Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians was written for psychiatrists in training and in clinical practice, as well as other health care providers who wish to learn an evidence-based and user-friendly approach to prevent commonly encountered, treatable, and potentially deadly illnesses in their patients. The poor health and early mortality of people with serious mental illnesses has been well documented: People who have serious mental illness have increased general medical comorbid conditions, receive minimal preventive medical services, and have a reduced life span of as much as thirty years when compared to the general population. In addition, there is now extensive data showing bidirectional interactions between chronic medical illnesses and mental disorders. Clearly, treating the whole person, instead of the disorder in isolation, is critical to improving outcomes and reducing suffering. The book's logical structure makes it easy to use, with sections devoted to general principles of preventive psychiatry, cardiovascular and pulmonary disorders, endocrine and metabolic disorders, infections disorders, and oncologic disorders. In addition, the volume: Provides evidence-based approaches to care across the prevention spectrum, from primary prevention (how to keep people healthy), to secondary prevention (how to detect early signs of common illnesses), through tertiary prevention (how to prevent disability and adverse outcomes once patients develop medical problems). Informs clinicians about how to more effectively interface with general medical practitioners, and instructs them in providing screening for common medical problems, as well as ensuring that preventive measures, such as vaccinations, are performed. Covers, in a section addressing "special topics," child, adolescent, and geriatric populations, as well as strategies for assessing and managing chronic pain. Concludes with an appendix that features a health questionnaire, Preventive Medicine in Psychiatry (PMAP), for use in screening and follow-up, and a handy summary of age based preventive medicine recommendations, references to which clinicians will return repeatedly. The Affordable Care Act has provided mental health practitioners with new opportunities to develop integrated models of care that better serve patients and populations, furthering the existing trend of treating the whole patient. Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians is a critical resource which will prove indispensable to clinicians dedicated to improving the quality of life and longevity for patients who suffer from serious mental illness. Twenty-five percent of royalties help support Resident-Fellow Members (RFM) within the California Psychiatric Association.
ContributorsForewordPrefaceIntroductionAcknowledgmentsSECTION I: Preventive Medical Care in Psychiatry: General PrinciplesChapter 1. Medical Comorbidities and Behavioral HealthChapter 2. Fundamentals of Preventive CareChapter 3. Cultural Considerations in PsychiatryChapter 4. Preventive Medicine and Psychiatric Training ConsiderationsSECTION II: Cardiovascular and Pulmonary Disorders in the Psychiatric Patient PopulationChapter 5. Coronary Artery DiseaseChapter 6. HypertensionChapter 7. DyslipidemiaChapter 8. Tobacco DependenceChapter 9. Chronic Obstructive Pulmonary DiseaseSECTION III: Endocrine and Metabolic Disorders in the Psychiatric Patient PopulationChapter 10. DiabetesChapter 11. ObesityChapter 12. Metabolic SyndromeChapter 13. OsteoporosisChapter 14. Thyroid DisordersSECTION IV: Infectious Disorders in the Psychiatric Patient PopulationChapter 15. Adult ImmunizationsChapter 16. Sexually Transmitted InfectionsChapter 17. Viral HepatitisChapter 18. HIV/AIDSSECTION V: Oncological Disorders in the Psychiatric Patient PopulationChapter 19. Breast Cancer Chapter 20. Prostate CancerChapter 21. Lung CancerChapter 22. Colorectal CancerChapter 23. Cervical CancerChapter 24. Skin CancersSECTION VI: Special TopicsChapter 25. Geriatric Preventive CareChapter 26. Child and Adolescent Preventive CareChapter 27. Pain Medicine in the Psychiatric Patient PopulationAppendix: Preventive Medicine in Psychiatry (PMaP) GuidelineIndex