Psychiatric Consultation in Long-Term Care. A Guide for Healthcare Professionals

Part I. Comprehensive Mental Health Services:
1. The need for high-quality comprehensive mental health services in long-term care
2. Comprehensive psychiatric assessment process
Part II. Common Psychiatric Disorders in Long-Term Care:
3. Major neurocognitive disorder
4. Delirium
5. Major depressive disorder, other mood disorders, and suicide
6. Psychotic disorder and violence
7. Anxiety disorder, trauma and stress-related disorder, obsessive compulsive and related disorders, and sleep-wake disorders
8. Personality disorder, somatic symptom and related disorders, substance use disorders, and intermittent explosive disorder
Part III. Issues in Long-Term Care Psychiatry:
9. Nutritional medicine and long-term care psychiatry
10. Resident abuse and ethical issues
11. Psychiatric aspects of palliative and hospice medicine
12. Psychiatric aspects of rational deprescribing
Part IV. Toward a Person-Centered Long-Term Care Community:
13. A psychosocial-spiritual wellness care plan for residents who have major neurocognitive disorder
14. Creating a person-centered long-term care community: a road map for long-term care facility owners and administrators

Building on the first edition, Psychiatric Consultation in Long-Term Care has been fully revised and updated, integrating DSM-5 classification throughout. It delivers an essential resource for psychiatrists, neurologists, geriatricians, palliative care physicians, primary care physicians, nurse practitioners, pharmacists, and physician assistants involved in prevention, assessment, diagnosis, and management of neuropsychiatric disorders in long-term care (LTC) populations, as well as for nurses, social workers, and other professionals involved in important day-to-day care. The book provides comprehensive descriptions of practical, strengths-based, individualized, psychosocial, spiritual, and environmental approaches, and high-quality mental healthcare utilizing pharmacological interventions when appropriate to improve the emotional and spiritual well-being of LTC residents. It details key elements in creating genuine person-centered long-term care: the reduction of inappropriate medications and counter-therapeutic staff approaches, treating serious psychiatric disorders with evidence-based interventions, and a road-map for owners and administrators of LTC facilities.

• Fully revised and updated in line with modern practice, integrating DSM-5 classification throughout the book
• Provides a comprehensive description of psychosocial, spiritual, and environmental approaches for long-term care (LTC) staff to improve the mental health and well-being of LTC populations
• Empowers physicians and other healthcare providers to use appropriate psychotropic medication therapy, reduce inappropriate medications, and empower direct-care staff in reducing counter-therapeutic approaches