Massachusetts General Hospital Handbook of General Hospital Psychiatry
- 8th Edition - September 5, 2024
- Imprint: Elsevier
- Editors: Theodore A. Stern, Scott R. Beach, Felicia A. Smith, Oliver Freudenreich, Ana-Maria Vranceanu, Maurizio Fava
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 1 8 9 5 - 1
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 1 9 3 2 - 3
For more than 40 years, the Massachusetts General Hospital Handbook of General Hospital Psychiatry has been the gold standard guide to consultation-liaison psychiatry and psychosom… Read more
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Request a sales quoteFor more than 40 years, the Massachusetts General Hospital Handbook of General Hospital Psychiatry has been the gold standard guide to consultation-liaison psychiatry and psychosomatic medicine. Under the editorial leadership of Drs. Theodore A. Stern, Scott R. Beach, Felicia A. Smith, Oliver Freudenreich, Ana-Maria Vranceanu, and Maurizio Fava, the fully revised 8th Edition continues this tradition of excellence for yet another generation of practitioners. In a convenient handbook format, it provides an authoritative, easy-to-understand review of the diagnosis, evaluation, and treatment of psychiatric problems experienced by adults and children with medical and surgical conditions.
- Features DSM-5-TR codes throughout, case studies, and practical tips on how to implement the most current and effective pharmacologic therapies as well as cognitive-behavioral approaches.
- Includes new chapters on Psychiatric Management of Patients with Pulmonary Conditions; Psychiatric Management of Patients with COVID-19 Infection; Behavioral and Psychopharmacological Management of Unhealthy Habits and Behaviors; Community Psychiatry; Global Mental Health; Care of LGBTQIA+ Patients; and more.
- Highlights strategies to enhance coping with medical conditions, resilience, adherence to treatment recommendations, and mindfulness.
- Features a new, two-color format for improved readability and visual clarity for tables, diagrams, and illustrations.
- An ideal resource for psychiatrists, residents, and fellows, as well as interdisciplinary practitioners who support the work of consultation-liaison psychiatrists and provide independent care to medical/surgical patients with comorbid psychiatric symptoms or conditions.
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date.
Practicing psychiatrists, residents, fellows
- Cover image
- Title page
- Table of Contents
- Activate your eBook today!
- Copyright
- Dedication
- Contributors
- Preface
- The Consultation Service
- Recent Directions
- Acknowledgments
- 1. Approach to Psychiatric Consultations in the General Hospital
- Abstract
- CATEGORIES OF THE PSYCHIATRIC DIFFERENTIAL DIAGNOSIS IN GENERAL HOSPITALS
- THE ART OF PSYCHIATRIC CONSULTATION IN THE GENERAL HOSPITAL
- THE PROCESS OF PSYCHIATRIC CONSULTATION IN THE GENERAL HOSPITAL
- Principles of Psychiatric Treatment in the General Hospital
- SUMMARY
- REFERENCES
- 2. The Doctor-Patient Relationship
- Abstract
- OVERVIEW
- THE OPTIMAL HEALING ENVIRONMENT: PATIENT-CENTERED CARE
- SIX PERSPECTIVES ON THE WHOLE PERSON
- IN THE BEGINNING
- COLLABORATING AROUND HISTORY-TAKING
- PLANNING THE PATH FORWARD: CREATING A CLINICAL FORMULATION
- TREATMENT PLANNING
- OBSTACLES AND DIFFICULTIES IN THE DOCTOR-PATIENT RELATIONSHIP
- REFERENCES
- 3. The Psychiatric Interview
- Abstract
- OVERVIEW
- LESSONS FROM ATTACHMENT THEORY, NARRATIVE MEDICINE, AND MINDFUL PRACTICE
- THE CONTEXT OF THE INTERVIEW: FACTORS INFLUENCING THE FORM AND CONTENT OF THE INTERVIEW
- ESTABLISHING AN ALLIANCE AND FOSTERING EFFECTIVE COMMUNICATION
- Building the Relationship and Therapeutic Alliance
- DATA COLLECTION: BEHAVIORAL OBSERVATION, THE MEDICAL AND PSYCHIATRIC HISTORY, AND THE MENTAL STATUS EXAMINATION
- SHARING INFORMATION AND PREPARING THE PATIENT FOR TREATMENT
- THE EVALUATION OF CHILDREN AND ADOLESCENTS
- DIFFICULTIES AND ERRORS IN THE PSYCHIATRIC INTERVIEW
- REFERENCES
- 4. Limbic Music
- Abstract
- INTRODUCTION
- WHY LIMBIC MUSIC?
- WHAT IS LIMBIC MUSIC?
- WHERE DOES LIMBIC MUSIC COME FROM AND WHAT DOES IT WANT?
- LIMBIC MUSIC APPRECIATION
- CLINICAL EXAMPLES
- CONCLUSION
- REFERENCES
- 5. Functional Neuroanatomy and the Neurologic Examination
- Abstract
- OVERVIEW
- FUNCTIONAL NEUROANATOMY
- THE NEUROLOGIC EXAMINATION
- References
- 6. Psychological and NeuroPsychological Assessment in the Medical Setting
- Abstract
- OVERVIEW
- OBTAINING AND UNDERSTANDING TEST REPORTS
- References
- 7. Diagnostic Rating Scales, Procedures, and Laboratory Tests
- Abstract
- OVERVIEW
- GENERAL CONSIDERATIONS IN THE SELECTION OF DIAGNOSTIC RATING SCALES
- GENERAL DIAGNOSTIC INSTRUMENTS
- SCALES FOR MOOD DISORDERS
- SCALES FOR PSYCHOTIC DISORDERS
- SCALES FOR ANXIETY DISORDERS
- SCALES FOR SUBSTANCE USE DISORDERS
- SCALES FOR COGNITIVE DISORDERS
- LABORATORY TESTS
- THE ELECTROENCEPHALOGRAM
- NEUROIMAGING
- CONCLUSION
- REFERENCES
- References
- 8. Mood Disorders: Depression and Bipolar Disorder
- Abstract
- Depression
- MAKING THE DIAGNOSIS OF MAJOR DEPRESSIVE DISORDER (MDD)
- SUBTYPES OF MAJOR DEPRESSIVE DISORDER
- Other Depressive Disorders
- CHOICE OF AN APPROPRIATE TREATMENT FOR DEPRESSION
- BIPOLAR DISORDER
- Epidemiology and Risk Factors
- Clinical Features and Phenomenology
- ASSOCIATED ILLNESS FEATURES
- FEATURES OF LONGITUDINAL COURSE
- EVALUATION, TESTING, AND LABORATORY WORK-UP
- Consequences of Misdiagnosis
- Treatment Strategies
- SPECIAL CONSIDERATIONS IN TREATMENT
- PROGNOSIS
- MEDICAL CO-MORBIDITY AMONG PATIENTS WITH BPD
- CONCLUSIONS
- References
- 9. Delirium
- Abstract
- OVERVIEW
- DIAGNOSIS
- DIFFERENTIAL DIAGNOSIS
- THE EXAMINATION OF THE PATIENT
- SPECIFIC MANAGEMENT STRATEGIES FOR DELIRIUM
- DRUG MANAGEMENT
- DELIRIUM IN SPECIFIC DISEASES
- CONCLUSION
- REFERENCES
- 10. Patients with Neurocognitive Disorders
- NON-PRINT ITEMAbstract
- EPIDEMIOLOGY
- DIAGNOSIS
- EVALUATION OF NEUROCOGNITIVE DISORDERS
- TREATMENT CONSIDERATIONS
- CONCLUSION
- References
- 11. Patients with Psychosis
- Abstract
- OVERVIEW
- DIAGNOSTIC EVALUATION
- CLINICAL PICTURES AND CORRESPONDING PROBLEMS DURING A MEDICAL HOSPITALIZATION
- MANAGEMENT OF PATIENTS WITH PSYCHOSIS
- WORKING TOGETHER WITH THE PATIENT, THE FAMILY, AND THE BROADER CARE TEAM
- ADDITIONAL CHALLENGES IN THE CARE OF PATIENTS WITH PSYCHOSIS
- CONCLUSION
- References
- 12. Pharmacotherapy of Anxiety Disorders
- Abstract
- OVERVIEW
- PHARMACOTHERAPY OF PANIC DISORDER AND AGORAPHOBIA
- PHARMACOTHERAPY OF GENERALIZED ANXIETY DISORDER
- PHARMACOTHERAPY OF SOCIAL ANXIETY DISORDER
- CONCLUSIONS AND FUTURE DIRECTIONS
- References
- 13. Substance Use Disorders
- Abstract
- OVERVIEW
- STIMULANTS
- HALLUCINOGENS
- CANNABIS AND SYNTHETIC CANNABINOIDS
- BENZODIAZEPINES AND OTHER SEDATIVE HYPNOTICS
- References
- 14. Somatic Symptom and Related Disorders and Functional Somatic Syndromes
- Abstract
- OVERVIEW
- SOMATIC SYMPTOM AND RELATED DISORDERS
- SHARED PARAMETERS OF PSYCHOSOMATIC CONDITIONS
- GENERAL PRINCIPLES IN THE TREATMENT OF SOMATIC SYMPTOM DISORDERS
- PSYCHIATRIC DIFFERENTIAL DIAGNOSIS
- CONCLUSION
- References
- 15. Factitious Disorders and Malingering
- Abstract
- OVERVIEW
- CONCLUSION
- References
- 16. Eating Disorders
- NON-PRINT ITEMAbstract
- OVERVIEW
- Epidemiology
- Course of Illness
- CLINICAL EVALUATION
- TREATMENT PLANNING OVERVIEW
- TREATMENT OF PATIENTS WITH ANOREXIA NERVOSA
- TREATMENT OF PATIENTS WITH BULIMIA NERVOSA
- TREATMENT OF PATIENTS WITH BINGE EATING DISORDER
- TREATMENT OF PATIENTS WITH AVOIDANT/RESTRICTIVE FOOD INTAKE DISORDER
- Summary
- References
- 17. Pain
- Abstract
- OVERVIEW
- PATHOPHYSIOLOGY OF PAIN
- PAIN TERMINOLOGY
- PAIN MEASUREMENT
- THE PSYCHIATRY CONSULTANT AS PAIN PHYSICIAN
- GENERAL PRINCIPLES OF PAIN THERAPY
- MEDICATION FOR PAIN: ANALGESIA AND ADJUVANTS
- TREATMENT OF CENTRAL NEUROPATHIC PAIN STATES
- TREATMENT OF CHRONIC PAIN AND THE USE OF MULTI-DISCIPLINARY PAIN CLINICS
- References
- 18. Neuropsychiatric Conditions: Seizures, Headaches, Stroke Syndromes, and Traumatic Brain Injuries
- Abstract
- OVERVIEW
- MANAGEMENT OF PSYCHIATRIC SYMPTOMS IN PATIENTS WITH SEIZURE DISORDERS
- NON-EPILEPTIC SEIZURES
- TREATMENT
- MANAGEMENT OF PATIENTS WITH HEADACHE
- HEADACHE RED FLAGS
- DIFFERENTIAL DIAGNOSIS AND CLINICAL APPROACH
- SECONDARY HEADACHES: ACUTE AND SUBACUTE
- SECONDARY HEADACHES: SUBACUTE TO CHRONIC
- MANAGEMENT OF PATIENTS WITH STROKE SYNDROMES
- MANAGEMENT OF PATIENTS WITH TRAUMATIC BRAIN INJURIES
- CONCLUSION
- References
- 19. Patients with Abnormal Movements
- NON-PRINT ITEMAbstract
- OVERVIEW
- IDIOPATHIC MOVEMENT DISORDERS
- TREMORS
- DRUG-INDUCED MOVEMENT DISORDERS
- FUNCTIONAL MOVEMENT DISORDERS
- Bibliography
- 20. Infectious or Inflammatory Neuropsychiatric Impairment
- Abstract
- OVERVIEW
- POTENTIAL ETIOLOGIES OF ACUTE AND SUBACUTE NEUROPSYCHIATRIC IMPAIRMENT
- ILLUSTRATIVE AUTOIMMUNE ENCEPHALITIC SYNDROMES MANIFESTING WITH NEUROPSYCHIATRIC IMPAIRMENT
- TREATMENT STRATEGIES FOR PATIENTS WITH INFECTIOUS OR INFLAMMATORY CAUSES OF ENCEPHALITIC NEUROPSYCHIATRIC IMPAIRMENT
- Remaining Questions on Autoimmune Encephalitides
- Conclusion
- References
- 21. Catatonia, Neuroleptic Malignant Syndrome, and Serotonin Syndrome
- Abstract
- OVERVIEW
- CATATONIA
- NEUROLEPTIC MALIGNANT SYNDROME (NMS)
- SEROTONIN SYNDROME
- References
- 22. Patients with Disordered Sleep
- Abstract
- OVERVIEW
- NORMAL SLEEP
- SLEEP NEUROPHYSIOLOGY
- CLINICAL APPROACH TO THE PATIENT WITH DISORDERED SLEEP
- SLEEP DISORDERS
- References
- 23. Sexual Disorders and Sexual Dysfunction
- Abstract
- OVERVIEW
- EPIDEMIOLOGY AND RISK FACTORS
- PATHOPHYSIOLOGY
- CLINICAL FEATURES AND DIAGNOSIS
- APPROACH TO SEXUAL HISTORY-TAKING
- DIAGNOSTIC CRITERIA OF SPECIFIC SEXUAL DISORDERS
- DIFFERENTIAL DIAGNOSIS OF SEXUAL DISORDERS
- TREATMENT
- CONCLUSION
- References
- 24. The Psychiatric Management of Patients with Cardiac Disease
- Abstract
- OVERVIEW
- ANXIETY IN PATIENTS WITH CARDIAC CONDITIONS
- DEPRESSION IN PATIENTS WITH CARDIAC PROBLEMS
- DELIRIUM IN CARDIAC PATIENTS
- SEVERE MENTAL ILLNESS AND CARDIAC DISEASE
- CRITICAL ISSUES IN PSYCHOPHARMACOLOGY AND CARDIAC HEALTH
- References
- 25. Patients with Kidney Disease
- Abstract
- OVERVIEW
- PATIENTS WITH NORMAL KIDNEY FUNCTION
- KIDNEY DISEASE
- PSYCHIATRIC DISORDERS IN CKD AND ESRD
- PSYCHIATRIC TREATMENT CONSIDERATIONS FOR PATIENTS WITH CKD AND ESRD
- PSYCHOPHARMACOLOGIC CONSIDERATIONS
- References
- 26. Patients with Gastrointestinal Disease
- Abstract
- INTRODUCTION
- DISORDERS OF THE ESOPHAGUS, STOMACH, AND UPPER INTESTINES
- DISORDERS OF THE LOWER GASTROINTESTINAL TRACT
- PSYCHIATRIC ISSUES RELATED TO CANCERS OF THE UPPER AND LOWER INTESTINES
- LIVER DISORDERS
- DISORDERS OF THE PANCREAS
- MEDICATION CONSIDERATIONS IN GASTROINTESTINAL ILLNESS
- MEDICATION CONSIDERATIONS IN LIVER DISEASE
- References
- 27. Organ Failure and Transplantation
- Abstract
- OVERVIEW
- PSYCHIATRIC EVALUATION OF THE TRANSPLANT PATIENT
- PSYCHIATRIC CONSIDERATIONS IN PATIENTS WITH END-ORGAN FAILURE
- PEDIATRIC TRANSPLANTATION
- CONCLUSION
- References
- 28. HIV Infection and AIDS
- Abstract
- OVERVIEW
- EPIDEMIOLOGY
- MEDICATIONS FOR HIV INFECTION
- HIV INFECTION AND THE CENTRAL NERVOUS SYSTEM
- HIV-ASSOCIATED NEUROCOGNITIVE DISORDERS
- Asymptomatic Neurocognitive Impairment
- Differential Diagnosis of Psychiatric Distress
- APPROACH TO PSYCHIATRIC CARE
- TREATMENT
- CONCLUSION
- References
- 29. Covid-19 Infection
- Abstract
- OVERVIEW
- CONCLUSIONS
- References
- 30. Patients with Cancer
- Abstract
- PSYCHO-ONCOLOGY
- DISTRESS
- ANXIETY
- NAUSEA AND VOMITING
- SLEEP
- DEPRESSION
- FATIGUE
- NEUROPSYCHIATRIC SYMPTOMS IN CANCER
- HORMONAL THERAPY
- END-OF-LIFE CARE
- SURVIVORSHIP IN CANCER
- CONCLUSION
- References
- 31. Pulmonary Disease
- Abstract
- OVERVIEW
- PRESENTATION AND TREATMENT OF PSYCHIATRIC DISORDERS ASSOCIATED WITH PULMONARY CONDITIONS
- CONSIDERATIONS FOR PRESCRIBING PSYCHOPHARMACOLOGIC AGENTS IN THE CONTEXT OF PULMONARY DISEASE
- CONCLUSION
- REFERENCES
- 32. Burns, Trauma, and Intensive Care Unit Treatment
- Abstract
- OVERVIEW
- HISTORY
- BURN INJURIES
- TYPES OF BURNS
- Pre-Burn Psychopathology
- INITIAL ASSESSMENT AND MANAGEMENT OF PATIENTS WITH BURN INJURIES
- DELIRIUM IN THE CONTEXT OF A BURN INJURY
- TRAUMATIC INJURIES AND INTENSIVE CARE
- END-OF-LIFE CARE AND STAFF SUPPORT
- References
- 33. Patients with Genetic Syndromes
- Abstract
- OVERVIEW
- VARIED APPROACHES TO UNDERSTANDING PSYCHIATRIC GENETICS
- METABOLIC DISEASE
- CONCLUSION
- References
- Suggested Reading
- 34. Coping with Medical Illness and Psychotherapy of the Medically Ill
- Abstract
- BACKGROUND
- HISTORY
- CLINICAL AND RESEARCH CHALLENGES
- PRACTICAL POINTERS
- References
- 35. Resilience, Wellness, and Coping with the Rigors of Psychiatric Practice
- Abstract
- OVERVIEW
- EPIDEMIOLOGY
- ETIOLOGIES FOR STRESS AND BURNOUT
- SPECIAL SITUATIONS IN PSYCHIATRY
- WHEN THE COBBLER'S CHILDREN HAVE NO SHOES
- HEALING THE WOUNDED HEALER: PROMOTING RESILIENCE
- CONCLUSION
- ACKNOWLEDGMENTS
- REFERENCES
- 36. Device Neuromodulation and Brain Stimulation Therapies
- Abstract
- OVERVIEW
- TRANSCRANIAL MAGNETIC STIMULATION
- ELECTROCONVULSIVE THERAPY
- VAGUS NERVE STIMULATION
- DEEP BRAIN STIMULATION
- ABLATIVE LIMBIC SYSTEM SURGERY
- CONCLUSION
- References
- 37. Psychopharmacology in the Medical Setting
- Abstract
- OVERVIEW
- PRINCIPLES OF PSYCHOPHARMACOLOGIC PRACTICE
- PHARMACOKINETICS
- DRUG INTERACTIONS
- PSYCHIATRIC USES OF NON-PSYCHIATRIC MEDICATIONS
- References
- 38. Psychiatric Consultation to Children and Adolescents
- Abstract
- OVERVIEW
- THE PEDIATRIC CONSULTATION PROCESS
- REASONS FOR CONSULTATION REQUESTS
- CHILD MALTREATMENT
- LIVING WITH CHRONIC ILLNESS
- CARE AT THE END OF LIFE
- SUPPORT FOR PARENTS WITH SERIOUS ILLNESS
- FUTURE CONSIDERATIONS
- REFERENCES
- 39. Chronic Disease and Unhealthy Lifestyle Behaviors: Behavioral Management
- Abstract
- OVERVIEW
- HEALTHY LIFESTYLES AND DISEASE PREVENTION AND MANAGEMENT
- TRANSTHEORETICAL MODEL OF CHANGE
- BEHAVIORAL MODIFICATION COUNSELING: THE “5 As”
- A FIVE-STEP CYCLE FOR COACHING PATIENTS TO ADOPT AND SUSTAIN HEALTHY BEHAVIORS
- SMOKING PREVALENCE AND CHARACTERISTICS OF SMOKERS
- References
- 40. Complementary Medicine and Natural Medications
- Abstract
- OVERVIEW
- EFFICACY AND SAFETY
- MOOD DISORDERS
- ANXIETY AND INSOMNIA
- PREMENSTRUAL AND MENOPAUSAL SYMPTOMS
- COGNITION AND DEMENTIA
- CONCLUSION
- References
- 41. Difficult Patients
- Abstract
- OVERVIEW
- TYPES OF DIFFICULT PATIENTS
- DIFFICULT BEHAVIOR AND THE CONSULTEE
- THE PSYCHIATRIST'S WORK WITH THE PATIENT
- TERMINATION
- References
- 42. Care of the Patient with Thoughts of Suicide
- Abstract
- OVERVIEW
- EPIDEMIOLOGY AND RISK FACTORS
- PATHOPHYSIOLOGY
- CLINICAL FEATURES AND DIAGNOSIS
- TREATMENT OF SUICIDE RISK
- DIFFICULTIES IN THE ASSESSMENT OF SUICIDE RISK
- CONCLUSION
- References
- 43. Emergency Psychiatry
- Abstract
- INTRODUCTION
- DEMOGRAPHICS
- TYPES OF DELIVERY MODELS
- THE MEDICAL EVALUATION
- THE PSYCHIATRIC INTERVIEW
- THE SAFETY EVALUATION
- PSYCHIATRIC SYMPTOMS AND PRESENTATIONS
- MANAGEMENT OF ACUTE SYMPTOMS
- EMERGENCY ASSESSMENT OF CHILDREN
- LEGAL RESPONSIBILITIES OF THE EMERGENCY PSYCHIATRIC CLINICIAN
- CONCLUSION
- References
- 44. Geriatric Psychiatry
- Abstract
- OVERVIEW
- MENTAL HEALTH DISORDERS COMMON IN LATE LIFE
- DISASTERS
- CAREGIVER STRESS AND BURDEN
- ELDER ABUSE
- References
- 45. Care at the End of Life
- Abstract
- OVERVIEW
- GOALS OF TREATMENT
- ROLE OF THE PSYCHIATRIST
- CHALLENGES FOR CARE PROVIDERS
- ETHICS AND END-OF-LIFE CARE
- CONCLUSION
- References
- 46. Psychiatric Illness During Pregnancy and the Postpartum Period
- Abstract
- OVERVIEW
- DIAGNOSIS AND TREATMENT OF MOOD DISORDERS DURING PREGNANCY
- BIPOLAR DISORDER
- PSYCHOTIC DISORDERS
- ANXIETY DISORDERS
- ELECTROCONVULSIVE THERAPY
- BREAST-FEEDING AND PSYCHOTROPIC DRUG USE
- PSYCHIATRIC CONSULTATION AND POSTPARTUM PSYCHIATRIC ILLNESS
- PERINATAL PSYCHIATRY: FROM SCREENING TO TREATMENT
- References
- 47. Culture and Psychiatry
- Abstract
- OVERVIEW
- CULTURE AND PSYCHIATRY
- WORKING WITH INTERPRETERS
- THE “MEDICAL OMBUDSMAN” ROLE
- ETHNICITY, CULTURE, AND PSYCHIATRIC MEDICATIONS
- RECOMMENDATIONS FOR OPTIMIZING CLINICAL CARE OF DIVERSE POPULATIONS
- References
- 48. Legal Aspects of Psychiatric Consultation
- Abstract
- OVERVIEW
- PHYSICIANS’ RIGHTS AND OBLIGATIONS
- RIGHTS OF PATIENTS
- CONCLUSION
- References
- 49. Approaches to Collaborative Care and Behavioral Health Integration
- Abstract
- Overview
- Epidemiology
- Complexities of Evaluation and Care: A Clinical Vignette
- The Goals of Collaboration
- Roles, Relationships, and Expectations
- Models of Treatment and Collaboration
- Choosing the Right Model
- Conclusion
- References
- 50. Community Psychiatry
- Abstract
- Overview
- Terms and Definitions
- Historical Background
- Underlying Principles of Community Mental Health
- Components and Services of Community Mental Health Systems
- Trends
- Conclusion
- References
- 51. Global Psychiatry and Mental Healthcare Delivery
- Abstract
- OVERVIEW
- GLOBAL PSYCHIATRY FROM A CLINICAL AND PUBLIC HEALTH PERSPECTIVE
- ACTIONS TO MEET THE GLOBAL HEALTH CHALLENGES OF THE FUTURE
- RE-FRAMING MENTAL HEALTH CARE TO BETTER SERVE DISADVANTAGED COMMUNITIES
- CONCLUSION
- References
- 52. Care of LGBTQIA+ Patients
- Abstract
- OVERVIEW
- HISTORICAL CONTEXT WITHIN PSYCHIATRY
- MINORITY STRESS MODEL
- RISK FACTORS, RESILIENCE FACTORS, AND INTERSECTIONALITY
- RESILIENCE FACTORS FOR LGBTQIA+ PATIENTS
- LGBTQIA+ AFFIRMATIVE CARE
- SPECIFIC POPULATIONS
- LGBTQIA+ ELDERS
- PATIENTS RECEIVING GENDER-AFFIRMING MEDICAL AND SURGICAL TREATMENTS
- POTENTIAL PSYCHIATRIC IMPACTS OF GAHT
- POTENTIAL MEDICATION INTERACTIONS FOR GAHT
- LETTERS OF SUPPORT FOR GENDER-AFFIRMING SURGERIES
- LGBTQIA+ RESOURCES
- CONCLUSION
- References
- 53. Building Interdisciplinary Collaborations Across Healthcare Settings
- Abstract
- BACKGROUND
- BARRIERS TO INTERDISCIPLINARY CARE
- AN APPROACH TO MOVE TOWARDS INTERDISCIPLINARY CARE
- EXAMPLES OF INTERDISCIPLINARY COLLABORATIONS
- COMMUNITY PRIMARY CARE
- LESSONS LEARNED
- CONCLUSIONS
- References
- 54. Management of a Psychiatric Consultation Service
- Abstract
- Overview
- Documentation Should Reflect the Service Performed
- Bill Only for Services Documented in the Medical Record
- Follow the Medicare Guidelines for All Entries in the Medical Record
- Obtain Preauthorization for Services Whenever Necessary
- Identify the Payer
- Develop a Standard Format for Writing the Consultation Note
- Bill the Appropriate Code
- Evaluate the Costs and Benefits of the Consultation Service
- Provide Quality Assurance and Quality Improvement on the Psychiatric Consultation Service
- Understand Donabedian’s Model
- Use Structural Measures of Consulting Quality
- Apply Process Measures of Consulting Quality
- Consider Outcome Measures of the Consultant’s Quality
- Follow the Guiding Principles of Quality Measurement
- Conclusion
- References
- Index
- Confidence is ClinicalKey
- Edition: 8
- Published: September 5, 2024
- Imprint: Elsevier
- No. of pages: 992
- Language: English
- Paperback ISBN: 9780443118951
- eBook ISBN: 9780443119323
TS
Theodore A. Stern
Dr. Theodore A. Stern is the Ned H. Cassem Professor of Psychiatry in the field of Psychosomatic Medicine/Consultation at Harvard Medical School (HMS), Chief Emeritus of The Avery D. Weisman, Psychiatry Consultation Service, and Director of the Thomas P. Hackett Center for Scholarship in Psychosomatic Medicine at the Massachusetts General Hospital (MGH). Dr. Stern has co-authored more than 550 peer-reviewed journal articles and book chapters, and he has edited or authored more than 60 books (including the MGH Handbook of General Hospital Psychiatry, the MGH Psychiatry Update and Board Preparation, Learning About Psychopharmacology, Facing Overweight and Obesity, Facing Pelvic Pain, Facing Memory Loss and Dementia, Facing Serious Mental Illness, and the MGH Study Guide for Psychiatry Exams). Dr. Stern is a Past-President of the Academy of Consultation-Liaison Psychiatry (ACLP) and is the Editor-in-Chief Emeritus of its journal, Psychosomatics (now called Journal of the Academy of Consultation-Liaison Psychiatry). He has won the coveted “Best Teacher Award” from the graduating residents at the MGH/McLean Hospital Psychiatric Residency Training Program, the Cynthia N. Kettyle Teaching Award from the HMS Department of Psychiatry, the MGH Department of Psychiatry’s Award for Exceptional Mentorship in the Clinical Realm, a Lifetime Achievement Award from the Society of Liaison Psychiatry, and the Thomas P. Hackett Award from the ACLP (its highest honor).
Affiliations and expertise
Psychiatrist and Chief Emeritus, Avery D. Weisman Psychiatry Consultation Service, Director, Thomas P. Hackett Center for Scholarship in Psychosomatic Medicine, Massachusetts General Hospital, Boston, MA, USA, Ned H. Cassem Professor of Psychiatry in the Field, Psychosomatic Medicine/Consultation, Harvard Medical School, Boston, MA, USASB
Scott R. Beach
Since 2016, Dr. Scott R. Beach has been the director of the Infectious Disease Consultation Service at MGH, providing psychiatric care in the co-located HIV clinic. Areas of clinical expertise include QT prolongation with psychiatric medications, catatonia and related syndromes, and patients who deceive providers. Dr. Beach’s research focuses on collaborative care models in patients with heart disease, positive emotions and their predictive value following acute coronary syndromes, and QT prolongation with antidepressants. He is also principal investigator of a pilot study investigating neuroimaging and gene expression in patients with catatonia. He has been a co-investigator on grants from the NIH and the American Foundation for Suicide Prevention. Dr. Beach is the author of over 20 book chapters and 30 peer-reviewed articles.
Affiliations and expertise
Psychiatrist, Department of Psychiatry, Massachusetts General Hospital; Associate Professor, Department of Psychiatry, Harvard Medical School, Boston, MassachusettsFS
Felicia A. Smith
Dr. Felicia A. Smith was previously a co-editor on this title and has been selected again by Dr. Stern to collaborate on the revision. She is a graduate of the MGH/McLean Adult Psychiatry Residency Program. Following graduation, she remained on staff and, in 2008, was named director of the Acute Psychiatry Service at MGH. It was in this role that she grew her strong interest in medical education, as it allowed her to help guide psychiatric residents, psychology interns and medical students. She previously held the role of program director for the Adult Psychiatry Residency Program.
Affiliations and expertise
Associate Chief, Department of Psychiatry, Chief, MGH Division of Psychiatry and Medicine, Massachusetts General Hospital; Assistant Professor, Department of Psychiatry, Harvard Medical School, Boston, MassachusettsOF
Oliver Freudenreich
Dr. Oliver Freudenreich’s academic interest lies in the area of optimal psychopharmacological treatment for schizophrenia, including the development of innovative treatments and management of treatment-resistant psychosis. In addition to his clinical and clinical trial expertise in schizophrenia, Dr. Freudenreich provides psychiatric consultations for medically complex patients with serious mental illness and for diagnostically difficult cases with psychosis. He has published extensively in his areas of interest and has written a handbook on psychotic disorders (2e published in 2020). Dr. Freudenreich teaches and speaks on a regular basis at international and national meetings. Recent awards include the MGH Department of Psychiatry Clinical Excellence Award and the 2022 Outstanding Psychiatrist Award for the Public Sector from the Massachusetts Psychiatric Society.
Affiliations and expertise
Co-Director, MGH Psychosis Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital; Professor of Clinical Psychiatry, Department of Psychiatry, Harvard Medical School, Boston, MassachusettsAV
Ana-Maria Vranceanu
Dr. Ana-Maria Vranceanu is the former Director of Behavioral Health Integration for the Behavioral Medicine Service and has developed multidisciplinary collaborations with medical practices within MGH including The Neuroscience Intensive Care Unit, The Neurofibromatosis Clinic, The Pain Clinic, The Mild Closed Head Injury Clinic, the Massachusetts Eye and Ear Infirmary and the Department of Orthopedic Surgery. She is an expert in developing in-person and live video skills interventions integrated within medical practices, to preserve health, promote recovery after surgery or injury and optimize management of chronic illness. She has served as Principal Investigator on more than 15 foundation or federally funded research grants. She has over 150 publications and has edited the "MGH Book of Behavioral Medicine." Dr. Vranceanu has a particular interest in mentoring interns, postdocs, medical residents and junior faculty members, and has been awarded the Dorothy W. Cantor Leadership for Women in Psychology fellowship from the American Psychological Association.
Affiliations and expertise
Director, Center for Health Outcomes and Interdisciplinary Research (CHOIR), Department of Psychiatry, Massachusetts General Hospital; David T. Rovee PhD and Joanne V. Rovee Endowed Chair in Psychiatry, Professor of Psychology, Department of Psychiatry, Harvard Medical School, Boston, MassachusettsMF
Maurizio Fava
Dr. Maurizio Fava is Chair of the Department of Psychiatry at the Massachusetts General Hospital (MGH). Dr. Fava obtained his MD from University of Padova School of Medicine (residency in endocrinology); he completed residency training in psychiatry at the MGH. He founded and was director of the hospital’s Depression Clinical and Research Program (DCRP) from 1990 to 2014. In 2007, he founded and is now Executive Director of the MGH Clinical Trials Network and Institute (CTNI), the first academic CRO specialized in planning and coordination of multi-center clinical trials in psychiatry. Under Dr. Fava’s direction, the DCRP became one of the most highly regarded depression programs in the country, a model for academic programs that link, in a bi-directional fashion, clinical and research work. His prominence in the field is reflected in his role as the co-principal investigator of STAR*D, the largest research study ever conducted in the area of depression, and of the RAPID Network, the NIMH-funded series of studies of novel, rapidly acting antidepressant therapies. Dr. Fava is a world leader in the field of depression. He has authored or co-authored more than 900 original articles published in medical journals with international circulation, edited eight books, and has been successful in obtaining funding as principal or co-principal investigator from both the National Institutes of Health and other sources for a total of more than $150 million.
Affiliations and expertise
Psychiatrist-in-Chief, Department of Psychiatry, Vice Chair, Executive Committee on Research, Massachusetts General Hospital, Boston, MA, USA, Executive Director, Clinical Trials Network & Institute (CTNI), Massachusetts General Hospital, Boston, MA, USA, Associate Dean for Clinical & Translational Research & Slater Family Professor of Psychiatry, Harvard Medical School, Boston, MA, USA