Clinician's guide to partial hospitalization and intensive outpatient practice /

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Houvenagle, David (Autor)
Formato: Electrónico eBook
Idioma:Inglés
Publicado: New York : Springer Publishing Company, 2015.
Temas:
Ambulatory medical care.
Hospitals > Outpatient services.
Continuum of care.
Ambulatory Care
Ambulatory Care Facilities > organization & administration
Continuity of Patient Care
Day Care, Medical
Outpatient Clinics, Hospital
Traitement ambulatoire.
Hôpitaux > Services des consultations externes.
Continuité thérapeutique.
clinics (institutions, medical)
POLITICAL SCIENCE > Public Policy > Social Security.
POLITICAL SCIENCE > Public Policy > Social Services & Welfare.
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Cover
  • Title
  • Copyright
  • Contents
  • Preface
  • Acknowledgments
  • Share Clinician's Guide to Partial Hospitalization and Intensive Outpatient Practice
  • Chapter 1: Introduction
  • PHP and IOP Within the Continuum of Services
  • The Ideal
  • The Reality
  • The Ecology of Games
  • Games Versus Gamey Behavior
  • Defining Games
  • Essential Paradigms Evident Throughout IOP and PHP Settings
  • Continuity
  • Reasonable Expectations
  • Overview of the Book
  • Chapter 2: Understanding Team Work and Milieu in Partial Hospitalization and Intensive Outpatient Programs
  • Chapter 3: The Initial Treatment Plan
  • Chapter 4: Concurrent Treatment Planning
  • Chapter 5: Discharge Planning
  • Chapter 6: Group Therapy
  • Chapter 7: Psychoeducation
  • Chapter 8: Safety Issues
  • Chapters 9, 10, 11, 12, and 13
  • Chapters 14, 15, and 16
  • Chapter 17: Concluding Thoughts
  • References
  • Chapter 2: Understanding Team Work and Milieu in Partial Hospitalization and Intensive Outpatient Programs
  • Milieu Defined
  • The Milieu as an Economy
  • The Normal PHP/IOP Milieu
  • Defining Drama
  • The Game of the Milieu
  • Paradigms and Mind-Sets
  • The Strategy of Order and Not Control
  • Subscribing to Order
  • The Strategy of Routinization
  • The Strategy of Drama Management
  • The Strategy of Adult-Level Communication
  • Conclusions
  • References
  • Chapter 3: The Initial Treatment Plan
  • The Essence of Treatment Planning
  • The Limits of Initial Treatment Planning
  • Reasonable Expectations
  • Goals
  • The Process of Getting Started
  • Actually Starting: The Script
  • The Opening Script
  • The Middle Interview
  • Depression and Anxiety Scales
  • Functioning
  • The Final Part of the Interview
  • Determining Success in the Game of Initial Treatment Planning
  • Conclusions
  • References
  • Chapter 4: Concurrent Treatment Planning
  • The Basics of Utilization Review.
  • The Challenges of Concurrent Treatment Planning
  • The Game of Concurrent Treatment Planning
  • The Relationship With the Utilization Review Department
  • Organizational Routines
  • Interview Scripts
  • The Unmotivated Patient
  • Not Working Harder Than the Patient
  • Conclusions
  • References
  • Chapter 5: Discharge Planning
  • Political Economy Challenges
  • Insurance
  • Employee Assistance Programs
  • The Treatment Cohort
  • The Psychiatrist
  • The Organization
  • The Clinician With a Private Practice
  • Patient Choice as It Exists
  • Summary
  • The Game of Discharge Planning
  • Letters for Work and School
  • Conclusions
  • References
  • Chapter 6: Group Therapy
  • Challenges and Limits to Group Therapy in the PHP/IOP Setting
  • The Open Group
  • Acuity and Diversity
  • Unequal Participation
  • Motivational Differences
  • Monitoring the Group as Individual Patients
  • The Limits of Group Therapy
  • Summary of Limits and Challenges
  • The Game of the Group Process
  • The Posture of the Clinician
  • The Strategy of Structure and Routine
  • The Strategy of the Daily Self-Assessment
  • Running the PHP/IOP Process Group
  • Treatment Planning as an Aid to a Successful Group Experience
  • Some Common Problems
  • The New Clinician
  • The Defocusing Patient
  • The Cabal
  • Conclusions
  • Reference
  • Chapter 7: Psychoeducation
  • The Challenges of Psychoeducation in the PHP/IOP Setting
  • Redundancy
  • Discreteness
  • The Game of Psychoeducation
  • Conclusions
  • Chapter 8: Safety Issues
  • Safety Challenges
  • The Challenges of Suicidal Patients
  • The Challenges of Aggressive Patients
  • The Game of Safety
  • The Game of Dealing With the Suicidal Patient
  • The Game of Dealing With the Aggressive Patient
  • The Protective Services Report
  • Unsafe Subjects (Sex, Religion, and Politics)
  • Conclusions
  • Chapter 9: The Regular Adult Cohort.
  • Treatment Planning
  • Case Management
  • Discharge Planning
  • Group Therapy
  • Psychoeducation
  • Family Therapy
  • Unique Problems
  • Conclusions
  • Chapter 10: The Geriatric/Older Adult Cohort
  • The Patient Challenges
  • Assuming the Role of Helper With the Older Adult
  • Treatment Planning
  • Discharge Planning
  • Group Therapy and Psychoeducation
  • Family Therapy
  • Conclusions
  • Chapter 11: The Chronically Mentally Ill
  • Population-Related Challenges and Expectations
  • Treatment Planning Goals
  • Group Therapy
  • Psychoeducation
  • Family Therapy
  • Discharge Planning
  • Conclusions
  • Chapter 12: Children and Adolescents
  • The Differences Among Children, Preteens, and Adolescents
  • The Challenges of Behavior Disorders in the PHP/IOP Setting
  • Individual Therapy
  • Family Therapy
  • School
  • Group Therapy and Psychoeducation
  • Discharge Planning
  • A Unique Problem: The Milieu
  • Conclusions
  • Reference
  • Chapter 13: Chemical Dependency/Co-Occurring Disorders
  • Programming Description
  • Challenges
  • Applications of the Games
  • Conclusions
  • References
  • Chapter 14: The Borderline Personality-Disordered Patient
  • Challenges
  • Treatment Savvy and Help Rejection in Case Management and Individual Therapy
  • The Challenges in Group Therapy
  • The Challenge in the Family Session
  • The Interpersonal Challenge in the Milieu
  • Challenges From Within
  • The Borderline Personality Patient in the Parent Role
  • The Game of Working with the Borderline Personality
  • Structure and Not Control
  • Inherent Boundaries and Limits Should Be Hardwired
  • Gentle but Firm
  • Less Is More
  • It Is Not Personal, and There Is Nothing to Prove
  • Limitations of the Paradigms
  • Conclusions
  • References
  • Chapter 15: A Death in the Program
  • Conclusions
  • Reference
  • Chapter 16: Problems With Colleagues and Other Departments.
  • The Challenges in General
  • Finding One's Bearings
  • The Game in General
  • Mature Adult Behavior Versus Immature Emotion
  • Is This Drama or a Subdued Report of Fact?
  • What Is Needed?
  • The Application of Boundaries
  • Leading in the Creation of a Positive Work Environment
  • Coping with the Unchangeable
  • Conclusions
  • References
  • Chapter 17: Concluding Thoughts
  • Reference
  • Appendix A: Example of an Initial Treatment Planning Survey
  • Appendix B: Example of a Concurrent Treatment Planning Survey
  • Appendix C: Example of a Fax Transmission Lead Sheet
  • Appendix D: Examples of a Daily Assessment Form
  • Example #1
  • Example #2
  • Example #3
  • Index.

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