Bookedited by Anthony P.S. Guerrero, Paul C. Lee, Norbert Skokauskas.
Summary: This ambitious resource presents an inventive approach to integrating pediatric and mental health care based in comprehensive, family-centered service delivery. Its framework adds a problem-solving focus to the core principles of pediatric consultation-liaison psychiatry, emphasizing young patients' developmental, family, and social context. An international panel of expert clinicians explores the value of the mental health component in treating complex and chronic cases across varied settings, as well as practical considerations in implementing collaborative pediatric care systemwide, including at the global level. Detailed case histories illustrate skills and traits essential to making this problem-based approach work, such as multidimensional thinking, a prevention mentality, a dedication to lifelong learning, and empathy and respect for young clients and their families. Included in the coverage: · Pediatric medicine for the child psychiatrist. · Safety issues in a general medical facility setting. · "Other medical" presentations and considerations in pediatric consultation-liaison psychiatry. · Principles of biopsychosocial formulation and interventions in the pediatric medical setting. · Preventive models for reducing major causes of morbidity and mortality in childhood. Child and adolescent psychiatrists, child and school psychologists, and physicians in pediatrics, general practice, and family medicine will welcome Pediatric Consultation-Liaison Psychiatry as both a robust training text and a blueprint for the future of children's medicine.
Contents:
Introduction
General principles of pediatric psychosomatic medicine, including developmental and systems of care perspectives
Essential pediatrics for the pediatric consultation-liaison psychiatrist
Essential psychiatry and substance use disorders for the non-psychiatrist
Psychopharmacological principles
Common scenarios and concerns in traditional inpatient pediatric consultation-liaison psychiatry
Suicidality, self-harm and dangerousness
Eating and feeding disorders
Adjustment to medical illness
Acute mental status change
Other common medical considerations for behavioral symptoms
Contemporary value-building roles spanning inpatient and outpatient care
Principles of bio-psycho-social formulations and interventions in medical settings (case examples from pediatric nephrology, pediatric gastroenterology)
Psychological testing and pre-procedure evaluation (case example from pediatric cardiology, pediatric endocrinology, pediatric oncology,)
Improving adherence and promoting behavioral change (case example from adolescent medicine, pediatric allergy/pulmonology, etc.)
Identifying and managing brain/behavioral conditions (case example from pediatric rheumatology, pediatric neurology, etc.)
Multidisciplinary management of complex conditions (case example from genetics, etc.)
Interfacing with palliative and end-of-life care and ethical decisions (case example from neonatology, etc.)
Healthcare systems and global perspectives.-Administrative and financing models
Patient experience, safety, and quality
Primary care integration
Preventive models for reducing major causes of morbidity and mortality in childhood
Addressing healthcare disparities
Complementary and alternative approaches to improving comfort and access
Pediatric psychosomatic medical approach to optimize global access to child and adolescent mental healthcare
Appendices
Teaching tools: basic psychiatry for other children's healthcare professionals
Screening tools
"Talking points" for justifying the value of pediatric psychosomatic medicine services.