Admission and Emergency Assessments

Admission and Emergency Assessments

A Handbook for Clinicians

Houvenagle, David; Schmanski, John

Rowman & Littlefield

11/2024

248

Dura

9781538198032

Pré-lançamento - envio 15 a 20 dias após a sua edição

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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
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case workers;clinical assessment;clinical interviewing;emergency intake assessment;psychiatric emergencies