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Textbook of Hospital Psychiatry

Edited by Steven S. Sharfstein, M.D.
Deputy Editors: [Faith B. Dickerson], Ph.D., M.P.H., and [John M. Oldham], M.D., M.S.

  • ISBN 978-1-58562-322-8
  • Item #62322

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With decreases in lengths of hospital stay and increases in alternatives to inpatient treatments, the field of hospital psychiatry has changed dramatically over the past 20 years. As the first comprehensive guide to be published in more than a decade, the Textbook of Hospital Psychiatry is a compilation of the latest trends, issues, and developments in the field. The textbook, written by 70 national experts and clinical specialists, covers a wide range of clinical and administrative topics that are central to today's practice of hospital psychiatry.

This is the only textbook on the market today that provides information for psychiatric hospital clinicians and administrators in a single all-inclusive volume. It covers information not generally available in other textbooks and medical journals, touching on a variety of cutting-edge issues, such as safety improvement, use of seclusion and restraint, suicide prevention, and culturally competent psychiatric care.

The book's 35 chapters are divided into four parts:

  • Part I, Inpatient Practice—focuses on specialty psychiatric units (e.g., acute stabilization unit, eating disorders unit, forensic unit, child unit), including the many psychopharmacological and psychosocial treatments used within each. This section also touches on specialized treatment for patients with co-occurring problems, such as substance abuse, developmental disabilities, and legal difficulties.
  • Part II, Special Clinical Issues—covers clinical issues from the perspective of different populations (consumers, families, suicidal patients). This section also examines the recent trend toward patient-centered care.
  • Part III, The Continuum of Care—addresses psychiatric services within the community, such as rehabilitation programs, day hospitals, and emergency services. It discusses the importance of understanding hospital-based treatment within the broader perspective of patients' lives.
  • Part IV, Structure and Infrastructure—focuses on such often-overlooked topics as financing of care, risk management, electronic medical records, and the actual architecture of psychiatric hospitals, as well as the roles of psychiatric hospital administrators, psychiatric nurses, and psychiatrists and psychologists.

An invaluable resource for both clinicians and administrators, as well as a comprehensive teaching tool for residents, the Textbook of Hospital Psychiatry is a must-have for all professionals who work in psychiatric settings.


  • Contributors
  • Preface
  • Introduction
  • Chapter 1. History of Hospital Psychiatry and Lessons Learned
  • Part I: Inpatient Practice
  • Chapter 2. The Acute Crisis Stabilization Unit for Adults
  • Chapter 3. The Child Unit
  • Chapter 4. The Adolescent Unit
  • Chapter 5. The Geriatric Unit
  • Chapter 6. The Eating Disorders Unit
  • Chapter 7. The Trauma Disorders Unit
  • Chapter 8. The Psychotic Disorders Unit
  • Chapter 9. The Co-Occurring (Substance Abuse/Mental Illness) Disorders Unit
  • Chapter 10. The Adolescent Neuropsychiatric Unit: Developmental Disabilities and Mental Illness
  • Chapter 11. The Ethnic/Minority Psychiatric Inpatient Unit
  • Chapter 12. The Forensic Unit
  • Chapter 13. The State Hospital
  • Chapter 14. The Veterans Hospital
  • Chapter 15. Consultation–Liaison Psychiatry
  • Part II: Special Clinical Issues
  • Chapter 16. From Within: A Consumer Perspective on Psychiatric Hospitals
  • Chapter 17. Working With Families
  • Chapter 18. Improving Safety in Mental Health Treatment Settings: Preventing Conflict, Violence, and Use of Seclusion and Restraint
  • Chapter 19. Inpatient Suicide: Risk Assessment and Prevention
  • Chapter 20. Discharge Dilemmas
  • Part III: The Continuum of Care
  • Chapter 21. Residential Psychotherapeutic Treatment: An Intensive Psychodynamic Approach for Patients With Treatment-Resistant Disorders
  • Chapter 22. Residential Treatment for Children and Adolescents
  • Chapter 23. Hospital-Based Psychiatric Emergency Services
  • Chapter 24. Outpatient Community Mental Health Services
  • Chapter 25. Day Hospitalization and Intensive Outpatient Care
  • Part IV: Structure and Infrastructure
  • Chapter 26. Administration and Leadership
  • Chapter 27. Psychiatrists and Psychologists
  • Chapter 28. Social Work and Rehabilitation Therapies
  • Chapter 29. Psychiatric Nursing: Creating and Maintaining a Therapeutic Inpatient Environment
  • Chapter 30. Financing of Care
  • Chapter 31. Risk Management
  • Chapter 32. Quality Indicators
  • Chapter 33. The Electronic Medical Record
  • Chapter 34. Design and Architecture
  • Part V: The Future of Hospital Psychiatry
  • Chapter 35. Hospital Psychiatry for the Future
  • Index


    George S. Alexopoulos, M.D.
    Donna T. Anthony, M.D., Ph.D.
    Joseph C. Blader, Ph.D.
    John J. Boronow, M.D.
    Harry A. Brandt, M.D.
    Francine Cournos, M.D.
    Glenn W. Currier, M.D., M.P.H.
    Kathleen R. Delaney, Ph.D., R.N., P.M.H.–N.P.
    David Ray DeMaso, M.D.
    Faith B. Dickerson, Ph.D., M.P.H.
    Charles C. Dike, M.D., M.P.H., M.R.C.Psych.
    Lisa B. Dixon, M.D., M.P.H.
    Mary Ella Dubreuil, R.N., L.C.D.P.
    Kenneth S. Duckworth, M.D.
    Lucy A. Epstein, M.D.
    Joan K. Feder, M.A., O.T.R./L., C.P.R.P.
    Michael C. Fiori, M.D.
    Carmel A. Foley, M.D., M.H.A.
    Jeffrey L. Geller, M.D., M.P.H.
    Ira D. Glick, M.D.
    Judith S. Gonyea, O.T.D., M.S.Ed., O.T.R./L.
    Gary J. Gosselin, M.D.
    Katherine A. Halmi, M.D.
    Lisa J. Halpern, M.P.P.
    Todd Hanson, A.I.A.
    Brian M. Hepburn, M.D.
    Margaret E. Hertzig, M.D.
    Alex Hirshberg, B.A.
    Kevin Ann Huckshorn, R.N., M.S.N., C.A.P.,
    Laurie Hurson
    Mary E. Johnson, Ph.D., R.N.
    Cynthia Kaplan, Ph.D.
    Dimitris N. Kiosses, Ph.D.
    Sibel A. Klimstra, M.D.
    Eugene J. Kuc, M.D.
    Vassilios Latoussakis, M.D.
    Janice L. LeBel, Ph.D.
    Anthony F. Lehman, M.D., M.S.P.H.
    Stephanie LeMelle, M.D.
    John R. Lion, M.D.
    Richard C. Lippincott, M.D.
    Benjamin Liptzin, M.D.
    Richard J. Loewenstein, M.D.
    Francis G. Lu, M.D.
    Barbara Roberts Magid, M.B.A.
    Andres Martin, M.D., M.P.H.
    Marlin R. Mattson, M.D.
    Aaron B. Murray-Swank, Ph.D.
    Philip R. Muskin, M.D.
    Michael A. Norko, M.D.
    John M. Oldham, M.D., M.S.
    Suzanne Perraud, Ph.D., R.N.
    Eric M. Plakun, M.D.
    Marilyn Price, M.D.
    Diana L. Ramsay, M.P.P., O.T.R., F.A.O.T.A.
    Michael A. Rater, M.D.
    Patricia R. Recupero, J.D., M.D.
    Robert P. Roca, M.D., M.P.H., M.B.A.
    Lloyd I. Sederer, M.D.
    Harold I. Schwartz, M.D.
    Edward R. Shapiro, M.D.
    Marlene I. Shapiro, M.S.W., L.C.S.W.–C.
    Steven S. Sharfstein, M.D., M.P.A.
    A. Bela Sood, M.D., M.S.H.A.
    Bette M. Stewart, B.S.
    Anne M. Stoline, M.D.
    Paul Summergrad, M.D.
    Rajiv Tandon, M.D.
    Howard D. Trachtman, B.S., C.P.S.
    Susan B. Wait, M.D.

About the Authors

Steven S. Sharfstein, M.D., M.P.A., is President and Chief Executive Officer of Sheppard Pratt Health System, Baltimore, Maryland, and Clinical Professor and Vice Chair of the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Sharfstein served as President of the American Psychiatric Association from 2005 to 2006.

Deputy Editor Faith B. Dickerson, Ph.D., M.P.H., is Director of Psychology for Sheppard Pratt Health System, in Baltimore, Maryland and is Clinical Associate Professor in the Department of Psychiatry, University of Maryland School of Medicine. She also heads the Stanley Research Program at Sheppard Pratt.

Deputy Editor John M. Oldham, M.D., M.S., is Senior Vice President and Chief of Staff at The Menninger Clinic in Houston, Texas. He is also Professor of Psychiatry and Executive Vice Chair of the Menninger Department of Psychiatry and Behavioral Sciences of Baylor College of Medicine in Houston, Texas.

Psychiatric hospitals are no longer insane asylums; they are immersed in the outside world rather than being shielded from it. Smaller, more well staffed, less likely to be publicly managed, with shorter stays, more frequent readmissions, discharge planning that begins with admission, new forms of treatment, and above all a constant awareness of economics-cost, reimbursement, managed care and budgets-they have experienced extraordinary changes in the past few decades. Sharfstein, Dickerson and Oldham provide a modern comprehensive textbook that describes and analyzes these changes, discussing how hospitals care for patients, how they relate to the outside world, and how some of our finest institutions have adapted to these challenges. A must read for anyone who works in these institutions or knows those who do.—Robert Michels, M.D., Walsh McDermott University Professor of Medicine and Psychiatry, Cornell University

The Textbook of Hospital Psychiatry composed by Drs. Sharfstein, Dickerson, and Oldham is a superb collation of some of the very best thinking on psychiatric care in hospital settings. The editors have secured the participation of the leaders in the field. The topics are covered extensively, and so this will represent a wonderful sourcebook as well as excellent reading for all interested in the broad and complex field of hospital psychiatry.—Herbert Pardes, M.D., President and Chief Executive Officer, New York-Presbyterian Hospital; Professor of Psychiatry, Columbia/Cornell Universities, New York, New York

This is a helpful new and comprehensive book on hospital psychiatry. Clinicians, hospital administrators, and lawmakers, as well as all stakeholders, should be knowledgeable (as this book will help them to become) about the history and future role of the hospital in the care of patients suffering from psychiatric disorders. I highly recommend it.—Doody Enterprises, Inc., 3/1/2009

Sharfstein, Dickerson, and Oldham have edited a comprehensive, well organized, and extensively referenced textbook that will sever both as enjoyable reading and a great reference source for anyone interested in the increasingly complex and fast-paced setting of inpatient psychiatry.—John D McIntyre, MD, The Journal of Nervous and Mental Disease, 3/1/2009

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