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As described in the Privacy Policy, this website utilizes cookies, including for the purpose of offering an optimal online experience and services tailored to your preferences. By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy, including the utilization of cookies. When 3 letters or more are entered, a number of predictive results appear in a dropdown. Use arrow keys to navigate and use the enter key to go to the page highlighted. When 3 letters or more are entered, a number of predictive results appear in a dropdown. Use arrow keys to navigate and use the enter key to go to the page highlighted. As we increase the number of our years, it is also imperative that we enhance the quality of those years. The product of the American Psychiatric Association’s (APA’s) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the “how”—not the “why”—of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities.Appendixes Chapter 12. Staffing in long-term care Chapter 13. Sample preadmission note to a nursing home Chapter 14. Sample form for transfer from a nursing home to a hospital or clinic Chapter 15. Minimum Data Set (MDS), Version 2.0 Chapter 16. Other scales Suggested reading Index It should be required reading for every fellow in geriatric psychiatry. Even experienced practitioners might be expected to occasionally carry it to the nursing home to use as a ready reference regarding issues not usually discussed in standard textbooks of geriatric psychiatry.
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The information in this text embodies the basic tenets for all those who intend to carry on some aspect of practice within the long-term care facility and survive financially. It combines essential information about what makes nursing home psychiatry fun and different from other kinds of work, special issues in clinical assessment and management, and a clear-eyed, objective look at some of the more controversial issues in long-term care, with background material on national nursing home policy, a usable format for recording information and communicating with other providers, and invaluable material on billing in a single volume. This book is long overdue and will make a very large contribution to improving clinical care for residents of long-term care, and to making nursing home practice a viable option for both general and geriatric psychiatrists.— Soo Borson, M.D., President, American Association for Geriatric Psychiatry, Seattle, Washington This excellent review of nursing home practice is a must read for those psychiatrists interested in an overview of nursing home practice. It contains clinical, legal, and regulatory chapters that will serve as an excellent base of information. Practical information provided in an easy style makes it especially valuable.— Jeremy A. Lazarus, M.D., Associate Clinical Professor of Psychiatry, University of Colorado Health Sciences Center, Englewood, Colorado A comprehensive manual for the psychiatrist and other physicians who render their professional expertise to the ever increasing numbers of American nursing home residents. The manual includes state-of-the-art biopsychosocial practice models interwoven with profound understanding of current legislative mandates for health assessments, treatments, documentations, and communications with regional Medicare carriers.
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There is guidance here for the appropriate use of type, dose, and durations of medications commonly used by psychiatrist with suitable modifications for an elderly patient population with at times multiple comorbidities. The guidance for the use of ever changing complexities of mandated coding systems, by type, site, and time rendered is invaluable as is the alternative of hourly contractual arrangements with a nursing home. This manual will facilitate the work of all our colleagues who make a professional commitment to contribute to improve the quality of late life of patients who can no longer live independently in the community.— Marion Zucker Goldstein, M.D., Associate Professor, Department of Psychiatry, SUNY at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York This is an outstanding reference for any clinician involved in nursing home care. Many will benefit from this clear, comprehensive overview of clinical and regulatory issues. The wisdom, experience, and clinical skills of the seasoned authors—all leaders in the field—shows through.— John S. McIntyre, M.D., Past President, American Psychiatric Association, Rochester, New York We know that nursing homes are modern-day mental institutions in which many patients need our help. The Manual of Nursing Home Practice for Psychiatrists has just made caring for them easier. It guides the clinician through the perplexities of medical comorbidity, regulatory oversight, financial disincentives, and environmental limitations. It gives hope to patients and their families that help is on the way.— Barry W. Rovner, M.D., Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania. The 13-digit and 10-digit formats both work. Please try again. Used: GoodCustomer service is our top priority!Please choose a different delivery location or purchase from another seller.We'll e-mail you with an estimated delivery date as soon as we have more information.
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Your account will only be charged when we ship the item. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities.Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. It should be required reading for every fellow in geriatric psychiatry. Even experienced practitioners might be expected to occasionally carry it to the nursing home to use as a ready reference regarding issues not usually discussed in standard textbooks of geriatric psychiatry. The information in this text embodies the basic tenets for all those who intend to carry on some aspect of practice within the long-term care facility and survive financially.Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities. Here readers will find practical information they can use right away, from how to get reimbursed by insurance companies to how to handle nursing facility politics. As useful as it is easy to read, this compact volume covers the clinical, regulatory, financial, and legal and ethical issues of nursing home care, including in-depth appendixes and a bibliography. Edited by a distinguished authority and former chair of the APA's Committee on Long-Term Care and Treatment of the Elderly, this compact volume will appeal to a wide audience of professionals: from general psychiatrists, nurse practitioners, and clinical nurse specialists, to primary care physicians and residents. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities.
Here readers will find practical information they can use right away, from how to get reimbursed by insurance companies to how to handle nursing facility politics. As useful as it is easy to read, this compact volume covers the clinical, regulatory, financial, and legal and ethical issues of nursing home care, including in-depth appendixes and a bibliography. Edited by a distinguished authority and former chair of the APA's Committee on Long-Term Care and Treatment of the Elderly, this compact volume will appeal to a wide audience of professionals: from general psychiatrists, nurse practitioners, and clinical nurse specialists, to primary care physicians and residents. Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. We can't connect to the server for this app or website at this time. There might be too much traffic or a configuration error. Try again later, or contact the app or website owner. Reason: You're speaking plain HTTP to an SSL-enabled server port. Instead use the HTTPS scheme to access this URL, please. Ook willen we cookies plaatsen om je bezoek aan bol.com en onze communicatie naar jou makkelijker en persoonlijker te maken. Met deze cookies kunnen wij en derde partijen jouw internetgedrag binnen en buiten bol.com volgen en verzamelen. Hiermee passen wij en derden onze website, app, advertenties en communicatie aan jouw interesses aan. We slaan je cookievoorkeur op in je account. Als we je account op een ander apparaat herkennen, hoef je niet opnieuw de keuze te maken. Je kunt je cookievoorkeuren altijd weer aanpassen. Lees er meer over in ons cookiebeleid.
The association publishes various journals and pamphlets, as well as the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM codifies psychiatric conditions and is used worldwide as a guide for diagnosing disorders.As we increase the number of our years, it is also imperative that we enhance the quality of those years. The product of the American Psychiatric Association's (APA's) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the how -not the why -of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities. You must have JavaScript enabled in your browser to utilize the functionality of this website. The goal is to help staff understand and solve the wide range of psychiatric and behavioral problems which are encountered on a day-to-day basis. It not only is especially helpful for frontline health aids who work most closely with the residents, and for supervisors and administrators, but also serves as a useful tool for teaching students. The book conveys the message that nursing home residents can experience, in spite of their disabilities, improved quiality of life if their mental health needs are met. The book's 20 chapters are conveniently arranged and cover a broad range of relevant topics for everyday care. The text is clear, clinically relevant, and in many ways fulfils Ira Katz’s description of the Handbook in the foreword, “as a toolkit.” The book is very well laid out and a pleasure to read, with the text broken in many places by “key points,” tables, and case illustrations. The writing style is clear and remarkably consistent given that this is a multi-authored text. This beautifully presented offering is the most comprehensive, readable and useful.
In my view, this is more than a handbook to refer to when specific situations or problems are encountered. Given the wealth of illustrative cases, those aiming to educate staff (of various disciplines) will be able to work through the chapters in successive focussed discussion groups. I strongly recommend that all aged care facilities purchase the 2007 revision for their staff to use in education sessions and to refer to when deciding how best to deal with a problem or situation. I know of no other single source manual which is so comprehensive in range, yet so easy to read and access critical information. The authors do awonderful job of supporting the detailed text with case illustrations, examplesof approaches, and recommendations. The book is very well organized and is freeof any real shortcomings. The authors have managed to summarize the key components in the delivery of mental health treatment in the long-term care setting in a concise and easy to use format. This book is an excellent resource for junior residents. For the nursing assistants or aides who have the most frequent direct contact with residents, it is even more critical.” Ira R. Katz, MD, PhD, Professor of Psychiatry, University of Pennsylvania; Director, Section of Geriatric Psychiatry and Mental Illness Research, Education and Clinical Center, Philadelphia VA Medical Center. As described in the Privacy Policy and Terms of Use, this website utilizes cookies, including for the purpose of offering an optimal online experience and services tailored to your preferences.By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy and Terms of Use, including the utilization of cookies.Practice guidelines are intended to assist in clinical decision making by presenting systematically developed patient care strategies in a standardized format.
Steps in the development process include establishing transparency, managing conflicts of interest, composing work groups, using systematic reviews of evidence, articulating and rating recommendations in guidelines, obtaining external review, and updating. For additional information regarding the new process and a list of the current membership of the APA Steering Committee on Practice Guidelines, please visit the American Psychiatric Association.The lifetime prevalence of schizophrenia is estimated to be approximately 0.7, although findings vary depending on the study location, demographic characteristics of the sample, the approach adopted for case finding, the method employed for diagnostic confirmation, and the diagnostic criteria used. Additional research since the second edition of the guideline has expanded our knowledge of the effective and evidence-based interventions available to help reduce the mortality, morbidity, and significant psychosocial and health consequences of this important psychiatric condition.The guideline focuses specifically on evidence-based pharmacological and nonpharmacological treatments for schizophrenia and includes statements related to assessment and treatment planning, which are an integral part of patient-centered care. The guideline provides direction on implementing these recommendations into clinical practice, with the goal of improving the quality of care and treatment outcomes for patients with schizophrenia.Twelve of the guidelines are available in this section. The process used to develop these guidelines is described here. These guidelines are more than 5 years old and have not yet been updated to ensure that they reflect current knowledge and practice. In accordance with national standards, including those of the Agency for Healthcare Research and Quality's National Guideline Clearinghouse, these guidelines can no longer be assumed to be current.
A systematic review of evidence is conducted to address these clinical questions and involves a detailed assessment of individual studies.For the treatment of children and adolescents with psychiatric disorders, practice parameters are available from the American Academy of Child and Adolescent Psychiatry.No part of these guidelines may be reproduced except as permitted under section 107 and 108 of the United States Copyright Act. For permission for reuse, visit our Permissions and Licensing center. The association publishes various journals and pamphlets, as well as the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM codifies psychiatric conditions and is used worldwide as a guide for diagnosing disorders.The group included Thomas Kirkbride, creator of the asylum model which was used throughout the United States. By 1844 these practices were considered erroneous and abandoned.The basic eligibility requirement is completion of a residency program in psychiatry accredited by the Residency Review Committee for Psychiatry of the Accreditation Council for Graduate Medical Education (ACGME), the Royal College of Physicians and Surgeons of Canada (RCPS(C)), or the American Osteopathic Association (AOA). Applicants for membership must also hold a valid medical license (with the exception of medical students and residents) and provide one reference who is an APA member.Drug company ties Edit This led to a ban on the diagnosis of a public figure by psychiatrists who have not performed an examination or been authorized to release information by the patient. Controversies have related to anti-psychiatry and disability rights campaigners, who regularly protest at American Psychiatric Association offices or meetings. In 1971, members of the Gay Liberation Front organization sabotaged an APA conference in San Francisco.
In 2003 activists from MindFreedom International staged a 21-day hunger strike, protesting at a perceived unjustified biomedical focus and challenging APA to provide evidence of the widespread claim that mental disorders are due to chemical imbalances in the brain.Roy Richard Grinker wrote a controversial editorial for The New York Times expressing support for the proposal.Retrieved March 26, 2020. Archived from the original on August 29, 2008. Retrieved October 20, 2017. Archived from the original ( JPEG ) on October 20, 2017. Retrieved October 20, 2017. Retrieved December 7, 2006. September 20, 2013. Retrieved January 27, 2014. Archived from the original on April 25, 2011. Retrieved October 10, 2010. Retrieved May 24, 2011. September 25, 2003. Archived from the original (PDF) on June 14, 2007. Retrieved November 21, 2008. Retrieved July 18, 2017. The History and Influence of the American Psychiatric Association. Washington, D.C.: American Psychiatric Press, Inc.Paul Lowinger was a psychiatrist and founder of the Institute of Social Medicine and Community Health, and his papers are largely concerned with his work as a psychiatrist and activist, with significant portions devoted to his work with the American Psychiatric Association. By using this site, you agree to the Terms of Use and Privacy Policy. The Clinical Manual of Psychiatry and the Law is an attempt to meet this need. Authored by Manfred S. Guttmacher Award winners Robert I. Simon and Daniel W. Shuman, the book outlines a legal foundation for competent psychiatric practice. Chapters are arranged to provide easy access to essential topics, which are clearly articulated. Each chapter has two divisions. The first section is entitled “Overview of the Law”; it presents legal aspects of a particular clinical subject. For example, the chapter entitled “Psychiatric Responsibility and the Violent Patient” reviews professional obligations and duties, including when a given duty is owed and to whom.
The authors explain why duties are necessary, why a given action is considered to be a duty, and when and how a psychiatrist should discharge a duty. The second section of each chapter is labeled “Clinical Management of Legal Issues.” It integrates clinical approaches with the legal concepts that are introduced in the first section of the chapter. The chapter “Psychiatric Responsibility and the Violent Patient” addresses methods of assessing and predicting violence and approaches to managing treatment refusals, discharging patients from the hospital, and handling dangerous patients. Legal concepts to be considered when fostering therapeutic alliances are coherently articulated. The authors cover topics as diverse as boundaries, confidentiality and privilege, seclusion and restraint, and termination of care. Risk management, including suicide prevention, managing the violent patient, and malpractice liability, is presented with sufficient clarity and detail to enhance the understanding of trainees and experienced clinicians. The authors address controversial topics in psychiatry. Subject matter includes legal aspects of managed care and the pitfalls of maintaining high-volume practices. Therapeutic jurisprudence and the goals of involuntary hospitalization are also explored. When applicable, exceptions to policies and rules are noted, as are evolving trends in case law. Legal terms that require additional explanation are defined in the glossary. The index is well-organized and facilitates quick access to relevant material. Tables are thoughtfully compiled and contain useful information. Although the authors specifically avoid providing case examples and a cookbook-style approach to understanding legal material and reducing liability, portions of the book leave the reader wanting additional information. For instance, the authors state that as a concept, therapeutic privilege is “difficult to apply.” A more thorough explanation of this topic would benefit the reader.
Also, when discussing patient abandonment, the authors say, “Leaving a message on the answering service such as ?If you have a true emergency, please go to your nearest emergency department' may be perceived by the patient as abandonment.” The authors fail to suggest alternative options, such as incorporating contingency plans into the therapeutic contract and reviewing them periodically. Unfortunately, the adolescent psychiatry section is sparse. A national shortage of child and adolescent psychiatrists has made it necessary for many general psychiatrists to treat older adolescents in the interests of community safety and public health. The authors mention consent to treatment for adolescents with divorced parents. One or two paragraphs about treating youths in foster care and residential programs would benefit readers. Also, youth-centered discussions of scope of practice, off-label use of medication, disclosure regarding qualifications to treat minors, and parent-youth accountability would increase the usefulness of this section. The Clinical Manual of Psychiatry and Law is well researched. The authors cite medical and legal references separately, and they include a list of recommended readings. These features render the book a potential first stop for forensic psychiatrists seeking to share references with or to prepare lectures for their clinical colleagues. This book, or one like it, should become a well-thumbed addition to the libraries of practicing psychiatrists and trainees who want to provide competent care while being cognizant of the legal foundation for safe clinical practice. I anticipate seeing the few shortcomings addressed in future editions. American Academy of Psychiatry and the Law NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address. More in this TOC Section.
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