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Psychiatric Intensive Care


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Table of Contents

1. Psychiatric intensive care - development and definition M. Dominic Beer, Stephen M. Pereira and Carol Paton; 2. Management of acutely disturbed behaviour M. Dominic Beer, Carol Paton and Stephen M. Pereira; 3. De-escalation Roland Dix; 4. Rapid tranquilisation Caroline L. Holmes, Helen Simmons and Lyn Pilowsky; 5. Pharmacological therapy Chike I. Okocha; 6. Psychological approaches to the acute patient Marc Kingsley; 7. Psychological approaches to longer-term patients presenting with challenging behaviours Brian Malcolm McKenzie; 8. Seclusion Roland Dix, Christian Betteridge and Matthew J. Page; 9. Restraint and physical intervention Roland Dix; 10. The complex needs patient Zerrin Atakan and Venugopal Duddu; 11. Therapeutic activities within Psychiatric Intensive Care and Low Secure Units Faisal Kazi, Brenda Flood and Sarah Hooton; 12. Risk assessment and management Stephen M. Pereira, Sabrina Pietromartire and Maurice Lipsedge; 13. The provision of intensive care in forensic psychiatry Harvey Gordon; 14. The interface with forensic services James Anderson; 15. Supporting people with learning disabilities on general psychiatric wards, Psychiatric Intensive Care Units and Low Secure Units Andrew Flynn; 16. The interface with general psychiatric services; 17. The interface with Child and Adolescent Mental Health Services (CAMHS); 18. Severe mental illness and substance abuse Zerrin Atakan; 19. Social work issues in Psychiatric Intensive Care Units/Low Secure Units David Buckle; 20. User and carer involvement Stephen Pereira and Kate Woollaston; 21. Setting up a new Psychiatric Intensive Care Unit: principles and practice Andrew W. Proctor; 22. Physical environment Roland Dix; 23. Managing the Psychiatric Intensive Care Unit Phil Garnham; 24. Multidisciplinary teams within Psychiatric Intensive Care Units /Low Secure Units Stephen Dye and Andy Johnston; 25. National standards and good practice Andy Johnston, Stephen Dye and Navjyoat Chhina.

Promotional Information

This book provides practical advice on the management of severely ill psychiatric patients in secure hospital settings.

About the Author

Dominic Beer is Consultant Psychiatrist in Psychiatric Intensive Care and Challenging Behaviour Psychiatry, Oxleas NHS Foundation Trust and Honorary Senior Lecturer at the Institute of Psychiatry, London. Stephen Pereira is Lead Consultant Psychiatrist at Goodmayes Hospital, Essex. Carol Paton is Chief Pharmacist, Oxleas NHS Foundation Trust and Honorary Research Fellow at the Department of Psychological Medicine, Imperial College, London.


'The book's strengths include a very readable style, a multi-disciplinary authorship and chapters that cover the many diverse aspects of psychiatric intensive care. When reading it you get the firm impression that most of the chapters are written by people with real 'hands on' practical experience in their fields.' Bulletin of the National Association of Psychiatric Intensive Care Units 'I strongly recommend this book. It should have wide appeal to a multi-disciplinary audience. It is soundly researched, able constructed and well written. I suspect that it will sit well in all mental health settings and on individual professional's bookshelves, and that in time it will become a well-thumbed and much appreciated text.' Mental Health Practice 'The book is packed full of extremely sensible advice on how to manage difficult clinical problems in the most challenging of patients. It has something for everyone - trainees, consultants, nurses, managers and those professions allied to medicine.' Hospital Doctor 'It is comprehensive and multi-disciplinary. It is clinically oriented and most chapters will be of interest to clinical staff working on intensive care units.' British Journal of Psychiatry

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