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Emergency Department Treatment of the Psychiatric Patient: Policy Issues and Legal Requirements (American Psychology-Law Society)
 
 
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Emergency Department Treatment of the Psychiatric Patient: Policy Issues and Legal Requirements (American Psychology-Law Society) [Hardcover]

Susan Stefan (Author)
4.5 out of 5 stars  See all reviews (4 customer reviews)

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Book Description

March 16, 2006 0195189299 978-0195189292 1
Many hospital emergency departments are overcrowded and short-staffed, with a limited number of available hospital beds. It is increasingly hard for emergency departments and their staff to provide the necessary level of care for medical patients. Caring for people with psychiatric disabilities raises different issues and calls on different skills.
In Emergency Department Treatment of the Psychiatric Patient, Dr. Stefan uses research, surveys, and statutory and litigation materials to examine problems with emergency department care for clients with psychiatric disorders. She relies on interviews with emergency department nurses, doctors and psychiatrists, as well as surveys of people with psychiatric disabilities to present the perspectives of both the individuals seeking treatment, and those providing it.
This eye-opening book explores the structural pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis. In addition to presenting a new analysis of the source of these problems, Dr. Stefan also suggests an array of alternatives to emergency department treatment for people in psychiatric crisis. Moreover, the author proposes standards for treatment of these individuals when they do inevitably end up in a hospital emergency department.
Emergency Department Treatment of the Psychiatric Patient presents a thoughtful and thorough analysis of the difficulties faced by people with psychiatric disabilities when seeking emergency medical care. It is essential reading for anyone working in a hospital emergency department, as well as health care policy makers, and advocates and lawyers for people with psychiatric disabilities.

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Emergency Department Treatment of the Psychiatric Patient: Policy Issues and Legal Requirements (American Psychology-Law Society) + Psych ER: Psychiatric Patients Come to the Emergency Room + Emergency Psychiatry: Principles and Practice (Solution (Lippincott Williams & Wilkins))
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Editorial Reviews

Review


"Emergency Department Treatment of the Psychiatric Patient is a marvelous work. It shows us the ED through the eyes of the patient. Even more important, it shows us how rules and procedures can be set up that help ED personnel to respect and support people with mental illness during what are often their worst moments. This book should be read by everyone who works with people with mental illness."--Charles W. Lidz, Ph.D., Research Professor of Psychiatry, Director, Center for Mental Health Services Research, University of Massachusetts Medical School


"Although more by default than design, hospital emergency departments have become settings where the nation's failures in addressing the needs of people who have mental illnesses are routinely played out. For many of these individuals, the emergency department has come to represent less a safe haven and a gateway to care than yet another affirmation of how a "mental patient" is an unwanted burden. Ms. Stefan's thoughtful analysis of this scenario and recommendations for improvements make Emergency Department Treatment of the Psychiatric Patient essential reading for anyone concerned about the disjuncture between physical and mental healthcare and the nation's urgent need for meaningful reform."--Robert Bernstein, Ph.D., Executive Director, Bazelon Center for Mental Health Law


"Emergency Department Treatment of the Psychiatric Patient includes a set of valuable proposals by experts for standards of care for emergency mental health treatment. As an overview of current conditions and futures directions, [this] book will serve as a valuable handbook and reference handbook for clinicians who work in emergency settings, for emergency room physicians, for health planners, and for attorneys and other advocates who work with persons with serious mental illness."-- Robert M. Factor, M.D., Ph.D., Medical Director, Emergency Services, Mental Health Center of Dane County


"...a concise yet comprehensive discussion of these various problems and challenges from both a macro and micro level...it is an excellent work...appropriately organized and clearly written and consider it a must-read for health care professionals across disciplines who practice in the area of emergency medicine."--PsycCRITIQUES


About the Author


Susan Stefan, J.D., directs the National Emergency Department Project at the Center for Public Representation, based in Massachusetts. The Project seeks to improve the care of people with psychiatric disabilities when they are in crisis. Dr. Stefan, formerly at the University of Miami School of Law, is a leading authority on the civil rights of people with mental illnesses. She is a litigator and policy advocate, and author of two books, including Unequal Rights: Discrimination against People with Mental Disabilities and the Americans with Disabilities Act. She lives with her husband and dog in Rutland, Massachusetts.

Product Details

  • Hardcover: 232 pages
  • Publisher: Oxford University Press, USA; 1 edition (March 16, 2006)
  • Language: English
  • ISBN-10: 0195189299
  • ISBN-13: 978-0195189292
  • Product Dimensions: 9.3 x 6.2 x 1 inches
  • Shipping Weight: 14.4 ounces (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (4 customer reviews)
  • Amazon Best Sellers Rank: #1,416,261 in Books (See Top 100 in Books)

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Average Customer Review
4.5 out of 5 stars (4 customer reviews)
 
 
 
 
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1 of 1 people found the following review helpful:
4.0 out of 5 stars great book for my ethics paper, November 18, 2009
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This review is from: Emergency Department Treatment of the Psychiatric Patient: Policy Issues and Legal Requirements (American Psychology-Law Society) (Hardcover)
this book is an excellant resource for my ethics paper on the moral distress ER nurses experience when psych patients present to the ED for pyschiatric issues. I believe this to be a huge concern of how we take care of these patients due to dwindling resources/hospitals for this patient population. This population is growing for every ED but they can be very time consuming and are often our repeat customers. It's difficult to practice compassion when you are working in a very busy ER, waiting room full of sick patients and in comes (any repeat pt's name)again.
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1 of 2 people found the following review helpful:
5.0 out of 5 stars Great Resource for System Change, January 1, 2009
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This review is from: Emergency Department Treatment of the Psychiatric Patient: Policy Issues and Legal Requirements (American Psychology-Law Society) (Hardcover)
I needed a thorough description and discussion of the issues around discrimination against persons with mental illness in Emergency Rooms as well as suggested remedies.

This text provided both.

As an advocate for system change, reading this text is a must.
In fact I have not been able to find any other worthy readings on this topic.

This book should be required reading for all ER physicians and public policy makers and administrators looking for ways to improve health care systems.
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1 of 2 people found the following review helpful:
5.0 out of 5 stars Excellent!, September 7, 2008
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This review is from: Emergency Department Treatment of the Psychiatric Patient: Policy Issues and Legal Requirements (American Psychology-Law Society) (Hardcover)
This is an excellent read for anyone concerned about the state of Psychiatric Patients in the Emergency Department. Don't expect your administrators to be happy you are reading this!
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Inside This Book (learn more)
First Sentence:
This letter eloquently summarizes many common complaints that people with psychiatric disabilities have about their treatment when they are in crisis. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
secondary utilizers, people with psychiatric disabilities, gency psychiatry, crisis hostels, individuals with psychiatric disabilities, mobile crisis services, emergency room professionals, psychiatric emergency services, psychiatric crisis, emergency department care, behavioral emergencies, mobile crisis teams, psychiatric crises, state mental health agencies, involuntary detention, emergency department treatment, emergency medical condition, assessment rooms, emergency room settings, hospital security guards, emergency department staff, expert consensus guidelines, warm lines, psychiatric clients, chiatric patients
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Linda Stalker, New York, Accreditation of Health Care Organizations, Baystate Medical Center, Disabilities Act, Rehabilitation Act, Los Angeles, Russell Colling, Second Circuit, United States
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