Originally published in 1986, this volume presents the clinical and administrative aspects of emergency psychiatry from the point of view of the clinician administrator involved in organizing and running an emergency service. Part 1 provides an administrative overview of psychiatric emergency care – the development of the field, the concepts, the patient profile, the team, the architecture, fiscal planning, legal constraints as well as training and research issues. Part 2 describes psychiatric emergency care delivery systems in the emergency department, the average hospital wards, the community mental health centers and health maintenance organizations. Part 3 gives examples of the process of administration – in one instance how a psychiatric emergency service developed, in the other how one functions day to day and what themes recur administratively. Part 4 focuses on protocols and models useful to the emergency service administrator: protocols, records, standards of care, politics, liaison with the court, mobile response, collaborative arrangements and disaster preparedness. Part 5 provides an annotated bibliography which reviews and draws attention to the relevant literature for the clinicians and administrators to use in practicing emergency psychiatry.
Preface. Contributors. Part 1: Administrative Concepts of Emergency Psychiatry 1. The Development of Emergency Psychiatry Rohn S. Friedman, Stephen Soreff and Gail M. Barton 2. Definitions and Conceptual Framework of Psychiatric Emergencies Andrew E. Slaby 3. Profile of Psychiatric Emergency Patients Rohn S. Friedman 4. Personnel: The Psychiatric Emergency Care Team Beverly J. Fauman 5. Staff Attitudes Toward Psychiatric Emergencies with Special Needs Raul Gomez and Gail M. Barton 6. Architectural Model Considerations in Planning a Psychiatric Emergency Service Gail M. Barton 7. Fiscal Planning in Developing Psychiatric Emergency Services Gail M. Barton 8. Legal Issues in Emergency Psychiatry Beverly J. Fauman 9. Training and Research in Emergency Psychiatry Rohn S. Friedman, Gail M. Barton, Betsy S. Comstock and Elinor Walker Part 2: Psychiatric Emergency Care Delivery Systems 10. Psychiatric Emergencies in the Emergency Department Betsy S. Comstock 11. Emergency Psychiatric Services for Medical and Surgical Inpatients Michael Fauman 12. The Community Mental Health Center’s Emergency Services Gail M. Barton 13. Emergency Mental Health Care in an HMO Geraldine Koppenaal and Jane Ellis Part 3: Examples of the Administrative Process 14. The Structure of One Emergency Psychiatry Service Betsy S. Comstock 15. Psychiatric Emergency Services: A Case Study Marta Frank and Ellen Sinnott Part 4: Protocols and Models for Clinical Administration 16. Protocols, Algorithms, and Procedures in Emergency Psychiatry Gail M. Barton and Betsy S. Comstock 17. Emergency Psychiatric Records Gail M. Barton 18. Standards for Emergency Psychiatry Gail M. Barton 19. Liaison with the Courts and Corrections John J. Strotkamp and Gail M. Barton 20. Mobile Response for Psychiatric Emergencies Gail M. Barton and Carol D. Landerl 21. Interinstitutional Collaboration for Psychiatric Emergencies Gail M. Barton and Raul Gomez 22. A Statewide Collaboration for Psychiatric Emergencies Paul McClelland 23. Disaster Preparedness from an Emergency Psychiatry Gail M. Barton. Index.