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Emergencies In Mental Health Practice : Evaluation and Management - Phillip M. Kleespies

Emergencies In Mental Health Practice

Evaluation and Management

Paperback Published: 27th January 2000
ISBN: 9781572305519
Number Of Pages: 450

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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.

"This book clearly and creatively lays out effective techniques for rapidly responding to a wide variety of real-world crises. Empirically solid and clinically astute, this work is without peer as a guide to providing urgent care. When time is of the essence, every practitioner will want to have Kleespies' book within arm's reach." --John Monahan, PhD, Doherty Professor of Law, University of Virginia "This book provides an extraordinarily well-stocked workroom of tools necessary for today's clinicians. It begins with an awareness of the appalling deficiency in graduate clinical training to ready mental health clinicians to deal with a wide and anxiety-provoking range of psychiatric crises. It succeeds admirably in providing the essential knowledge and competencies that readers need in order to become effective interventionists. Moreover, it helps clinicians contain and manage both their affect and their exposure to malpractice risk should a patient threaten violence to self or others. With these tools, clinicians can build structures capable of weathering any and all storms. Timely and strategic, this book should be required reading for both novice and experienced professionals." --Alan L. Berman, PhD, author of Adolescent Suicide "[Kleespies] does a masterful job of weaving together theory and practice in order to form a model curriculum for teaching the graduate level mental health student about psychological emergencies. In addition to graduate level students, for those clinicians who have learned about suicide, violence, and the victims of violence by the seat of their pants' (as is more generally the case than not) this book can only add to their depth of understanding and competence....the work is exhilarating and fulfilling. The knowledge presented in this book can prepare clinicians to act quickly and competently in emergency situations. Dr. Kleespies deserves congratulations and thanks for this highly useful contribution to the field of emergency mental health."/m-/"Social Work in Health Care" (Katherine Bordley in Volume 29, Number 4, 1999) "�Kleespies� does a masterful job of weaving together theory and practice in order to form a model curriculum for teaching the graduate level mental health student about psychological emergencies. In addition to graduate level students, for those clinicians who have learned about suicide, violence, and the victims of violence by the seat of their pants' (as is more generally the case than not) this book can only add to their depth of understanding and competence....the work is exhilarating and fulfilling. The knowledge presented in this book can prepare clinicians to act quickly and competently in emergency situations. Dr. Kleespies deserves congratulations and thanks for this highly useful contribution to the field of emergency mental health."/m-/"Social Work in Health Care" (Katherine Bordley in Volume 29, Number 4, 1999)

Introductionp. 1
Foundations
The Domain of Psychological Emergencies: An Overviewp. 9
Crisis Theory and Crisis Intervention in Emergenciesp. 22
The Emergency Interviewp. 41
The Evaluation and Management of Life-Threatening Behavior
The Evaluation and Management of the Suicidal Patientp. 75
Empirically Based Clinical Evaluation and Management of the Potentially Violent Patientp. 95
Crisis Assessment and Interventions with Victims of Violencep. 117
Life-and-Death Decisions: Refusing Life-Sustaining Treatmentp. 145
The Emergency Telephone Callp. 174
Risk Management in Psychological Emergencies
Risk Management with the Suicidal Patientp. 199
Risk Management with the Violent Patientp. 217
Emergency-Related Crises and Conditions
Responding to Self-Injurious Behaviorp. 235
The Evaluation and Management of Alcohol- and Drug-Related Crisesp. 258
Medical Conditions Presenting as Psychological Crises
Side Effects of and Reactions to Psychotropic Medicationsp. 279
Psychological/Behavioral Symptoms in Neurological Disordersp. 312
Psychological Symptoms in Endocrine Disordersp. 332
Psychological Factors in Cardiac Diseasep. 355
The Impact of Emergency Service on the Clinician
Emergencies with Suicidal Patients: The Impact on the Clinicianp. 379
The Stress of Violent Behavior for the Clinicianp. 398
The Ecstasy and the Agony: The Impact of Disaster and Trauma Work on the Self of the Clinicianp. 418
Indexp. 437
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9781572305519
ISBN-10: 1572305517
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 450
Published: 27th January 2000
Publisher: Guilford Publications
Country of Publication: US
Dimensions (cm): 23.5 x 14.61  x 3.18
Weight (kg): 0.69