Inpatient Psychiatry, An Issue of Child and Adolescent Psychiatric Clinics of North America

1st Edition, Volume 34-1 - November 11, 2024
Editors: Manan Shah, Adefolake Akinsanya, Ronald H. Lee, Arachchige P. Muthukuda
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 2 9 7 1 6 - 8
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 2 9 7 1 7 - 5

In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Manan Shah, Adefolake Akinsanya, Ronald H. Lee, and Arachchige P. Muthukuda bring their consid… Read more

Inpatient Psychiatry, An Issue of Child and Adolescent Psychiatric Clinics of North America

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In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Manan Shah, Adefolake Akinsanya, Ronald H. Lee, and Arachchige P. Muthukuda bring their considerable expertise to the topic of Inpatient Psychiatry. Top experts in the field discuss inpatient care for children and adolescent patients, including assessment, treatment, and management. Articles highlight measurement-based care, treatment planning, the role of pharmacists, and more

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
The Role of the Pharmacist on an Inpatient Child and Adolescent Psychiatry Unit
Key points
Introduction
Psychiatric clinical pharmacists: background and training
Psychiatric clinical pharmacist justification: regulatory considerations
Psychiatric clinical pharmacist justification: cost avoidance
Psychiatric clinical pharmacist roles in patient care and education
Implementation of comprehensive medication management and psychotropic stewardship initiatives
Areas of expansion
Summary
Clinics care points
Milieu Management and Therapeutic Groups in Inpatient Child and Adolescent Psychiatry Units
Key points
Introduction
History and nature of milieu therapy
Modern challenges
Modern innovations in milieu therapy
Case example
Summary
Clinics care points
Development of a Patient Guidebook for Inpatient Child and Adolescent Psychiatry Units
Key points
Introduction
Discussion
Future developments
Summary
Clinics care points
Stepping Down from Inpatient and Stepping up from Partial Hospitalization Programs
Key points
Introduction
Discussion
Summary
Future directions
Clinics care points
Unique Nature of Inpatient Care on Child and Adolescent Psychiatry Units
Key points
The environment
Seclusions and restraints
Patient experience
Parents’ opinion
Success story
Summary
Clinics care points
Measurement-Based Care in the Inpatient Setting
Key points
Background
What are the outcomes in the inpatient setting?
Who should measure clinical response in the inpatient setting?
Which rating scales should we use to measure clinical response?
Keys to successful measurement-based care implementation in inpatient settings
Individual-level (patient) barriers
Individual-level (practitioner) barriers
Organizational barriers
Summary
Clinics care points
Training on Inpatient Child and Adolescent Psychiatry Units
Key points
Introduction
Developmental considerations
Differences in presentation between children and adolescents and adults
Milieu considerations
Agitation management
Legal considerations
Family involvement
Systems of care
Supervision
Transference and countertransference
The Accreditation Council for Graduate Medical Education requirements
Discussion
Clinics care points
Assessing Sleep Disorders in an Inpatient Child and Adolescent Psychiatric Unit
Key points
Introduction
Assessment of sleep issues in pediatric population on the inpatient psychiatry unit
Insomnia
Sleep-related breathing disorders
Delayed sleep-wake phase disorder
Hypersomnia
Restless leg syndrome and periodic limb movement disorder
Parasomnias
Summary
Clinics care points
Managing Co-Occurring Disorders on Adolescent Inpatient Psychiatric Units
Key points
Introduction
Cannabis use: definitions, background
Considerations for assessment and monitoring
Bioavailability
Distribution
Metabolism
Elimination
Treatment
Medication
Therapies
Summary
Eating disorders
Summary
Clinics care points
Use of Electroconvulsive Therapy on an Adolescent Inpatient Psychiatric Unit
Key points
Introduction
History of electroconvulsive therapy
Mechanism
Legal aspects
Ethical considerations
Indications and contraindications
Contraindications
Concurrent treatments
Anesthesia and monitoring
Monitoring parameters
Electrode placement
Stimulus
Seizure monitoring and management
Side effects
Clinics care points
Special Challenges Working with Foster Care Youth in the Inpatient Setting
Key points
Introduction
Social determinants of health
Clinical challenges
Systemic challenges
Clinics care points

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Inpatient Psychiatry, An Issue of Child and Adolescent Psychiatric Clinics of North America

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Manan Shah

Adefolake Akinsanya

Ronald H. Lee

Arachchige P. Muthukuda