Psychiatry of intellectual disability : a practical manual

著者

    • Gentile, Julie P.
    • Gillig, Paulette M.

書誌事項

Psychiatry of intellectual disability : a practical manual

edited by Julie P. Gentile and Paulette M. Gillig

Wiley-Blackwell, 2012

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注記

Includes bibliographical references and index

内容説明・目次

内容説明

Patients with intellectual disability (ID) can benefit from the full range of mental health services. To ensure that psychiatric assessment, diagnosis and treatment interventions are relevant and effective; individuals with ID should be evaluated and treated within the context of their developmental framework. Behavior should be viewed as a form of communication. Individuals with ID often present with behavioral symptoms complicated by limited expressive language skills and undiagnosed medical conditions. Many training programs do not include focused study of individuals with ID, despite the fact that patients with ID will be seen by virtually every mental health practitioner. In this book, the authors present a framework for competent assessment and treatment of psychiatric disorders in individuals with ID. Psychiatry of Intellectual Disability is a resource guide for psychiatrists, nurse practitioners, and other prescribers treating patients with ID. It is a supplemental text for psychiatry residents, medical students, psychology graduate students, psychotherapists, counselors, social workers, behavior support specialists and nurses. To assist the practicing clinician the book includes: Clinical vignettes Clinical pearls Charts for quick reference Issues concerning medications and poly-pharmacy Altered diagnostic criteria specific for use with individuals with ID There are no evidence-based principles dedicated to psychotropic medication use in ID, but consensus guidelines address the high prevalence of poly-pharmacy. Altered diagnostic criteria have been published which accommodate less self-report and incorporate collateral information; this book reviews the literature on psychotropic medications, consensus guidelines, and population-specific diagnostic criteria sets. Psychiatry of Intellectual Disability also includes: Interviewing techniques and assessment tips for all levels of communicative ability as well as for nonverbal individuals Assessment of aggression to determine etiology and formulate a treatment plan Overview of types of psychotherapy and suggested alterations for each to increase efficacy Relevant legal issues for caregivers and treatment providers The detective work involved in mental health assessment of individuals with ID is challenging yet rewarding. The highest quality mental health treatment limits hospital days, improves quality of life and often allows individuals to live in the least restrictive environments. Psychiatry of Intellectual Disability is a must have resource for clinicians treating the ID population.

目次

Dedications vii Editor biographies ix List of contributors xi List of abbreviations xiii Foreword xv 1 Overview 1 Allison E. Cowan, MD and Julie P. Gentile, MD 2 Psychiatric Assessment 14 Ann K. Morrison, MD and Paulette Marie Gillig, MD, PhD 3 Medical Assessment 26 Julie P. Gentile, MD and Michelle A. Monro, DO 4 Neurologic Conditions 51 Paulette Marie Gillig, MD, PhD and Richard Sanders, MD 5 Traumatic Brain Injuries and Co-occurring Mental Illness 75 Gretchen N. Foley, MD 6 Interviewing Techniques 90 Julie P. Gentile, MD and Paulette Marie Gillig, MD, PhD 7 Mood Disorders 125 Ann K. Morrison, MD and Christina Weston, MD 8 Anxiety Disorders 146 Kelly M. Blankenship, MD 9 Psychotic Disorders 161 Allison E. Cowan, MD 10 Personality Disorders 191 Julie P. Gentile, MD and Allison E. Cowan, MD 11 Aggression 210 Julie P. Gentile, MD and Paulette Marie Gillig, MD, PhD 12 Psychotropic Medications 250 Christopher T. Manetta, DO and Julie P. Gentile, MD 13 Psychotherapy 278 Carroll S. Jackson, LISW-S and Julie P. Gentile, MD 14 Behavioral Assessment and Interventions 309 Betsey A. Benson, PhD 15 Legal Issues for Treatment Providers and Evaluators 325 Jeannette Cox, JD 16 Syndromes of Intellectual Disability 338 Kelly M. Blankenship, MD and Christina Weston, MD Index 366

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