This book addresses the principle that successful treatment incorporates a remarkably broad range of clinical variables. Clinicians must identify the extent to which each factor contributes to the success of the treatment process, and how to utilize this information strategically so that their combination enhances outcome. Complex clinical situations involve numerous macroscopic and microscopic components and their interactions. This book describes clinical practices and variables, that should be weighted according to their relevance for achieving treatment precision and improved results. The book is divided into sections, each containing topically organized chapters. Sections build from identifying discrete components of the clinical field to combined variables as they impact treatment progression. The clinical narratives that make up the latter part of the book elaborate on the course of care and the challenges involved in managing complex clinical situations. Cases range from primary care patients with systemic medical and psychiatric co-morbidity to more complex cases requiring the involvement of medical specialists, allied health professionals, and multiple health care systems. Scholarly, practical, and comprehensive, Complexity in Health Care enables clinicians to incorporate previously underappreciated health-related factors into their thinking and practice.
Complex patients' are a sizeable population who generally require disproportionate attention for their management and respond poorly to treatment. Their systemic medical, psychiatric and personal needs have a tendency to drain or exceed the capabilities of those who treat them whilst overutilizing health care resources. As this patient population grows, we move ever closer to a crisis in health care delivery. This volume presents an innovative team-based approach for assessing and managing diagnostically complex and management intensive patients. The physician-led 'Medical-Psychiatric Coordinating Physician (MPCP)' model not only improves patient treatment, but also provides for the containment of costs by reducing redundancy and curbing excess in the use of services. Other benefits include improved diagnostic accuracy and decision making, as well as better communication among physicians and allied health professionals. This book is essential reading for psychiatrists, primary care physicians, and physicians, directors and administrators working in multidisciplinary specialty clinics.
This book boldly asks whether and when psychotherapy works. It proposes a groundbreaking model of psychological and psychiatric assessment and treatment. The therapist's responsibility is to deliver a treatment that is effective. Two independent data sources measure progress a...
America's government intervenes in almost every aspect of its citizens' daily lives. From the air we breathe, to our health, wealth, and security, Americans wade through a vast political ocean. Unfortunately, we do so blindly; few Americans understand how or why our government regulates the market mechanisms that surround us. In Markets and Majorities, Steven Sheffrin addresses essential yet overlooked questions about political intervention in economic spheres. Why should we trust the government to clean our air? How do we know what to define as clean? What kind of health insurance business will the government run? What are the dangers of publicly financed doctors? Sheffrin first explains traditional theories of market failure, used to justify intervention. He then combines the crucial question of political viability with the fascinating particulars of policy histories. Sheffrin applies such analysis to the areas of health care, social security, environmental policy, product liability, trade policy, and fiscal and budgetary policy. He argues that beneath each area lies a unique calculus of market failure and political pressures, and convincingly demonstrates that no single policy can be understood out of economic and political context. In short, the fact that markets may fail does not guarantee that politics will succeed. By examining both sides of each policy area, Sheffrin's careful review of our national policy-making reveals a minefield where, in many cases, politics cannot help but fail as badly as markets. However, he shows that all is not lost, citing, among other examples, political intervention in the medical industry as the only hope of stopping hospitals from competitive purchases of useless technology. Markets and Majorities is must reading for anyone who has ever wondered why government just can't seem to get things done, as well as anyone who has asked why it should try in the first place.
In this fine book, Dr. Steven A. Frankel paints the portraits of his collaborating patients vividly, graphically, and with consummate compassion. His review of psychoanalytic theories and research is, in itself, a prodigious and productive education. It is tempting to suggest that this important contribution to psychoanalysis and psychoanalytic therapy is one illustration of theory finally catching up to sensitive and effective practice.
Practical Early Orthodontic Treatment A comprehensive guide to orthodontic treatment for children Practical Early Orthodontic Treatment: A Case-Based Review delivers exhaustive instruction in the evaluation and treatment of childhood malocclusions and dentofacial deformities. Written as a “mini-residency,” this book uses a question-and-answer format to encourage the reader to think critically and gauge the progress of his/her understanding. It provides the reader with a robust foundation for making the best possible childhood evaluation and treatment decisions. The book offers: A thorough overview of general early treatment principles An extensive discussion of facial skeleton, airway, and dentition growth and development concepts Comprehensive explorations of early crowding, eruption problems, and missing succedaneous teeth Extensive presentations of early anteroposterior, vertical, and transverse problems with treatment solutions A vast collection of high-quality images illustrating the conditions and appropriate therapies Perfect for orthodontists, pediatric dentists, and dentists in general practice, Practical Early Orthodontic Treatment: A Case-Based Review is also useful to residents and dental students with an interest in orthodontic care.
Thoroughly revised and updated, the eighth edition of Frank Fabozzi's classic collection - filled with chapters written by the industry's most trusted, authoritative fixed income experts' delivers every updated fact and formula today's finance professional needs.
Bestselling author Steven Gaines's "richly entertaining" (People) and juicy social history of the Hamptons. As one of America's most fabled communities--long a magnet for artists, celebrities, the very rich, and their respective hangers-on--the Hamptons have been a scene of constant collision among the established old guard, New Money, and the local families who farmed and fished the region for generations. In serving up three centuries of Hamptons history, Steven Gaines introduces a host of colorful characters including Jackson Pollock, Ron Perelman, Lauren Bacall, and the Bouvier Beales of Grey Gardens infamy. Philistines at the Hedgerow is a mesmerizing feat of storytelling--a book that takes us behind the privet hedges and rolling sand dunes and brings vivid life to the curious passions and personalities that animate the Hamptons.
Bestselling author Steven Gaines writes about the world behind the walled estates and rolling dunes - a world of money, celebrity, property, and eccentric characters - in this mesmerizing book. A summer haven to Steven Spielberg, Martha Stewart and Billy Joel to name just a few, the Hamptons have long been the retreat of choice for Nouvelle Society, international aristocracy and the most creative and powerful personalities in the corporate, entertainment and media worlds.
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