Decision making in behavioral emergencies : acquiring skill in evaluating and managing high-risk patients / Phillip M. Kleespies.

Format:

Book

Author/Creator:

Kleespies, Phillip M., author.

Language:

English

Subjects (All):

Psychiatric emergencies.

Crisis intervention (Mental health services).

Mental illness--Risk factors.

Emergency Services, Psychiatric.

Crisis Intervention.

Mental Health Services.

Mental illness.

Medical Subjects:

Emergency Services, Psychiatric.

Crisis Intervention.

Mental Health Services.

Physical Description:

1 online resource

Other Title:

APA PsycBOOKS.

Place of Publication:

Washington, D.C. : American Psychological Association, 2014.

System Details:

Mode of access: World Wide Web.

text file

Summary:

"In this volume, I describe a model for acquiring skill and attaining competence in evaluating and managing behavioral emergencies. The model involves having a knowledge base as described in the book by Kleespies (2009), but beyond that it requires considerably more. Thus, it involves learning a decision-making strategy that is suited to intense, high-pressure, time-limited conditions such as those that can occur when patients may be at imminent risk of life-threatening behavior. It involves a gradated type of stress training (SET or stress exposure training) that enables the clinician-in-training to avoid becoming overwhelmed and allows him or her to gain key emergency-related experiences. These experiences prime the clinician to be able to quickly "size up" future crises and emergencies and respond to them more rapidly and effectively. The gradated approach to training further allows the clinician to begin to see these high-pressure situations as challenges that can be managed rather than as anxiety-provoking situations that seem beyond his or her capability. As noted in various places in this volume, behavioral emergencies force clinicians to confront what can be life-and-death decisions. If there is a negative outcome, serious clinical, ethical, legal, and professional questions can be raised about the management of the case. As pointed out, there have been numerous calls to action to improve the training of mental health clinicians in suicide risk assessment and intervention. These calls have largely gone unheeded (Schmitz et al., 2012). There is little reason to think that training in the evaluation and management of potential patient violence is appreciably better. In this vein, is it not time for professional psychology to embrace training and competence in such a critical area of practice as the assessment and management of patient life-threatening behaviors?"--Book. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

Contents:

Evaluating and managing behavioral emergencies and crises: an overview

Decision-making under stress: theoretical and empirical bases

Training to reduce stress in dealing with behavioral emergencies

Mental practice for decision-making during behavioral emergencies

The use of decision support tools in behavioral emergencies

Training for decision-making with experience near or actual behavioral emergencies

The stress of legal and ethical issues in high risk cases

Coping with the emotional aftermath of negative events.

Notes:

Includes bibliographical references and index.

Electronic reproduction. Washington, D.C. : American Psychological Association, 2014. Available via World Wide Web. Access limited by licensing agreement. s2014 dcunns

Other Format:

Original

ISBN:

9781433816642

1433816644

Access Restriction:

Restricted for use by site license.