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Practicing Psychiatry in the Community

A Manual

Edited by Jerome Vaccaro, M.D., and Gordon H. Clark, Jr., M.D.

  • ISBN 978-0-88048-663-7
  • Item #8663

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Today's rapidly changing mental health care environment has created both complex challenges and unique opportunities for the community psychiatrist. Practicing Psychiatry in the Community: A Manual is an indispensable resource for practitioners and psychiatric residents. Clinically active psychiatrists will find this manual invaluable as they adopt new roles in this dynamic and exciting field.

This comprehensive work by leading experts in the field addresses the major issues currently facing community psychiatrists. It even includes a user-friendly guide to the development of a research program in a community setting.

Organized into three main sections, this manual provides essential information on treatment settings, target populations, and special topics in the community psychiatry domain. The Treatment Continuum explores the varied environments in which community psychiatric services may be offered, including outpatient treatment, crisis resolution services, and psychiatric rehabilitation programs. Populations such as mentally disordered children, adolescents, and the elderly; HIV-infected patients; the homeless mentally ill; the developmentally disabled; chemically dependent patients; dually diagnosed patients; violent patients; and the chronically mentally ill have unique needs requiring skilled clinical care. The Target Populations section provides the community psychiatrist with useful and practical guidelines for the treatment of each of these patient groups. The Special Topics section ushers the community psychiatrist into the era of contemporary community psychiatric practice with vital information on emerging issues like cultural diversity, the principles of effective collaboration with advocacy and family/self-help groups, the role of the multidisciplinary team, and legal and training issues.


  • Forward.


    The first 30 years: a historical overview of community mental health. Conceptual issues for contemporary community psychiatry practice.

    The Treatment Continuum.

    Time-efficient therapy in community settings. Emergency psychiatry and crisis resolution. Psychiatric rehabilitation in community settings. Alternative acute treatment settings. Inpatient psychiatry.

    Target Populations.

    Child and adolescent psychiatry in the community. Community care of adults with developmental disabilities and mental illness. Contemporary treatment of individuals with chronic mental illness. Substance abuse: assessment and treatment in community psychiatry. Dual diagnosis in seriously and persistently mentally ill individuals: an integrated approach. HIV infection and the community psychiatrist. Critical time points in the clinical care of homeless mentally ill individuals. Violent patients. Victims of violence. Community treatment of older adults.

    Special Topics.

    Guidelines for community psychiatric practice. Multidisciplinary teamwork. Working with advocacy, support and self-help groups. Multiple-family groups and psychoeducaton: creating therapeutic social networks. Cultural issues in community psychiatry. Practice styles in rural psychiatry. Community consultation. Ethical and legal issues. Training in community psychiatry. Demystifying research: applications in community mental health settings. Index.

About the Authors

Jerome V. Vaccaro, M.D., is the Director of Community Psychiatry Programs and the Schizophrenia Clinical program at the UCLA Department of Psychiatry in Los Angeles, California. In that role he oversees all clinical, training and research activities in the Department's community psychiatry programs, and serves as the Medical Director for the Santa Monica West Mental Health Center and Chief of Community and Rehabilitative Psychiatry at the West Los Angles VA Medial Center.

Gordon H. Clark, Jr., M.D., M.Div., F.A.P.A., is currently President and the Medical Director of Integrated Behavioral Health Services, Portland, Maine. He is also Medical Director of the Behavioral Health Network of Maine, Medical Director of the Augusta Mental Health Institute, Associate Medical Director for the Maine Department of Mental Health and Mental Retardation, Assistant Clinical Professor of Psychiatry at the University of Pittsburgh School of Medicine, and Founding President of the American Association of Community Psychiatrists.

The editors have put together the first good book on community psychiatry in America in 20 years; it has all the top people, covers the waterfront, and is not afraid of complexity.—John A. Talbott, M.D., Professor and Chairman, Department of Psychiatry, University of Maryland at Baltimore, Maryland

Drs. Vaccaro and Clark have attained their goal of presenting a practitioners manual in community psychiatry. I recommend their book to all with an interest in community psychiatry and in particular to psychiatrists in practice in the community.—Walter E. Barton, M.D., Professor of Pschiatry (Active Emeritus), Darmouth Medical School, Lebanon, New Hampshire

It presents a proud exposition of the science, art, and spirit of the psychiatric treatment of those with mental illness in community settings. It is written as a reference guide for community psychiatrists who are working on line with patients in community treatment settings. It more than fulfills its purpose as a manual for this work. Its focus is practical and it is filled with helpful case examples. The book is easy to read and the format allows for quick reference. . . . The text is a comprehensive collection of current thinking in community mental health and it clearly lays out the dilemmas and potential solutions for psychiatrists faced with the task of integrating their practice into care systems for the mentally ill.—Community Mental Health Journal

Practicing Psychiatry in the Community pulls together a great deal of material that up until now could not be found in a single volume. This manual is a real service to trainees and practitioners in community psychiatry settings who now have a comprehensive review of modern community psychiatric practice. . . . With this book I now have a core text for a resident's seminar series on community psychiatry. . . the book is a important contribution and well worth reading.—Psychiatric Services

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