Clinician's guide to partial hospitalization and intensive outpatient practice
Houvenagle, David,
Clinician's guide to partial hospitalization and intensive outpatient practice [E-Book] - New York : Springer Publishing Company, 2015. - 1 online resource (vii, 262 pages) : illustrations
Includes bibliographical references and index.
Cover -- Title -- Copyright -- Contents -- Preface -- Acknowledgments -- Share Clinician's Guide to Partial Hospitalization and Intensive Outpatient Practice -- Chapter 1: Introduction -- PHP and IOP Within the Continuum of Services -- The Ideal -- The Reality -- The Ecology of Games -- Games Versus Gamey Behavior -- Defining Games -- Essential Paradigms Evident Throughout IOP and PHP Settings -- Continuity -- Reasonable Expectations -- Overview of the Book -- Chapter 2: Understanding Team Work and Milieu in Partial Hospitalization and Intensive Outpatient Programs -- Chapter 3: The Initial Treatment Plan -- Chapter 4: Concurrent Treatment Planning -- Chapter 5: Discharge Planning -- Chapter 6: Group Therapy -- Chapter 7: Psychoeducation -- Chapter 8: Safety Issues -- Chapters 9, 10, 11, 12, and 13 -- Chapters 14, 15, and 16 -- Chapter 17: Concluding Thoughts -- References -- Chapter 2: Understanding Team Work and Milieu in Partial Hospitalization and Intensive Outpatient Programs -- Milieu Defined -- The Milieu as an Economy -- The Normal PHP/IOP Milieu -- Defining Drama -- The Game of the Milieu -- Paradigms and Mind-Sets -- The Strategy of Order and Not Control -- Subscribing to Order -- The Strategy of Routinization -- The Strategy of Drama Management -- The Strategy of Adult-Level Communication -- Conclusions -- References -- Chapter 3: The Initial Treatment Plan -- The Essence of Treatment Planning -- The Limits of Initial Treatment Planning -- Reasonable Expectations -- Goals -- The Process of Getting Started -- Actually Starting: The Script -- The Opening Script -- The Middle Interview -- Depression and Anxiety Scales -- Functioning -- The Final Part of the Interview -- Determining Success in the Game of Initial Treatment Planning -- Conclusions -- References -- Chapter 4: Concurrent Treatment Planning -- The Basics of Utilization Review. The Challenges of Concurrent Treatment Planning -- The Game of Concurrent Treatment Planning -- The Relationship With the Utilization Review Department -- Organizational Routines -- Interview Scripts -- The Unmotivated Patient -- Not Working Harder Than the Patient -- Conclusions -- References -- Chapter 5: Discharge Planning -- Political Economy Challenges -- Insurance -- Employee Assistance Programs -- The Treatment Cohort -- The Psychiatrist -- The Organization -- The Clinician With a Private Practice -- Patient Choice as It Exists -- Summary -- The Game of Discharge Planning -- Letters for Work and School -- Conclusions -- References -- Chapter 6: Group Therapy -- Challenges and Limits to Group Therapy in the PHP/IOP Setting -- The Open Group -- Acuity and Diversity -- Unequal Participation -- Motivational Differences -- Monitoring the Group as Individual Patients -- The Limits of Group Therapy -- Summary of Limits and Challenges -- The Game of the Group Process -- The Posture of the Clinician -- The Strategy of Structure and Routine -- The Strategy of the Daily Self-Assessment -- Running the PHP/IOP Process Group -- Treatment Planning as an Aid to a Successful Group Experience -- Some Common Problems -- The New Clinician -- The Defocusing Patient -- The Cabal -- Conclusions -- Reference -- Chapter 7: Psychoeducation -- The Challenges of Psychoeducation in the PHP/IOP Setting -- Redundancy -- Discreteness -- The Game of Psychoeducation -- Conclusions -- Chapter 8: Safety Issues -- Safety Challenges -- The Challenges of Suicidal Patients -- The Challenges of Aggressive Patients -- The Game of Safety -- The Game of Dealing With the Suicidal Patient -- The Game of Dealing With the Aggressive Patient -- The Protective Services Report -- Unsafe Subjects (Sex, Religion, and Politics) -- Conclusions -- Chapter 9: The Regular Adult Cohort. Treatment Planning -- Case Management -- Discharge Planning -- Group Therapy -- Psychoeducation -- Family Therapy -- Unique Problems -- Conclusions -- Chapter 10: The Geriatric/Older Adult Cohort -- The Patient Challenges -- Assuming the Role of Helper With the Older Adult -- Treatment Planning -- Discharge Planning -- Group Therapy and Psychoeducation -- Family Therapy -- Conclusions -- Chapter 11: The Chronically Mentally Ill -- Population-Related Challenges and Expectations -- Treatment Planning Goals -- Group Therapy -- Psychoeducation -- Family Therapy -- Discharge Planning -- Conclusions -- Chapter 12: Children and Adolescents -- The Differences Among Children, Preteens, and Adolescents -- The Challenges of Behavior Disorders in the PHP/IOP Setting -- Individual Therapy -- Family Therapy -- School -- Group Therapy and Psychoeducation -- Discharge Planning -- A Unique Problem: The Milieu -- Conclusions -- Reference -- Chapter 13: Chemical Dependency/Co-Occurring Disorders -- Programming Description -- Challenges -- Applications of the Games -- Conclusions -- References -- Chapter 14: The Borderline Personality-Disordered Patient -- Challenges -- Treatment Savvy and Help Rejection in Case Management and Individual Therapy -- The Challenges in Group Therapy -- The Challenge in the Family Session -- The Interpersonal Challenge in the Milieu -- Challenges From Within -- The Borderline Personality Patient in the Parent Role -- The Game of Working with the Borderline Personality -- Structure and Not Control -- Inherent Boundaries and Limits Should Be Hardwired -- Gentle but Firm -- Less Is More -- It Is Not Personal, and There Is Nothing to Prove -- Limitations of the Paradigms -- Conclusions -- References -- Chapter 15: A Death in the Program -- Conclusions -- Reference -- Chapter 16: Problems With Colleagues and Other Departments. The Challenges in General -- Finding One's Bearings -- The Game in General -- Mature Adult Behavior Versus Immature Emotion -- Is This Drama or a Subdued Report of Fact? -- What Is Needed? -- The Application of Boundaries -- Leading in the Creation of a Positive Work Environment -- Coping with the Unchangeable -- Conclusions -- References -- Chapter 17: Concluding Thoughts -- Reference -- Appendix A: Example of an Initial Treatment Planning Survey -- Appendix B: Example of a Concurrent Treatment Planning Survey -- Appendix C: Example of a Fax Transmission Lead Sheet -- Appendix D: Examples of a Daily Assessment Form -- Example #1 -- Example #2 -- Example #3 -- Index.
9780826128836 0826128831
791765 MIL
2015002716
Ambulatory medical care.
Hospitals--Outpatient services.
Continuum of care.
Ambulatory Care
Ambulatory Care Facilities--organization & administration
Continuity of Patient Care
Day Care, Medical
Outpatient Clinics, Hospital
WB 101
Clinician's guide to partial hospitalization and intensive outpatient practice [E-Book] - New York : Springer Publishing Company, 2015. - 1 online resource (vii, 262 pages) : illustrations
Includes bibliographical references and index.
Cover -- Title -- Copyright -- Contents -- Preface -- Acknowledgments -- Share Clinician's Guide to Partial Hospitalization and Intensive Outpatient Practice -- Chapter 1: Introduction -- PHP and IOP Within the Continuum of Services -- The Ideal -- The Reality -- The Ecology of Games -- Games Versus Gamey Behavior -- Defining Games -- Essential Paradigms Evident Throughout IOP and PHP Settings -- Continuity -- Reasonable Expectations -- Overview of the Book -- Chapter 2: Understanding Team Work and Milieu in Partial Hospitalization and Intensive Outpatient Programs -- Chapter 3: The Initial Treatment Plan -- Chapter 4: Concurrent Treatment Planning -- Chapter 5: Discharge Planning -- Chapter 6: Group Therapy -- Chapter 7: Psychoeducation -- Chapter 8: Safety Issues -- Chapters 9, 10, 11, 12, and 13 -- Chapters 14, 15, and 16 -- Chapter 17: Concluding Thoughts -- References -- Chapter 2: Understanding Team Work and Milieu in Partial Hospitalization and Intensive Outpatient Programs -- Milieu Defined -- The Milieu as an Economy -- The Normal PHP/IOP Milieu -- Defining Drama -- The Game of the Milieu -- Paradigms and Mind-Sets -- The Strategy of Order and Not Control -- Subscribing to Order -- The Strategy of Routinization -- The Strategy of Drama Management -- The Strategy of Adult-Level Communication -- Conclusions -- References -- Chapter 3: The Initial Treatment Plan -- The Essence of Treatment Planning -- The Limits of Initial Treatment Planning -- Reasonable Expectations -- Goals -- The Process of Getting Started -- Actually Starting: The Script -- The Opening Script -- The Middle Interview -- Depression and Anxiety Scales -- Functioning -- The Final Part of the Interview -- Determining Success in the Game of Initial Treatment Planning -- Conclusions -- References -- Chapter 4: Concurrent Treatment Planning -- The Basics of Utilization Review. The Challenges of Concurrent Treatment Planning -- The Game of Concurrent Treatment Planning -- The Relationship With the Utilization Review Department -- Organizational Routines -- Interview Scripts -- The Unmotivated Patient -- Not Working Harder Than the Patient -- Conclusions -- References -- Chapter 5: Discharge Planning -- Political Economy Challenges -- Insurance -- Employee Assistance Programs -- The Treatment Cohort -- The Psychiatrist -- The Organization -- The Clinician With a Private Practice -- Patient Choice as It Exists -- Summary -- The Game of Discharge Planning -- Letters for Work and School -- Conclusions -- References -- Chapter 6: Group Therapy -- Challenges and Limits to Group Therapy in the PHP/IOP Setting -- The Open Group -- Acuity and Diversity -- Unequal Participation -- Motivational Differences -- Monitoring the Group as Individual Patients -- The Limits of Group Therapy -- Summary of Limits and Challenges -- The Game of the Group Process -- The Posture of the Clinician -- The Strategy of Structure and Routine -- The Strategy of the Daily Self-Assessment -- Running the PHP/IOP Process Group -- Treatment Planning as an Aid to a Successful Group Experience -- Some Common Problems -- The New Clinician -- The Defocusing Patient -- The Cabal -- Conclusions -- Reference -- Chapter 7: Psychoeducation -- The Challenges of Psychoeducation in the PHP/IOP Setting -- Redundancy -- Discreteness -- The Game of Psychoeducation -- Conclusions -- Chapter 8: Safety Issues -- Safety Challenges -- The Challenges of Suicidal Patients -- The Challenges of Aggressive Patients -- The Game of Safety -- The Game of Dealing With the Suicidal Patient -- The Game of Dealing With the Aggressive Patient -- The Protective Services Report -- Unsafe Subjects (Sex, Religion, and Politics) -- Conclusions -- Chapter 9: The Regular Adult Cohort. Treatment Planning -- Case Management -- Discharge Planning -- Group Therapy -- Psychoeducation -- Family Therapy -- Unique Problems -- Conclusions -- Chapter 10: The Geriatric/Older Adult Cohort -- The Patient Challenges -- Assuming the Role of Helper With the Older Adult -- Treatment Planning -- Discharge Planning -- Group Therapy and Psychoeducation -- Family Therapy -- Conclusions -- Chapter 11: The Chronically Mentally Ill -- Population-Related Challenges and Expectations -- Treatment Planning Goals -- Group Therapy -- Psychoeducation -- Family Therapy -- Discharge Planning -- Conclusions -- Chapter 12: Children and Adolescents -- The Differences Among Children, Preteens, and Adolescents -- The Challenges of Behavior Disorders in the PHP/IOP Setting -- Individual Therapy -- Family Therapy -- School -- Group Therapy and Psychoeducation -- Discharge Planning -- A Unique Problem: The Milieu -- Conclusions -- Reference -- Chapter 13: Chemical Dependency/Co-Occurring Disorders -- Programming Description -- Challenges -- Applications of the Games -- Conclusions -- References -- Chapter 14: The Borderline Personality-Disordered Patient -- Challenges -- Treatment Savvy and Help Rejection in Case Management and Individual Therapy -- The Challenges in Group Therapy -- The Challenge in the Family Session -- The Interpersonal Challenge in the Milieu -- Challenges From Within -- The Borderline Personality Patient in the Parent Role -- The Game of Working with the Borderline Personality -- Structure and Not Control -- Inherent Boundaries and Limits Should Be Hardwired -- Gentle but Firm -- Less Is More -- It Is Not Personal, and There Is Nothing to Prove -- Limitations of the Paradigms -- Conclusions -- References -- Chapter 15: A Death in the Program -- Conclusions -- Reference -- Chapter 16: Problems With Colleagues and Other Departments. The Challenges in General -- Finding One's Bearings -- The Game in General -- Mature Adult Behavior Versus Immature Emotion -- Is This Drama or a Subdued Report of Fact? -- What Is Needed? -- The Application of Boundaries -- Leading in the Creation of a Positive Work Environment -- Coping with the Unchangeable -- Conclusions -- References -- Chapter 17: Concluding Thoughts -- Reference -- Appendix A: Example of an Initial Treatment Planning Survey -- Appendix B: Example of a Concurrent Treatment Planning Survey -- Appendix C: Example of a Fax Transmission Lead Sheet -- Appendix D: Examples of a Daily Assessment Form -- Example #1 -- Example #2 -- Example #3 -- Index.
9780826128836 0826128831
791765 MIL
2015002716
Ambulatory medical care.
Hospitals--Outpatient services.
Continuum of care.
Ambulatory Care
Ambulatory Care Facilities--organization & administration
Continuity of Patient Care
Day Care, Medical
Outpatient Clinics, Hospital
WB 101
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