Admission and Emergency Assessments
Rowman & Littlefield (Verlag)
978-1-5381-9803-2 (ISBN)
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Admission and Emergency Assessments: A Handbook for Clinicians provides a conceptual framework and concrete practice examples to conduct effective assessments for mental health crises and psychiatric admissions. Behavioral health treatment starts with an accurate and thorough assessment of a client’s daily functioning, level of risk, and needs. This assessment serves as the clinician’s lens for conceptualizing the patient’s presentation and aptitude expressing their problems. Through narrative descriptions, diagrams, and vignettes, this book provides the necessary tools to assess patients in behavioral health crisis. It serves as a reference for specific clinical situations—from working with translators, busy doctors, and adversarial insurance agencies to assessing a variety of patient dispositions and demographics. This book seeks to elevate and accelerate clinical skills that can be integrated into other practice settings.
David Houvenagle, PhD, LCSW, has nearly two decades of experience working in partial hospitalization and intensive outpatient programs in practice and managerial roles. He has worked in residential and outpatient clinical settings in his two decades as a social worker and is a board-approved LCSW supervisor in the State of Kentucky. John Schmanksi, M. Ed, LMHC has been served as an Assessment Clinician at our Lady of Peace in Louisville, Kentucky for more than a decade.
Authors’ Note
Acknowledgments
Chapter 1: Introduction
Comment on Diversity
Chapter 2: The Purpose of the Interview
Criteria
The Patient’s or Family’s Agenda
Reconciling Criteria and Motivation
Concluding Thoughts
Chapter 3: The Reality of the Emergency and Assessment Interview: Challenges to Validity and Reliability
The Deciphering Filters: The Assessment Questions, Observations, and Criteria
The Curve of Ability
The Different Levels of Motivation
Obligations and External Pressure
The External Factors of the Collateral Sources and Climate
Vignettes
Concluding Thoughts
Chapter 4: Interviewing Skills and Patterns
The Structured Versus the Unstructured Interview Pattern
Joining with the Patient: Formality, Tone of Voice, and Confidence
Case Vignettes
Concluding Thoughts
Chapter 5: Suicide Assessment
The Criteria of Suicide Assessment: Immediate versus Potential Safety Risk
Applying the Curve of Ability
The Value of Collateral Sources
Becoming Accustomed to Asking Patients about Suicide
Vignettes of Suicide Assessment
Concluding Thoughts
Chapter 6: The Disruptive, Aggressive, and Anti-Social Patient
Anger Due to Unmet Human Needs
Risks Associated with the Disruptive, Aggressive, and/or Anti-Social Patient
Safety Measures to Protect Therapists, Patients, and Guests
Concluding Thoughts
Chapter 7: Assessing Children and Adolescents
Interviewing Considerations
The Immediate Safety Risk
Out of Control, Reckless, Risky Behavior
Assets and Liabilities of the Caregiver in the Assessment Process
Legal Obligations
Vignettes
Chapter 8: Substance Use Assessment
Taking the History
Scope of Drug and Alcohol Types
Criteria for Hospital Admission
Immediate Safety Risk versus Potential Safety Risk
Concluding Thoughts
Chapter 9: Language Interpretation
Legal and Ethical Considerations
Expectations for the Interview
Telehealth
Vignettes
Working with the Interpreter
Concluding Thoughts
Chapter 10: Staffing with the Doctors
The Script and Its Elements
The Structure of the Script
Delivery of the Script: Tone and Pace
Getting to Know the Doctors You Work with
When a Doctor Passes?
The Risk of Bad Recommendations
Extraordinary Situations
Vignettes
Concluding Thoughts
Chapter 11: Telling People “No”
Reviewing Boundaries
Understanding Assertiveness
Vignettes
Concluding Thoughts
Chapter 12: Insurance Prior Authorizations
Prior Authorization as an Element of Utilization Management
The Phone Call Prior Authorization
The Fax Authorization
The Online Authorization
The Peer-to-Peer or Physician Review
What If There Is a Denial?
Concluding Thoughts
Chapter 13: The High Utilizer
Describing High Utilizers
Overall Perspective
Serial Behavioral Patterns
Challenges to Interviewing
Strategies for Interviewing Difficult High Utilizers
Sometimes You Can Divert the High Utilizer
Vignettes
Concluding Thoughts
Chapter 14: Concluding Thoughts: Learning and Appreciating the Value of Communication
John’s Experiences
David’s Experience
References
Index
About the Authors
| Erscheint lt. Verlag | 5.11.2024 |
|---|---|
| Verlagsort | Lanham, MD |
| Sprache | englisch |
| Maße | 152 x 229 mm |
| Themenwelt | Geisteswissenschaften ► Psychologie ► Persönlichkeitsstörungen |
| Geisteswissenschaften ► Psychologie ► Test in der Psychologie | |
| Sozialwissenschaften ► Pädagogik ► Sozialpädagogik | |
| Sozialwissenschaften ► Soziologie | |
| ISBN-10 | 1-5381-9803-7 / 1538198037 |
| ISBN-13 | 978-1-5381-9803-2 / 9781538198032 |
| Zustand | Neuware |
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