Originally published in 1986, this volume presents the clinical and administrative aspects of emergency psychiatry from the point of view of the clinician administrator involved in organizing and running an emergency service. Part 1 provides an administrative overview of psychiatric emergency care the development of the field, the concepts, the patient profile, the team, the architecture, fiscal planning, legal constraints as well as training and research issues. Part 2 describes psychiatric emergency care delivery systems in the emergency department, the average hospital wards, the community mental health centers and health maintenance organizations. Part 3 gives examples of the process of administration in one instance how a psychiatric emergency service developed, in the other how one functions day to day and what themes recur administratively. Part 4 focuses on protocols and models useful to the emergency service administrator: protocols, records, standards of care, politics, liaison with the court, mobile response, collaborative arrangements and disaster preparedness. Part 5 provides an annotated bibliography which reviews and draws attention to the relevant literature for the clinicians and administrators to use in practicing emergency psychiatry.
Preface. Contributors. Part 1: Administrative Concepts of Emergency Psychiatry 1. The Development of Emergency Psychiatry 2. Definitions and Conceptual Framework of Psychiatric Emergencies 3. Profile of Psychiatric Emergency Patients 4. Personnel: The Psychiatric Emergency Care Team 5. Staff Attitudes Toward Psychiatric Emergencies with Special Needs 6. Architectural Model Considerations in Planning a Psychiatric Emergency Service 7. Fiscal Planning in Developing Psychiatric Emergency Services 8. Legal Issues in Emergency Psychiatry 9. Training and Research inl£%