E-Book Overview
Child psychiatrists and psychologists, clinical nurses, social workers, and other mental health practitioners working in the public sectorAwhere limited funds, poverty, social environments, and bureaucracy add to the daily challengesAcan now turn to Community Child and Adolescent Psychiatry for approaches and insights to make their work easier and more productive. Twenty chapters are divided into four main sections, where 31 seasoned clinicians and administrators detail the most useful tasks, strategies, and tactics for child and family-focused community mental health professionals: -Multiple facets of public sector agency work with or consultation to community agencies from the major mental health disciplines employed in community settings, differentiating roles and responsibilities and detailing consultation phases, including pitfalls -Basic community practice principles and issues commonly faced by public sector professionals, including particular types of agencies and differences between rural and urban practice -Contemporary concerns about the impact of a managed care or cost-cutting environment on service delivery, including reimbursement, differentiating consultation from direct service, and the location of a system of care -Descriptions of the setting or activity of each community agency, including the qualifications that allow the professional or trainee to enter and work in that system -Practicalities of clinical practice or consultation or both in community settings in the current service environment -QuestionsAfrom differing perspectivesAthat mental health care practitioners must consider before consulting to or assuming a staff or administrative position in a community agency, different types of demandsAand discussion of/for each role Managed care has forever altered the service system landscape of mental health care in both the private and public sectors. Community Child and Adolescent Psychiatry provides insight into the public system of care and the requisite tools to manage the rapidly changing clinical, political, and administrative landscape. As a resource guide to the profession, Community Child and Adolescent Psychiatry emphasizes the practical necessities of child psychiatrists and other professionals working with mentally ill youngsters and their families in the practice of community psychiatry and public mental health. Trainees, practitioners, and administrators alike will welcome this indispensable road-map to a higher level of practice in community settings.
E-Book Content
Community Child and Adolescent Psychiatry A Manual of Clinical Practice and Consultation This page intentionally left blank Community Child and Adolescent Psychiatry A Manual of Clinical Practice and Consultation Edited by Theodore A. Petti, M.D., M.P.H. Carlos Salguero, M.D., M.P.H. Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc. (APPI), represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI