Managing Uncertainty in Mental Health Care

Jose Silveira, Patricia Rockman (Autoren)

Buch | Softcover

208 Seiten

2022
Oxford University Press Inc (Verlag)
978-0-19-750932-6 (ISBN)

Artikel merken

In Managing Uncertainty in Mental Health Care, Drs. Patricia Rockman and José Silveira advocate for refocusing mental health care priorities to mitigating harm using a novel transdiagnostic approach that accounts for inevitable assessment errors.

As the profound contribution of mental illness to disability, morbidity, and mortality has gained acceptance, mental health has grown into a global priority. One in five experience mental illness in their lifetime, and those who suffer are coming forward in unprecedented numbers. As more people seek care for themselves and others, providers are increasingly unable to meet the demand through existing systems and mental health care approaches.

In Managing Uncertainty in Mental Health Care, Drs. Patricia Rockman and José Silveira critically examine core assumptions informing the primary approaches currently used to assess mental illness in clinical settings, with an emphasis on clinician certainty. They illustrate how current diagnostic frameworks obscure clinician uncertainty while encouraging overconfidence and go on to consider potential strategies for lessening the impact of inevitable errors. Ultimately, this book makes a case for acknowledging the fallibility of clinical judgment, independent of competence and experience, and the need to modify approaches to mental health care so that they align with the irreducible uncertainty of the domain.

By exploring emerging transdiagnostic approaches to mental health care in terms of their alignment with irreducible uncertainty, Rockman and Silveira make space for error and offer clinicians a novel way to advance the fundamental aim of mental health care: to reduce the harm and suffering of all.

JOSÉ SILVEIRA B.Sc., M.D., FRCPC, Dip ABAMis a psychiatrist with a foot in each of Academe and Clinical practice. He is an Associate Professor in the Department of Psychiatry, Faculty of Medicine at the University of Toronto in Canada. His academic promotion was based on his Creative Professional Activityand its positive impact on aiding clinicians across multiple disciplines in managing complexity and uncertainty in mental health and addictions. José is certified by the Royal College of Physicians and Surgeons of Canada in Psychiatry and is a Diplomate of the American Board of Addiction Medicine. Since 1998 he has worked in Academic Health Science Centers, a community teaching hospital and worked extensively with community-based clinicians across multiple disciplines. Since 2012 he has been an addiction Psychiatrist with the National Basketball Association (NBA) / National Basketball Players Association (NBPA) Player Assistance/Anti-Drug Program Clinicians Network. Patricia Rockman MD, CCFP, FCFP is a family physician with a focused practice in mental health. She is the co-founder and Senior Director of Education and Clinical Services for the Centre for Mindfulness Studies. She is also an Associate Professor in the Department of Family and Community Medicine, cross-appointed to Psychiatry at the University of Toronto. She is a writer, program developer, and educator in mental health and addictions.

Acknowledgments
Introduction

1. Uncertainty and the Incompatible Certainty Bias

2. The Brain as a Complex Adaptive System

3. Complexity in Clinical Practice

4. Limitations of Prioritizing Diagnosis

5. Diagnostic Errors in Practice

6. Confidence Versus Error

7. Mitigating Diagnostic Error Through Transdiagnostic Approaches

8. Priorities in Risk Assessment

9. Broadening Our View of Risk

10. A Novel Approach to Risk Identification

11. Uncertainty as Teacher: Education, Training, and Practice

Appendices
Appendix 1. The Risk, Function, and Symptom Matrices
Appendix 2. Risk at a Glance
Appendix 3. Centre for Effective Practice-Keeping Your Patients Safe: A Guide to Primary Care Management of Mental Health and Addictions-Related Risks and Functional Impairments

Index

Erscheinungsdatum	01.11.2021
Verlagsort	New York
Sprache	englisch
Maße	157 x 239 mm
Gewicht	318 g
Themenwelt	Geisteswissenschaften ► Philosophie ► Erkenntnistheorie / Wissenschaftstheorie
	Geisteswissenschaften ► Psychologie ► Klinische Psychologie
	Medizin / Pharmazie ► Medizinische Fachgebiete ► Psychiatrie / Psychotherapie
ISBN-10	0-19-750932-0 / 0197509320
ISBN-13	978-0-19-750932-6 / 9780197509326
Zustand	Neuware