Community Child and Adolescent Psychiatry: A Manual of Clinical Practice and Consultation

320 Pages·2005·3.05 MB·English

by  Theodore A.

Community Child
and Adolescent Psychiatry
A Manual of Clinical Practice and Consultation
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Community Child
and Adolescent Psychiatry
A Manual of Clinical Practice and Consultation
Edited by
Theodore A. Petti, M.D., M.P.H.
Carlos Salguero, M.D., M.P.H.
Washington, DC
London, England
Note: The authors have worked to ensure that all information in this book
is accurate at the time of publication and consistent with general psychiatric
and medical standards, and that information concerning drug dosages, sched-
ules, and routes of administration is accurate at the time of publication and
consistent with standards set by the U.S. Food and Drug Administration and
the general medical community. As medical research and practice continue to
advance, however, therapeutic standards may change. Moreover, specific sit-
uations may require a specific therapeutic response not included in this book.
For these reasons and because human and mechanical errors sometimes oc-
cur, we recommend that readers follow the advice of physicians directly in-
volved in their care or the care of a member of their family.
Books published by American Psychiatric Publishing, Inc. (APPI), represent
the views and opinions of the individual authors and do not necessarily rep-
resent the policies and opinions of APPI or the American Psychiatric Associ-
ation.
Copyright © 2006 American Psychiatric Publishing, Inc.
ALL RIGHTS RESERVED
Manufactured in the United States of America on acid-free paper
09 08 07 06 05 5 4 3 2 1
First Edition
Typeset in Bailey Sans ITC and Baskerville Book
American Psychiatric Publishing, Inc.
1000 Wilson Boulevard
Arlington, VA 22209-3901
www.appi.org
Library of Congress Cataloging-in-Publication Data
Community child and adolescent psychiatry : a manual of clinical practice
and consultation / [edited] by Theodore A. Petti, Carlos Salguero.—1st ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 1-58562-180-3 (pbk. : alk. paper)
1. Child psychiatry. 2. Child mental health services. 3. Community
psychiatry. 4. Community mental health services. 5. Adolescent
psychiatry.
[DNLM: 1. Community Mental Health Services—Adolescent.
2. Community Mental Health Services—Child. 3. Community Psychiatry—
Adolescent. 4.Community Psychiatry—Child. ] I. Petti, Theodore A.
II.Salguero, Carlos, 1939–
RJ499.C5965 2005
618.92'89–dc22
2005002350
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
This book is dedicated to the contributors
who stayed with us through the long, tedious process
and to fellow professionals who have and will dedicate
their careers, time, and efforts
in working in the public community sector.
To you we express our gratitude.
And to the American Academy
of Child and Adolescent Psychiatry,
most specifically the Campaign for Children,
to which the proceeds generated from this book will be donated.
To my wife, Mary Newman Petti,
and to the trainees and colleagues who have taught me so much.
T.A.P.
To my wife Susan and my children
and to the children at the Hill Health Center and the Village.
C.S.
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CONTENTS
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xv
Part I
Principles of Community
Practice
1
Working Within Communities . . . . . . . . . . . . . . . . . . . .3
Theodore A. Petti, M.D., M.P.H.
2
Public-Sector Dynamics for
Child Mental Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Theodore Fallon, M.D., M.P.H.
Judith Dogin, M.D.
3
Legal Issues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Richard J. Lawlor, Ph.D., J.D.
4
Practical Aspects of Rural
Mental Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Stuart Copans, M.D.
Part II
The Core Mental Health
Professionals
5
Role of the Child and
Adolescent Psychiatrist . . . . . . . . . . . . . . . . . . . . . . . . . 57
John M. Diamond, M.D.
Judith Dogin, M.D.
6
Role of the Clinical
Child Psychologist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Lawrence A. Vitulano, Ph.D.
John R. Holmberg, Psy.D.
7
Role of the Child Mental Health
Social Worker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
John Ronnau, Ph.D., A.C.S.W.
8
Role of the Clinical Nurse . . . . . . . . . . . . . . . . . . . . . . . 97
Nancy D. Opie, R.N., D.N.S., F.A.A.N.
Brenda L. Costello-Wells, R.N., M.S.N., C.S.
Part III
Interdisciplinary
Functioning in the
Community Setting
9
Community Mental Health Centers . . . . . . . . . . . . . 115
Carlos Salguero, M.D., M.P.H., F.A.P.A.
10
Schools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133
Lance D. Clawson, M.D., F.A.A.C.A.P.
11
School-Based Health Centers . . . . . . . . . . . . . . . . . . 149
Mark D. Weist, Ph.D.
Laura A. Nabors, Ph.D.
Kathleen E. Albus, Ph.D.
Tanya N. Bryant, B.S.
12
Foster Care Programs . . . . . . . . . . . . . . . . . . . . . . . . . . 161
Frances S. Porter, A.C.S.W., L.C.S.W.
Charles Huffine, M.D.
13
Consultation to Child Care
Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
Charles Keith, M.D.
Alice Long, M.A.
14
Day Treatment Centers/
Partial Hospitalization Settings . . . . . . . . . . . . . . . . 189
Laurel J. Kiser, Ph.D., M.B.A.
Jerry D. Heston, M.D.
Marilyn Paavola, L.C.S.W.
15
Chemical Dependence Programs . . . . . . . . . . . . . . 205
Peter R. Cohen, M.D.
16
Community Residential Care
Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Milton T. Fujita, M.D., M.H.A.
Valerie Arnold, M.D.
17
Working With Advocacy Groups. . . . . . . . . . . . . . . 231
Claire Griffin-Francell, C.N.S./P.M.H., M.S.N.