Integrated Care for Complex Patients

A Narrative Medicine Approach

  • Steven A. Frankel
  • James A. Bourgeois

Table of contents

  1. Front Matter
    Pages i-xx
  2. Overview

    1. Front Matter
      Pages 1-1
    2. Steven A. Frankel, James A. Bourgeois
      Pages 3-6
    3. Steven A. Frankel, James A. Bourgeois
      Pages 7-14
    4. Steven A. Frankel, James A. Bourgeois
      Pages 15-20
    5. Steven A. Frankel, James A. Bourgeois, with Colin Leary
      Pages 21-27
    6. Steven A. Frankel, James A. Bourgeois
      Pages 47-52
    7. Steven A. Frankel, James A. Bourgeois
      Pages 53-56
  3. Case Narratives

    1. Front Matter
      Pages 57-57
    2. Mehrdad Razavi, Thomas W. Miller, Wendi Eden
      Pages 143-148
    3. Steven A. Frankel, James A. Bourgeois
      Pages 209-212
  4. Back Matter
    Pages 213-220

About this book


This book presents case-based descriptions of models for the inclusive, multispecialty and multidisciplinary clinical care of complex cases. Cases range from  primary care patients with complex systemic medical and psychiatric comorbidity, to those requiring specialty care, to those with potentially terminal illnesses. While each category and case has its unique requirements often necessitating different models of care, the commonalities in approaching complex clinical situations is underscored. Extended case narratives written by the treating physicians, summarizing both the course of clinical care and physicians' reflections on the challenges of managing complex patients, comprise the bulk of the book.  Five additional chapters on systems issues associated with care of complex patients, together with a chapter on end of life considerations, a narrative analysis of the physicians reflections about complex patients, and a concluding chapter are prominently included to anchor the case narratives. Written by experts in the field, these descriptions form unique models for assessing and treating complex cases.

Integrated Care for Complex Patients is a useful guide for all health practitioners and health administrators who are responsible for clinically complex cases, including physicians in

 primary care and psychiatry, physician assistants and nurse practitioners, and psychologists.


Complex case studies Complex psychiatric cases Evidence-based psychiatric care Integrated medicine Psychiatric models of care

Editors and affiliations

  • Steven A. Frankel
    • 1
  • James A. Bourgeois
    • 2
  1. 1.Department of PsychiatryUniversity of California School of MedicineSan FranciscoUSA
  2. 2.Department of PsychiatryBaylor Scott & White Health Central Texas DivisionTempleUSA

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2018
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Print ISBN 978-3-319-61212-6
  • Online ISBN 978-3-319-61214-0
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals