Gentile / Gillig Psychiatry of Intellectual Disability

A Practical Manual
1. Auflage 2012
ISBN: 978-1-119-96859-7
Verlag: John Wiley & Sons
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 400 Seiten, E-Book

Patients with intellectual disability (ID) can benefit from thefull range of mental health services. To ensure that psychiatricassessment, diagnosis and treatment interventions are relevant andeffective; individuals with ID should be evaluated and treatedwithin the context of their developmental framework. Behaviorshould be viewed as a form of communication.
Individuals with ID often present with behavioral symptomscomplicated by limited expressive language skills and undiagnosedmedical conditions. Many training programs do not include focusedstudy of individuals with ID, despite the fact that patients withID will be seen by virtually every mental health practitioner. Inthis book, the authors present a framework for competent assessmentand treatment of psychiatric disorders in individuals with ID.
Psychiatry of Intellectual Disability is aresource guide for psychiatrists, nurse practitioners, and otherprescribers treating patients with ID. It is a supplemental textfor psychiatry residents, medical students, psychology graduatestudents, psychotherapists, counselors, social workers, behaviorsupport specialists and nurses. To assist the practicing clinicianthe book includes:
* Clinical vignettes
* Clinical pearls
* Charts for quick reference
* Issues concerning medications and poly-pharmacy
* Altered diagnostic criteria specific for use with individualswith ID
There are no evidence-based principles dedicated to psychotropicmedication use in ID, but consensus guidelines address the highprevalence of poly-pharmacy. Altered diagnostic criteria have beenpublished which accommodate less self-report and incorporatecollateral information; this book reviews the literature onpsychotropic medications, consensus guidelines, andpopulation-specific diagnostic criteria sets.
Psychiatry of Intellectual Disability alsoincludes:
* Interviewing techniques and assessment tips for all levels ofcommunicative ability as well as for nonverbal individuals
* Assessment of aggression to determine etiology and formulate atreatment plan
* Overview of types of psychotherapy and suggested alterationsfor each to increase efficacy
* Relevant legal issues for caregivers and treatmentproviders
The detective work involved in mental health assessment ofindividuals with ID is challenging yet rewarding. The highestquality mental health treatment limits hospital days, improvesquality of life and often allows individuals to live in the leastrestrictive environments. Psychiatry of IntellectualDisability is a must have resource for clinicians treatingthe ID population.

Autoren/Hrsg.

Gentile, Julie P.

Gillig, Paulette Marie

Inhaltsverzeichnis

Dedications vii
Editor biographies ix
List of contributors xi
List of abbreviations xiii
Foreword xv
1 Overview 1
Allison E. Cowan, MD and Julie P. Gentile, MD
2 Psychiatric Assessment 14
Ann K. Morrison, MD and Paulette Marie Gillig, MD, PhD
3 Medical Assessment 26
Julie P. Gentile, MD and Michelle A. Monro, DO
4 Neurologic Conditions 51
Paulette Marie Gillig, MD, PhD and Richard Sanders, MD
5 Traumatic Brain Injuries and Co-occurring Mental Illness75
Gretchen N. Foley, MD
6 Interviewing Techniques 90
Julie P. Gentile, MD and Paulette Marie Gillig, MD, PhD
7 Mood Disorders 125
Ann K. Morrison, MD and Christina Weston, MD
8 Anxiety Disorders 146
Kelly M. Blankenship, MD
9 Psychotic Disorders 161
Allison E. Cowan, MD
10 Personality Disorders 191
Julie P. Gentile, MD and Allison E. Cowan, MD
11 Aggression 210
Julie P. Gentile, MD and Paulette Marie Gillig, MD, PhD
12 Psychotropic Medications 250
Christopher T. Manetta, DO and Julie P. Gentile, MD
13 Psychotherapy 278
Carroll S. Jackson, LISW-S and Julie P. Gentile, MD
14 Behavioral Assessment and Interventions 309
Betsey A. Benson, PhD
15 Legal Issues for Treatment Providers and Evaluators 325
Jeannette Cox, JD
16 Syndromes of Intellectual Disability 338
Kelly M. Blankenship, MD and Christina Weston, MD
Index 366

Über Autor(innen)

Julie P. Gentile, M.D. (jen-TILL-ee) is AssociateProfessor of Psychiatry at the Boonshoft School of Medicine, WrightState University, Dayton, Ohio and the Project Director forOhio's Coordinating Center of Excellence in MentalIllness/Intellectual Disability. She has been the Professor of DualDiagnosis for the Ohio Department of Mental Health, the OhioDepartment of Developmental Disability, and the Ohio DevelopmentalDisabilities Council since 2003 and has evaluated more than 2,000individuals with co-occurring mental illness and intellectualdisability. She is the recipient of the American PsychiatricAssociation's Frank J. Menolascino Award for Excellence inPsychiatric Services for Developmental Disabilities, the Excellencein Contributions to Clinical Practice Award from the NationalAssociation for the Dually Diagnosed, and a member of Alpha OmegaAlpha Medical Honor Society. She is the recipient of numerousteaching awards and has been awarded more than $3,000,000 in grantsand contracts to support her work in dual diagnosis since 2003.
Paulette Marie Gillig, M.D., Ph.D. is Professor ofPsychiatry at the Boonshoft School of Medicine, Wright StateUniversity, Dayton, Ohio and on the Faculty of the GraduateSchool. She has been Ohio Department of Mental HealthProfessor of Rural and Underserved Populations since 1998, islisted in Best Doctors in America, Who's Who inAmerica, Who's Who in the World, is Distinguished Fellowof the American Psychiatric Association and a member of Alpha OmegaAlpha Medical Honor Society. She is the recipient of numerousteaching and has published three books and over 60 articles andbook chapters in the several areas of Community (Public)Psychiatry, Psychotherapy, and the Interface between Psychiatry andNeurology. She is the Section Editor for the journalInnovations in Clinical Neuroscience. She completedresidencies in both Neurology and in Psychiatry, and also holds adoctorate in Social Psychology in the area of cognitiveprocesses.