The casebook of a residential care psychiatrist : psychopharmacosocioeconomics and the treatment of schizophrenia in residential care facilities / / Martin Fleishman

• Record Nr.: UNINA9910791310103321
• Autore: Fleishman Martin
• Pubbl/distr/stampa: London ; ; New York : , : Routledge, , 2005, 2013
• ISBN: 0-7890-2373-3; 1-317-82525-X; 1-315-82123-0; 1-317-82526-8
• Descrizione fisica: 1 online resource (474 p.)
• Disciplina: 362.2/1/0973; 362.210973
• Soggetti: Mentally ill - Institutional care - United States; Mentally ill - Long-term care - United States; Mental health facilities - United States; Mental health personnel - United States
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: First published 2005 by The Haworth Clinical Practice Press.
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Cover; Half Title; Title Page; Copyright Page; Dedication; Table of Contents; Foreword; Preface; Acknowledgments; Introduction; The Goals of This Book; PART I: THE PLACES; Chapter 1. What Is a Residential Care Facility?; Infrequently Asked Questions; Chapter 2. The Problem of the Problem; The Problem of Data Collection; Chapter 3. The History; Residential Care Facilities in San Francisco; Personal History; The Pioneers; Chapter 4. The Facility; The Evolution of Residential Care Facilities; Case Histories; Specialized Referral Patterns; PART II: THE PEOPLE; Chapter 5. Who Should Do It?; Psychotherapeutic ConsiderationsThe Advantages of a Sense of Humor; Behavioral Therapy Applications; Group Psychotherapy Considerations; Chapter 6. The Job Description; Chapter 7. The Cast; The Patient; The General Medical Physician; The Social Worker; The Psychologist; The Administrator; The Pharmacist; The Case Manager; Relatives; The Modern Residential Care Psychiatric Team; PART III: THE PROBLEMS; ; Chapter 8. How It Should Be Done: Space, Time, and Techniques; Space Constraints; Time Constraints; The Techniques; Chapter 9. The Problems of Frequency and Duration; Visitation Frequency in Relation to the Unpredictability of Adverse EventsThe Standard of Care in the Community; The Problem of Duration; The Effects of Off-Site Work on On-Site Visits; A Typical Day in the Life of a Residential Care Facility Psychiatrist; Chapter 10. Why Do It?; The Value of On-Site Visits by Psychiatrists and the "Continuity of Care" Issue; Clinical Examples of the Advantage of On-Site Encounters; The Effect of On-Site Visits on the Administrator; Chapter 11. The Residential Care Facility First-Aid Paperwork Reduction Kit; Chapter 12. The Legal Problems; Recent Changes in Residential Care PsychiatryThe Impact of HIPAA; The Problem of Medical Necessity; Redefining Medical Necessity for Psychiatry; Computers and the Medicare Audit; Computers and the Medicaid Audit; Audits and Health Care Fraud; Chapter 13. The Medicare Audit Process; Chapter 14. Progress Note Problems; Examples of Progress Notes; Medicare Policies Regarding Progress Notes; Chapter 15. Special Problems; The Poorly Organized Facility with Substandard Professional Services; The Well-Organized Facility with Regular Visits by the MRCPT; The Well-Organized Facility with No Regular Visits by the MRCPTThe Nonemergency Emergency; The Problems That Occur When MRCPT Members Do Not Visit Regularly; Chapter 16. Suicide; Chapter 17. IM Medications-How to Do It and Why; The Technique of IM Administration; Clinical Examples of the Use of Long-Acting IM Depot Injections; PART IV: REMEMBRANCES OF THINGS PAST; Chapter 18. School Days; Chapter 19. How to Fail in Psychology Without Really Trying; Chapter 20. Life in the Prechlorpromazine Era of Nongeological Time; PART V: ISSUES IN PSYCHOPHARMACOSOCIOECONOMICS; Chapter 21. How Antipsychotic Drugs Have Changed the World
• Sommario/riassunto: Discover an alternative realm of psychiatry?without offices or couches! The Casebook of a Residential Care Psychiatrist: Psychopharmacosocioeconomics and the Treatment of Schizophrenia in Residential Care Facilities addresses the problems involved in the onsite treatment of mentally ill patients in residential care facilities. This book is the first to identify the need for psychiatrists to be available to individuals in such facilities as adult homes, community care homes, transitional living facilities, and rest homes. This vital resource also contains specific recommendations as to