Psychology and Psychiatry : Integrating Medical Practice

by Milgrom, Jeannette; Burrows, Graham D.

• ISBN13: 9780471981084
• ISBN10: 0471981087
• Edition: 1st
• Format: Hardcover
• Copyright: 2001-04-25
• Publisher: WILEY

Summary

In the traditional medical setting, clinical psychology and psychiatry have operated independently, but clinicians now recognise that psychologists and psychiatrists working together can maximise the effectiveness of treatment and improve quality of life for individuals and families. Up to 25% of medical patients present with significant psychological problems and unless practice is integrated, these problems often remain untreated. An integrated practice and training allows clinicians to recognise and treat psychological problems, thereby reducing the economic and social costs associated with such illness. In addition, the input of psychology and psychiatry is now understood to have a role in disease progress and medical management as well as in prevention and health promotion. * Compares the disciplines of clinical psychology and psychiatry, and their practice in medical environments * Provides a "how to" and "what to expect" for clinicians who use the services of psychologists and psychiatrists * Forecasts the development and growth of this approach in medical, social and policy contexts * Offers professional development guidance to psychologists and psychiatrists working outside the medical arena

Table of Contents

About the Editors	x
About the Authors	xii
Forewords	xxii
Teamwork in today's health care environment-overlapping traditions of liaison-psychiatry and health psychology	xxii
Frederick K. Goodwin
A health psychology perspective	xxiii
John Weinman
Preface	xxvi
Acknowledgements	xxvii
Psychology and Psychiatry in the Medical Centre	1	(20)
Jeannette Milgrom
Graham D. Burrows
Introduction	1	(1)
Health psychology and clinical health psychology	2	(5)
Consultation-liaison psychiatry: a historical perspective	7	(3)
The aim of this book: integrating medical practice	10	(11)
Biopsychosocial Factors in Health and Illness	21	(44)
David Copolov
Jack E. James
Jeannette Milgrom
Biopsychosocial influences on illness: an overview	21	(5)
Behavioural and psychological factors in illness	26	(5)
Biobehavioural mediators of disease	31	(13)
Biological factors contributing to coronary artery disease and sudden cardiac death	40	(4)
Summary	44	(1)
Implications for intervention	45	(7)
Concluding remarks	52	(13)
Assessment and Intervention in a Medical Environment	65	(28)
Cynthia D. Belar
Nick Paoletti
Caren Jordan
Introduction	65	(2)
Assessment	67	(6)
Methods of assessment	73	(4)
Integrating assessment information	77	(1)
Intervention	78	(3)
Intervention methods	81	(6)
Professional issues	87	(2)
The future	89	(4)
Management of Medical and Surgical Patients: Consultation-Liaison (C-L) Psychiatry and Clinical Health Psychology	93	(34)
James J. Strain
David J. de L. Horne
Consultation-liaison (C-L) Psychiatry
Introduction	93	(1)
Historical antecedents	94	(2)
Universal stresses of medical illness and hospitalization	96	(4)
Confounds in assessing common psychiatric disorders in the medically ill	100	(1)
Epidemiological studies of occurrence of psychiatric-psychological dysfunction in the medically ill	101	(2)
Outcome studies of psychiatric interventions in the medical setting	103	(1)
C-L models of mental health training	104	(1)
The electronic record-the use of the computerized clinical database	104	(3)
New models of health-care delivery	107	(1)
Guidelines for C-L psychiatry	107	(2)
Conclusion	109	(1)
Consultation-liaison (C-L) psychology or clinical health psychology?	110	(1)
Introduction	110	(7)
Conclusions	117	(1)
Addendum for integration of psychology and psychiatry on the same team	118	(1)
Primary, secondary and tertiary prevention	118	(1)
Fostering of diagnostic accuracy	118	(2)
Clarification of the status of the caretaker and the provision of ongoing education to the nonpsychiatric staff to promote autonomy	120	(1)
Development of core biopsychosocial knowledge	120	(1)
Promotion of structural changes in the medical setting	121	(6)
Management of Acute and Chronic Pain	127	(28)
Michael K. Nicholas
Murray Wright
Introduction	127	(1)
Background	127	(2)
Models of pain and implications for treatment	129	(3)
Assessment of pain	132	(4)
Psychological treatment of pain	136	(7)
Teamwork: professional issues	143	(2)
Conclusions: to whom should we refer this patient?	145	(10)
Psychological and Psychiatric Practice in Oncology Populations	155	(28)
Andrew Baum
Diane Thompson
Susan Stollings
John. P. Garofalo
Ellen Redinbaugh
Introduction	155	(1)
Psychological evaluation and treatment of cancer patients	156	(2)
Individual psychotherapy and mental health	158	(2)
Prevention	160	(1)
Psychologists' roles on a multidisciplinary team	161	(1)
Staff support	162	(1)
Psychiatric care of cancer patients	163	(5)
Psychopharmacologic management of distress	168	(2)
Working with allied health professionals	170	(1)
Issues associated with practice in an oncology setting	171	(1)
Behavioral medicine interventions with palliative care cancer patients	172	(4)
Conclusions	176	(7)
Psychological Management of Chronic Illness and Disability	183	(30)
Paul Kennedy
Mal Hopwood
Jane Duff
Introduction	183	(2)
Renal failure	185	(7)
Spinal cord injuries	192	(5)
Traumatic brain injury	197	(7)
The role of the psychologist and psychiatrist in intervention: An example of SCI units	204	(2)
Concluding remarks	206	(7)
Substance Abuse and Dependence	213	(26)
Peter E. Nathan
Nick Paoletti
Introduction	213	(2)
Diagnosis and assessment	215	(5)
Treatment	220	(9)
Special issues	229	(4)
Concluding remarks	233	(6)
Psychosocial Issues in the Management of Coronary Heart Disease	239	(22)
Stan Maes
Therese van Elderen
Lucio Sibilia
Introduction	239	(1)
Psychosocial consequences of coronary heart disease	240	(3)
Psychosocial risk factors for coronary heart disease	243	(1)
Objectives of cardiac rehabilitation	244	(1)
Pharmacological issues	245	(1)
Exercise-based rehabilitation programs	246	(1)
Effects of health education and stress management programs	247	(4)
Recommendations for research, development and implementation of programs	251	(3)
Conclusion	254	(7)
Psychiatry, Psychology and Health Promotion	261	(18)
Rhonda Galbally
Felicity Allen
Chris Borthwick
Introduction	261	(1)
Health promotion	261	(2)
Nicotine dependence	263	(3)
Models of addiction	266	(3)
Comorbidity and environment	269	(1)
Health psychology	270	(1)
Environments and populations	271	(1)
Interventions	272	(3)
Conclusion	275	(4)
Teaching, Training and Research: Future Directions	279	(18)
Bruce S. Singh
Paul R. Martin
Introduction	279	(1)
The training of psychiatrists	280	(3)
The training of psychologists	283	(4)
The training of other health professionals	287	(3)
Research into psychological factors in medical settings	290	(3)
A case for collaboration	293	(2)
Concluding remarks	295	(2)
The Future of Psychology and Psychiatry in the Medical Centre	297	(36)
Jeannette Milgrom
Graham Burrows
Steven Schwartz
Consolidating the role of psychology and psychiatry in medical treatment	298	(1)
The multidisciplinary team: working in liaison with medical and other colleagues	298	(1)
The psychologist's and psychiatrist's roles in influencing the organization	299	(2)
Adapting psychology practice to the medical setting	301	(1)
Whom to refer to: psychiatrist or psychologist?	302	(2)
Neuropsychology	304	(1)
Psychology and psychiatry departments	305	(3)
Professional issues in a medical environment	308	(1)
Quality improvement	309	(1)
Ethics	309	(6)
Burnout	315	(1)
The hospital of the future	316	(1)
The hospital of the future: what will this mean to psychology and psychiatry?	317	(1)
Playing the political game and influencing health policy	317	(2)
Evidence-based intervention or quality of care?	319	(1)
Measuring the value of mental health treatments	320	(1)
Pressure on health budgets	321	(1)
What is mental health treatment and who are the providers?	321	(1)
Does mental health treatment work?	322	(1)
Economic analyses	323	(3)
Concluding remarks and future directions	326	(7)
Index	333