Psychiatric Intensive Care

by M. Dominic Beer , Stephen M. Pereira , Carol Paton

• ISBN13: 9780521709262
• ISBN10: 0521709261
• Edition: 2nd
• Format: Paperback
• Copyright: 2008-04-21
• Publisher: Cambridge University Press

Summary

Significantly expanded and updated from the first edition Psychiatric Intensive Care is essential reading for all healthcare professionals and managers involved in the care of the mentally ill patient, particularly in the intensive care environment. It provides practical and evidence-based advice on the management of disturbed and severely ill psychiatric patients in secure hospital settings. New chapters have been added covering multidisciplinary team working, and emphasising the interface of psychiatric intensive care with other mental health specialities; specifically, Interface with General Psychiatry, Interface with Learning Difficulties, Interface with the Child and Adolescent, Interface with Substance Misuse, Interface with Social Work, User and Carer Issues, Legal Issues and National Standards and Good Practice in Psychiatric Intensive Care. This book should be read by all mental health team members working with disturbed psychiatric patients on an inpatient basis, as well as by management staff responsible for establishing and running these services.

Table of Contents

List of contributors	p. vii
Preface to second edition	p. xi
Preface to first edition	p. xiii
Foreword	p. xv
Therapeutic interventions
Psychiatric intensive care - development and definition	p. 3
Management of acutely disturbed behaviour	p. 12
De-escalation	p. 24
Rapid tranquillisation	p. 32
Pharmacological therapy	p. 50
Psychological approaches to the acute patient	p. 74
Psychological approaches to longer-term patients presenting with challenging behaviours	p. 89
Seclusion - past, present and future	p. 106
Restraint and physical intervention	p. 123
The complex needs patient	p. 132
Therapeutic activities within Psychiatric Intensive Care and Low Secure Units	p. 149
Risk assessment and management	p. 161
Interface issues
The provision of intensive care in forensic psychiatry	p. 183
The interface with forensic services	p. 191
Supporting people with learning disabilities on general psychiatric wards, PICUs and LSUs	p. 202
The interface with general psychiatric services	p. 220
The interface with the Child and Adolescent Mental Health Services (CAMHS)	p. 229
Severe mental illness and substance abuse	p. 247
Social work issues in PICUs and LSUs	p. 265
User and carer involvement	p. 275
Management of the Psychiatric Intensive Care Unit/Low Secure Unit
Setting up a new Psychiatric Intensive Care Unit: principles and practice	p. 285
Physical environment	p. 294
Managing the Psychiatric Intensive Care Unit	p. 306
Multidisciplinary teams within PICUs/LSUs	p. 322
National Standards and good practice	p. 340
Index	p. 351
Table of Contents provided by Ingram. All Rights Reserved.