《精神医学教科书 第二版》

English | May 31, 2022 | ISBN-10: 1615373454 | 710 pages| Epub PDF (True) | 38 MB

The field of hospital psychiatry has faced unimaginable challenges and opportunities during the last decade. Even as we continue to fight COVID-19, the century's greatest public health crisis, the need for behavioral health treatments continues to increase. Providers and policymakers agree that integrating behavioral treatments into regular courses of patient care helps address postdischarge needs, including safe housing, reliable transportation, and nutrition. Behavioral wellness is currently benefitting from increased public attention, but disparities in access continue to plague people of color and members of the LGTBQIA+ community, who often struggle to find culturally competent treatment. There is a significant need for dedicated psychiatric hospitals and dedicated units in general hospitals to meet America's mental health needs. Progress is happening, but many familiar challenges remain. Inadequate healthcare coverage and reimbursement for services has left both patients and medical providers desperate for reform. Staffing shortages are worsening as practitioners in the baby boomer generation retire and those roles go unfilled by new graduates. Despite these challenges, psychiatric hospitals continue to adapt and find ways to care for patients. This updated textbook contains valuable knowledge and new insights for clinicians regarding treatment, staffing, and care, and features new chapters on family involvement and safety, federal and local financing, and information on collaborative care and LEAN. Forward-looking chapters focus on the integration of treatment across settings and providers and examine new strategies such as telemedicine to extend the reach of clinicians. Together, and with expert guidance, readers of this must-have resource will find a roadmap for clinical, administrative, and financial steps to help providers take advantage of these unprecedented times to develop services and advance hospital psychiatry in the United States.

医院精神医学领域在过去几十年里面临着难以想象的挑战与机遇。尽管我们仍在与世纪大流行病——新冠状病毒疫情斗争，但对行为健康治疗的需求仍在持续增加。提供者和政策制定者均认同将行为治疗方法整合到患者常规护理计划中有助于解决出院后需求，包括安全住所、可靠的交通工具以及营养保障。目前行为健康福祉正从公共关注中获益良多，但仍存在人种与 LGBTQIA+ 社群在内的群体无法找到适宜的文化敏感治疗服务的困境。美国的精神健康需求急需配备专门精神卫生医院和专门单元来满足。取得进展的同时许多熟悉的挑战依然存在。医疗报销不足和服务覆盖不均使得患者和医疗服务提供者都迫切希望进行改革。随着 baby boomer 一代从业者退休且后继无人，人员短缺问题正不断恶化。尽管面临这些困难，精神医院仍在继续适应并寻找护理患者的方案。这本最新修订的教材为临床医生提供了有关治疗、人员配备及护理的新知识和新见解，并包含关于家庭参与与安全、联邦与地方融资以及协作护理与 LEAN 的新章节。前瞻性的章节专注于整合各种环境下的治疗方法和服务提供者，同时审视了远程医疗等新型策略以扩展医疗服务范围。结合专家指导，本书的读者将找到一条通往临床、行政和财务层面的路径，帮助提供者在这些前所未有的时期开发服务，并在美国精神卫生领域实现进步。

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