Health indicators in the United States are among the worst in the developed world, even though its health care system is, by a wide margin, the most expensive in the world. It is a disparity that stems from a fragmentation of services and financial arrangements that often prioritize commercial interests over public health. Seeking Value: Balancing Cost and Quality in Psychiatric Care, a comprehensive volume by the Group for the Advancement of Psychiatry's Mental Health Services Committee, examines the myriad factors that have led to the current state of health care in the United States--starting with an analysis of the meaning and history of value measurement--but it does not stop there. It offers a holistic vision for health care reform, one in which psychiatric professionals play a pivotal role. A section on system interventions tackles traditional models of financing health care and the role of market forces as it considers broad public health strategies, from elimination of administrative waste to integration of care, that can reduce costs and improve population health, with a special emphasis on the interaction between mental and physical health. Recognizing that these larger-scale interventions require time to bear fruit, the book also explores the ways the psychiatric profession and individual psychiatrists can contribute to a more skill-diverse, collaborative, activist, value-conscious, and visionary specialty. Several chapters also identify public policy issues and cultural constructs that go beyond the typical role of clinicians and health care administrators, but that have the potential to impact population health in significant ways, illustrating how different choices could result in remarkable improvements in social well-being. The incorporation of healthy practices in the workplace, efforts to mitigate the impact of climate change, and the elimination of counterproductive incarceration practices all feature in this discussion. Exhaustive in approach, the book aims to spur thought, conversation, and action to improve value in the services the psychiatric profession provides and the systems in which it operates. Its clear and compelling message will equip readers to develop an advocacy agenda that will resonate with nonmedical stakeholders and the practical strategies needed to see it realized.

Seeking Value: Balancing Cost and Quality in Psychiatric Care

Medical Books

M.D.

Edited by Wesley E. Sowers

and Jules M. Ranz

Administration & Medicine Economics

American Psychiatric Association Publishing

Childhood Antecedents of Multiple Personality Disorder includes topics such as the effect of child abuse on the psyche, the development of multiple personality disorder: predisposing, precipitating, and perpetuating factors, and the relationship among dissociation, hypnosis, and child abuse in the development of multiple personality disorder.

Childhood Antecedents of Multiple Personality Disorders (Clinical Insights)

Health, Fitness & Dieting

Mental Health

This book covers the multiple personality disorder.

The Treatment of Multiple Personality Disorder (Clinical Insights Monograph)

What are the facts about psychiatric malpractice? Is it increasing? If so, how rapidly? What areas of psychiatric practice pose higher risks of legal liability?
The anxieties and uncertainties created by the increased threat of being sued for malpractice can interfere with the psychiatrist's provision of good clinical care. Through a general overview -- as well as a discussion of specific legal cases -- this volume presents the major malpractice traps encountered in everyday psychiatric practice.

Psychiatric Malpractice: Cases and Comments for Clinicians

Sadoff, Robert L.

Simon MD, Robert I

Administrative Law

The book surveys the biological, psychological, and psychiatric studies on nine psychosomatic syndromes, draws conclusions about the complex etiology of these syndromes, offers guidelines for diagnosis, and recommends treatments based on research findings.

Psychosomatic Syndromes and Somatic Symptoms

Kellner Ph.D., Dr Robert

The past several decades of price wars in medicine have taken their toll -- and nowhere has the impact been greater than in the field of psychiatry. Today, patients and physicians alike are protesting -- louder than ever -- that quality patient care is being sacrificed to cost-cutting goals. 
What is quality patient care? Quality measures (i.e., validity, reliability, feasibility, usability, and comparability) link the care rendered to the results (i.e., outcomes) of that care, enabling us to define, measure, publicly report, compare, and ultimately improve care.
This remarkable volume offers a critical analysis of outcome assessment, in psychiatry, which allows us to assess not only the measurable domains (i.e., symptoms, functioning, quality of life, and perception of care), but also the standards and instruments used to judge the quality of care. 
Divided into three major sections, this comprehensive textbook is more than just an inventory or nosology of measures; rather, it holds existing instruments to clear standards. Section I, Understanding Outcomes Assessment, details the many fundamental concepts that underlie outcome measurement, including a "situational analysis" of outcome assessment, the scientific underpinnings of the field, and its important constructs (e.g., process and outcome, efficacy and effectiveness, basis statistics, quality improvement).
Section II, A Critical Review of the Instruments, critiques a wide variety of instruments that have high clinical utility, are in the public domain or of low cost and burden, and meet many of the quality standards of validity, reliability, feasibility, usability, and comparability. Organized by patient population (age, diagnoses, and disorders), these chapters describe both general and disorder-specific measures, with respondents that include patients, families, and clinicians. Data generated by these instruments therefore can be used to assess outcomes for individual patients, populations, and programs.
Section III, Challenges and Opportunities, discusses the obstacles to implementing assessment programs, regulatory and accreditation demands, confidentiality and training, and the technology of measurement and proven solutions, including a final chapter on future innovations using various types of brain imaging; laboratory tests (e.g., for homovanillic acid); immunological tests (e.g., G-protein and plasma prolactin, the hypothalamic-pituitary-adrenal axis); and acoustic (e.g., the "flat affect" of a patient's voice) and other technological tests. 
The three editors of this meticulously researched and written compilation have brought together the work of 48 distinguished contributors who, responding to today's mandate of public accountability, provide clinicians and clinical leaders with the tools they need to meaningfully incorporate quality measurement into clinical practice.

Outcome Measurement in Psychiatry: A Critical Review

Waguih William IsHak

Tal Burt

Lloyd Sederer

Psychology & Counseling

Introduction to Time-Limited Group Psychotherapy is a basic text designed for the clinician who already has experience in individual psychotherapy. However, the breadth of perspective and discussion of therapeutic strategies should be of value to the more experienced psychotherapist as well.
The book is divided into four sections. Section One deals with basic concepts regarding the small group. This section should aid the therapist in accurately recognizing group phenomena. Section Two presents the applications of the theories concerning time-limited group psychotherapy in a clinical setting. It emphasizes the importance of careful diagnostic and interpersonal assessment, group composition considerations, and pretherapy preparation in ensuring that a sense of "groupness" will emerge promptly. Section Three shows how to use the emerging relationships among group members as the vehicle to manage individual issues. In both Sections Two and Three, the current literature concerning brief individual therapy is applied to the group context. Section Four offers guidelines for integrating group psychotherapy into service and training programs. Special consideration is given to inpatient groups and long-term support groups.

Introduction to Time-Limited Group Psychotherapy

MacKenzie MD, K Roy

Psychoneuroimmunology has emerged as a discipline advancing our knowledge of the relationships among psychosocial factors, the central nervous system, the immune system, and disease. The growing volume of evidence suggests that psychological states, including exposure to stressors and the presence of depressive states, may influence health and disease by altering immunologic states.
Psychoneuroimmunology, a collaborative work of 50 international experts, expands on the American Psychiatric Association's symposium on this topic to present never-before-compiled scientific research from this evolving field. Maintaining a clinical focus, this book illustrates clinical effects by examining relevant research studies and models including - Psychoneuroimmunological factors involved in specific illnesses such as cervical cancer, breast cancer and HIV/AIDS - The role psychoneuroimmunology plays in carcinogenesis and the progression of established tumors, as well as findings on the progression of cancer that have general clinical relevance- The effects of specific psychotropic medications; the effects of life stressors, bereavement, and and social support; the response to those stressors; and stress management and psychosocial predictors of disease- The impacts of gender-specific factors, diurnal variation, and behavioral genetics on the immune function- The Stressor-Support-Coping model, which integrates existing psychoneuroimmunology findings and lays the groundwork for use in support group intervention 
This book is a first step toward organizing psychoneuroimmunology findings into coherent theoretical models and concludes with a look at future clinical applications. Complete with charts, references, and a detailed index, it is the most comprehensive source on psychoneuroimmunology.

Psychoneuroimmunology: Stress, Mental Disorders and Health (Progress in Psychiatry)

Diseases & Physical Ailments

This volume integrates the latest information from psychiatry, palliative care, oncology, and behavioral medicine on the mental health professional's role in the management of often disturbing and treatment-limiting symptoms in cancer patients.

Psychiatric Aspects of Symptom Management in Cancer Patients (East European Monograph)

The books discusses law, psychiatry, and morality.

Law, Psychiatry, and Morality: Essays and Analysis

Stone MD, Alan A

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