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Preventive Medical Care in Psychiatry
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04 January 2015

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.
MEDICAL / Psychiatry / General
Robert M. McCarron, D.O., is Associate Professor, Director of Integrated Internal Medicine/Psychiatry Education, and Director of Pain Psychiatry and Behavioral Medicine in the Departments of Psychiatry and Behavioral Sciences, Anesthesiology, Division of Pain Medicine, and Internal Medicine at the University of California, Davis School of Medicine in Sacramento, California.
Glen L. Xiong, M.D., is Associate Clinical Professor in the Department of Psychiatry and Behavioral Sciences at the University of California, Davis School of Medicine in Sacramento, California.
Craig R. Keenan, M.D., is Professor of Medicine and Residency Program Director in the Department of Medicine at the University of California, Davis School of Medicine in Sacramento, California.
Henry A. Nasrallah, M.D., is The Sydney W. Souers Professor and Chairman in the Department of Neurology and Psychiatry at Saint Louis University School of Medicine in St. Louis, Missouri. He is also Editor-In Chief of Schizophrenia Research and Current Psychiatry.
Contributors
Foreword
Preface
Introduction
Acknowledgments
SECTION
I: Preventive Medical Care in Psychiatry: General Principles
Chapter 1.
Medical Comorbidities and Behavioral Health
Chapter 2. Fundamentals of
Preventive Care
Chapter 3. Cultural Considerations in
Psychiatry
Chapter 4. Preventive Medicine and Psychiatric Training
Considerations
SECTION II: Cardiovascular and Pulmonary Disorders in the
Psychiatric Patient Population
Chapter 5. Coronary Artery
Disease
Chapter 6. Hypertension
Chapter 7. Dyslipidemia
Chapter
8. Tobacco Dependence
Chapter 9. Chronic Obstructive Pulmonary
Disease
SECTION III: Endocrine and Metabolic Disorders in the
Psychiatric Patient Population
Chapter 10. Diabetes
Chapter 11.
Obesity
Chapter 12. Metabolic Syndrome
Chapter 13.
Osteoporosis
Chapter 14. Thyroid Disorders
SECTION IV: Infectious
Disorders in the Psychiatric Patient Population
Chapter 15. Adult
Immunizations
Chapter 16. Sexually Transmitted Infections
Chapter
17. Viral Hepatitis
Chapter 18. HIV/AIDS
SECTION V: Oncological
Disorders in the Psychiatric Patient Population
Chapter 19. Breast
Cancer
Chapter 20. Prostate Cancer
Chapter 21. Lung
Cancer
Chapter 22. Colorectal Cancer
Chapter 23. Cervical
Cancer
Chapter 24. Skin Cancers
SECTION VI: Special
Topics
Chapter 25. Geriatric Preventive Care
Chapter 26. Child and
Adolescent Preventive Care
Chapter 27. Pain Medicine in the Psychiatric
Patient Population
Appendix: Preventive Medicine in Psychiatry (PMaP)
Guideline
Index