Abstract
This chapter will address cross-cutting issues relevant to the work of psychologists in medical settings. One The focus will be on diagnostic assessment and differentials for psychiatric emergencies and on using a biopsychosocial formulation as well as cultural and developmental perspectives as the foundation for the management of acute safety concerns (e.g., agitation, homicidal/violent behaviors) and other psychiatric emergencies (e.g., suicidality, self-harm, substance abuse, and addictions). The chapter also addresses intervention strategies that psychologists can employ in managing psychiatric emergencies in medical settings (both inpatient units and outpatient specialty and primary care clinics), tips for engaging youth in crisis and their families, strategies for behavioral and environmental interventions, as well as tools to further assess and inform care. The final focus of the chapter is on multidisciplinary collaboration within the medical setting and on the available resources in the medical setting and in the community that psychologists can access when creating treatment recommendations.
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Appendix: Attachments: Resources
Appendix: Attachments: Resources
“The Substance Abuse and Mental Health Services Administration is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation.”
https://www.integration.samhsa.gov/about-us/about-cihs
“The SAMHSA Center for Integrated Health Solutions (CIHS) promotes the development of integrated primary and behavioral health services to better address the needs of individuals with mental health and substance use conditions, whether seen in specialty behavioral health or primary care provider settings.”
Alcohol and substance abuse screening tools
https://www.integration.samhsa.gov/clinical-practice/sbirt/CRAFFT_Screening_interview.pdf
Motivational interviewing tools
https://www.integration.samhsa.gov/clinical-practice/motivational-interviewing
Depression screening tools
http://www.cqaimh.org/pdf/tool_phq9.pdf
https://www.nimh.nih.gov/labs-at-nimh/asq-toolkit-materials/index.shtml
Safety planning tools
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Bujoreanu, S., Pell, S.G., Ribeiro, M. (2020). Psychiatric Emergencies: Self-Harm, Suicidal, Homicidal Behavior, Addiction, and Substance use. In: Carter, B.D., Kullgren, K.A. (eds) Clinical Handbook of Psychological Consultation in Pediatric Medical Settings. Issues in Clinical Child Psychology. Springer, Cham. https://doi.org/10.1007/978-3-030-35598-2_31
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DOI: https://doi.org/10.1007/978-3-030-35598-2_31
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