The multimodal treatment of acute psychiatric illness involves a set of integrated, systematic interventions that stabilize individuals with severe mental illness and help them avoid unnecessary psychiatric hospitalization. This volume focuses on those suffering from schizophrenia, schizoaffective disorder, bipolar disorder, major depressive disorder, severe anxiety, and substance dependence, and provides individual practitioners and professional teams with the tools for responding to crisis and delivering acute care. The authors bolster the text with real-world case examples, helpful diagrams, and printable worksheets.
Justin M. Simpson is a licensed psychologist who has spent a significant part of his career providing services within hospital diversion programs. He has a private clinical practice in White Plains, New York, where he provides psychotherapy and psychological assessment to patients in Westchester County and New York City. He also works for the Mental Health Association of Westchester as the coordinator of a multidisciplinary assessment center. He is a member of the American Psychological Association. Glendon L. Moriarty is a licensed psychologist and professor in the School of Psychology and Counseling at Regent University. He is the author of the Pastoral Care of Depression: Helping Clients Heal Their Relationship with God, lead editor of The God Image Handbook for Spiritual Counseling and Psychotherapy, and editor of Integrating Faith and Psychology. He has received the Leadership Award, Fellowship Award, and Distinguished Young Alumni Award and is a member of the American Psychological Association, the Society for the Scientific Study of Religion, and the Christian Association for Psychological Studies.
Preface 1. Hospital Diversion Programs Why Do Hospital Diversion Programs Exist? Do Hospital Diversion Programs Work? 2. Integrative and Multimodal Treatment Integrative Treatment Multimodal Therapy 3. Severe Mental Illness Treatment Literature: An Overview Schizophrenia and Schizoaffective Disorder Bipolar and Major Depressive Disorder PTSD and Panic Disorder Substance-Related Disorders 4. Multimodal Acute Care A Review of Crisis and Brief Intervention Models A Proposed Acute Care Approach Theoretical Basis of the Approach A Recovery-Oriented Approach Components of Multimodal Acute Care 5. Fundamental Tools and Techniques Suicide/Self-Harm Assessment Drug Screen Crisis Action Plan Contracts Improve Coping Skills Activity Scheduling Assertiveness Training Medication Adherence General Tips for Addressing Social and Environmental Issues 6. Schizophrenia and Schizoaffective Disorder Perform Assessment Establish Equilibrium Address Social and Environmental Issues Relapse Prevention 7. Major Depression and Bipolar Disorder Perform Assessment Establish Equilibrium Address Social and Environmental Issues Relapse Prevention 8. PTSD and Panic Disorder Perform Assessment Establish Equilibrium Address Social and Environmental Issues Relapse Prevention 9. Substance-Related Disorders Perform Assessment Establish Equilibrium Address Social and Environmental Issues Relapse Prevention 10. Important Treatment Considerations Unique Challenges Associated with the Borderline Personality Cultural Perspectives on Mental Health Treatment Religion and Spirituality as a Coping Resource Conclusion Appendix A: Crisis Action Plan Appendix B: Thought Change Worksheet Appendix C: Stress-Vulnerability Model Diagrams References Index
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