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Psychiatry: Breaking the ICE contains everything psychiatry trainees need in order feel confident and competent in general adult inpatient and community placements.
* A practical and reassuring guide to life as a psychiatrist, structured around the tasks expected both in day-to-day practice and in out-of-hours work
* Key themes running throughout the book include ethical and legal issues, risk assessment and management, patient experience and safe prescribing
* The authors are closely involved in the training, mentoring and supervision of core trainees, and know the real-world challenges faced by junior psychiatrists
List of contents
Contributors, xi
Foreword, xv
Acknowledgements, xvii
Abbreviations, xix
About the companion website, xxi
Part I: Introduction
1 Welcome, 3
Sarah Stringer
2 Mental health services overview, 5
Christina Barras, Rory Conn, Laurine Hanna, Abigail G Crutchlow, and Juliet Hurn
3 Your team, 9
Christina Barras, Rory Conn, Laurine Hanna, and Abigail G Crutchlow
4 Your role, 13
Christina Barras, Rory Conn, Laurine Hanna, and Abigail G Crutchlow
5 Getting started, 16
Mujtaba Husain, Christina Barras, Rory Conn, and Laurine Hanna
6 Safety and verbal de-escalation, 19
Sarah Stringer
7 Boundaries, time management and burnout, 25
Sarah Stringer, Christina Barras, Rory Conn, and Laurine Hanna
8 Psychiatric assessment, 31
Sarah Stringer, Mujtaba Husain, Penelope Brown, and Sean Cross
9 Management: General principles, 45
Sarah Stringer
10 Physical healthcare, 48
Katherine Beck, Stephanie Young, and Juliet Hurn
11 Medications, 53
Noreen Jakeman and Sarah Stringer
12 Psychological interventions, 65
Jane Bunclark, Natasha Liu-Thwaites, Cheryl Kipping, Juliet Hurn, and Sarah Stringer
13 Social interventions, 83
Christina Barras, Rory Conn, Laurine Hanna, Abigail G Crutchlow, Juliet Hurn, Rachel Thomasson, and Anna M Burnside
14 Handovers, 96
Rachel Thomasson
15 Mental health legislation, 97
Penelope Brown, Peter Hindley, and Anna M Burnside
16 Compliments, complaints and serious incidents, 107
Anna M Burnside and Sarah Stringer
17 Training in psychiatry, 110
Mujtaba Husain, Juliet Hurn, Rachel Thomasson, Christina Barras, Rory Conn, Laurine Hanna, and Sarah Stringer
Part II: Common tasks COMMUNITY MENTAL HEALTH TEAM (CMHT)
18 Outpatient clinics, 123
Christina Barras, Rory Conn, and Laurine Hanna
19 Care programme approach (CPA) meetings, 127
Abigail G Crutchlow, Christina Barras, Rory Conn, and Laurine Hanna
20 Home visits, 130
Laurine Hanna
21 Depression, 133
Rory Conn and Rachel Thomasson
22 Generalised anxiety disorder (GAD), 141
Laurine Hanna
23 First episode psychosis (FEP), 147
Christina Barras and Juliet Hurn
24 Psychosis - longer term, 154
Stephanie Young
25 Bipolar affective disorder (BPAD), 159
Rory Conn and Juliet Hurn
26 Emotionally unstable personality disorder (EUPD), 165
Jane Bunclark and Juliet Hurn
27 Non-engagement or disengagement, 174
Rory Conn
28 Patients with forensic histories, 179
Penelope Brown
29 Pregnancy, 183
Anna M Burnside and Noreen Jakeman
30 Older adults, 189
Vivienne Mak and Sean Lubbe
31 Trauma and asylum, 196
Laurine Hanna and Juliet Hurn
32 Driving, 203
Christina Barras
33 Discharge, 208
Laurine Hanna
WARD
34 From admission to discharge, 212
Katherine Beck and Abigail G Crutchlow
35 Ward rounds, 221
Katherine Beck
36 Common side effect management, 225
Katherine Beck, Noreen Jakeman, and Sarah Stringer
37 Clozapine, 235
Stephanie Young and Noreen Jakeman
38 Self-discharge and section 5(2), 242
Abigail G Crutchlow
39 Seclusion reviews, 246
Katherine Beck
40 Alcohol misuse, 251
Lisa Conlan, Isabel McMullen, and Cheryl Kipping
41 Illicit drugs, 259
Isabel McMullen, Lisa Conlan, and Cheryl Kipping
42 Pregnant patients, 265
Anna M Burnside
43 Inpatients with forensic histories, 269
Penelope Brown
44 People with learning disabilities (LD), 27
About the author
Sarah Stringer, Independent Section 12 Approved Doctor; Extreme Psychiatry Course Lead and Honorary Lecturer, King's College London, UK
Juliet Hurn, Consultant Psychiatrist, Southwark North-West Support and Recovery Team, South London and Maudsley NHS Foundation Trust, UK
Anna M Burnside, Consultant Liaison Psychiatrist and RAID Clinical Lead, East London NHS Foundation Trust, UK
Summary
Psychiatry: Breaking the ICE contains everything psychiatry trainees need in order feel confident and competent in general adult inpatient and community placements.
