BookVictor Fornari, Ida Dancyger, editors.
Summary: This book explores medical nonadherence to treatment and management of psychiatric disorders across the lifespan. Leading experts in the field, specializing in a range of mental health problems describe the impact of nonadherence in the treatment of children, adolescents, transition age youths, adults, and older adults. The book eloquently articulates the key elements of effective physicians and offers clinical pearls on professionalism, empathy, and the doctor-patient relationship-a key component to solving treatment nonadherence. This volume focuses on solutions for improved clinical outcomes, including communication skills, empathy and building trust, motivational interviewing techniques and the use of technology. Psychiatric Nonadherence is an excellent resource for all clinicians who care for individuals with psychiatric illness. This timely reference will provide guidance to enhance effective treatment adherence for a wide array of medical practitioners, including child and adolescent, adult forensic, and geriatric psychiatrists, addiction medicine specialists, primary care physicians, psychologists and nurses.
Contents:
Intro; Foreword; Preface; Contents; Contributors; Part I: Mental Health Treatment Nonadherence;
1: Health Economics: The Hidden Costs of Mental Illness; Introduction; Human Capital; Lost Economic Growth; Medical Conditions; Public Costs; Family Costs; The Impact of Psychiatric Illness; Comorbid Psychiatric and Physical Illness; The Financial Cost of Psychiatric Disorder; Family Burden of Psychiatric Disorder; The Cost of Incarceration; Summary; References;
2: Nonadherence in Childhood Disorders: Attention-Deficit/Hyperactivity Disorder; Overview of ADHD and Its Treatment Description, Impact, and CourseTreatment; Characteristics of Effective Pharmacotherapy for ADHD; Estimates of Treatment Adherence and Nonadherence; Correlates of Treatment Adherence; Treatment-Related Factors; Medications' Duration of Action; Care Delivery and Components; Pharmacotherapy Outcomes; Patient-Related Factors; Age; Clinical Characteristics; Family and Caregiver Factors; Caregiver Characteristics; Patient and Family Perspectives on ADHD and Treatment; Future Directions: Adherence with Interventions Other Than Pharmacotherapy Improving Outcomes by Diminishing Barriers to Adherence and Continuity with Effective TreatmentReferences;
3: Coming of Age and Refusing to Eat: Overcoming Treatment Nonadherence for Adolescents with Anorexia Nervosa; Introduction; How Do Patients Comply with Treatment?; An Overview of AN; What Is the Etiology of AN?; Medical Complications of AN; What Are the Factors That Affect Adherence?; Healthcare Team and Health System-Related Factors; A Selective Brief Review of the Literature; Case Vignette # 1; Case Vignette # 2; Addressing the Factors That Impact Adherence What Are the Interventions to Improve Adherence?Conclusion; References;
4: The Challenge of Nonadherence in Schizophrenia; Introduction; The Problem of Nonadherence; Engagement; Challenges for Studying Medication Nonadherence; Estimates of Medication Adherence in Schizophrenia; Factors Affecting Adherence; Social and Economic Factors; Health-Care Team- and System-Related Factors; Condition-Related Factors; Therapy-Related Factors; Patient-Related Factors; Interventions to Improve Adherence; Social and Economic Interventions; Health-Care Team and Health System Interventions Condition-Related InterventionsTherapy-Related Interventions; Patient-Related Interventions; Conclusion; References;
5: Increasing Psychiatric Treatment Engagement and Adherence in the College Population; Introduction; The Current State of Mental Health on College Campuses; Costs of Nonengagement and Nonadherence in the College Population; Definition, Measures, and Rates of Nonadherence; Definition of Treatment Adherence; Measurement of Treatment Adherence; Rates of Mental Health Treatment Adherence in Emerging Adults; Barriers to Adherence and Recommendations for Intervention