunities for favorable clinical
outcomes for these patients, who typically have difficulty coping
with the major existential challenges of old age, infirmity, and
mortality. Greater awareness of borderline personality disorder in
this population and greater clinician attunement to its
understanding and management may serve the patient and the care
system in this regard.
Preventive Medical Care in Psychiatry: A Practical Guide for
Clinicians was written for psychiatrists in training and in
clinical practice, as well as other health care providers who wish
to learn an evidence-based and user-friendly approach to prevent
commonly encountered, treatable, and potentially deadly illnesses
in their patients. The poor health and early mortality of people
with serious mental illnesses has been well documented: People who
have serious mental illness have increased general medical comorbid
conditions, receive minimal preventive medical services, and have a
reduced life span of as much as thirty years when compared to the
general population. In addition, there is now extensive data
showing bidirectional interactions between chronic medical
illnesses and mental disorders. Clearly, treating the whole person,
instead of the disorder in isolation, is critical to improving
outcomes and reducing suffering. The book's logical structure makes
it easy to use, with sections devoted to general principles of
preventive psychiatry, cardiovascular and pulmonary disorders,
endocrine and metabolic disorders, infections disorders, and
oncologic disorders. In addition, the volume: * Provides
evidence-based approaches to care across the prevention spectrum,
from primary prevention (how to keep people healthy), to secondary
prevention (how to detect early signs of common illnesses), through
tertiary prevention (how to prevent disability and adverse outcomes
once patients develop medical problems).* Informs clinicians about
how to more effectively interface with general medical
practitioners, and instructs them in providing screening for common
medical problems, as well as ensuring that preventive measures,
such as vaccinations, are performed.* Covers, in a section
addressing "special topics," child, adolescent, and geriatric
populations, as well as strategies for assessing and managing
chronic pain.* Concludes with an appendix that features a health
questionnaire, Preventive Medicine in Psychiatry (PMAP), for use in
screening and follow-up, and a handy summary of age based
preventive medicine recommendations, references to which clinicians
will return repeatedly. The Affordable Care Act has provided mental
health practitioners with new opportunities to develop integrated
models of care that better serve patients and populations,
furthering the existing trend of treating the whole patient.
Preventive Medical Care in Psychiatry: A Practical Guide for
Clinicians is a critical resource which will prove indispensable to
clinicians dedicated to improving the quality of life and longevity
for patients who suffer from serious mental illness. Twenty-five
percent of royalties help support Resident-Fellow Members (RFM)
within the California Psychiatric Association.
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