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Informationen zum Autor Martin Fleishman Klappentext This book addresses the problems involved in the onsite treatment of mentally ill patients in residential care facilities as opposed to hospitals. This innovative and useful tool also contains specific recommendations by an experienced psychiatrist as to how these visits should be conducted--with regard to frequency, duration, and the types of Medicare procedure codes to utilize. The book also discusses the profound changes psychiatric drugs have produced in social, economic, and legal arenas. While focused on psychiatry and schizophrenia, this book will also be of interest to mental health workers, long-term caregivers, and residential facility administrators. Zusammenfassung Addresses the problems involved in onsite treatment of mentally ill patients in residential care facilities as opposed to hosiptals. It includes specific recommendations by an experienced psychiatrist with regard to the frequency and duration of each visit and types of Medicare procedure codes to utilize. Inhaltsverzeichnis Foreword (Steven S. Sharfstein) Preface Acknowledgments Introduction The Goals of This Book PART I: THE PLACES Chapter 1. What Is a Residential Care Facility? Infrequently Asked Questions Chapter 2. The Problem of the Problem The Problem of Data Collection Chapter 3. The History Residential Care Facilities in San Francisco Personal History The Pioneers Chapter 4. The Facility The Evolution of Residential Care Facilities Case Histories Specialized Referral Patterns PART II: THE PEOPLE Chapter 5. Who Should Do It? Psychotherapeutic Considerations The Advantages of a Sense of Humor Behavioral Therapy Applications Group Psychotherapy Considerations Chapter 6. The Job Description Chapter 7. The Cast The Patient The General Medical Physician The Social Worker The Psychologist The Administrator The Pharmacist The Case Manager Relatives The Modern Residential Care Psychiatric Team PART III: THE PROBLEMS Chapter 8. How It Should Be Done: Space, Time, and Techniques Space Constraints Time Constraints The Techniques Chapter 9. The Problems of Frequency and Duration Visitation Frequency in Relation to the Unpredictability of Adverse Events The Standard of Care in the Community The Problem of Duration The Effects of Off-Site Work on On-Site Visits A Typical Day in the Life of a Residential Care Facility Psychiatrist Chapter 10. Why Do It? The Value of On-Site Visits by Psychiatrists and the Continuity of Care Issue Clinical Examples of the Advantage of On-Site Encounters The Effect of On-Site Visits on the Administrator Chapter 11. The Residential Care Facility First-Aid Paperwork Reduction Kit Chapter 12. The Legal Problems Recent Changes in Residential Care Psychiatry The Impact of HIPAA The Problem of Medical Necessity Redefining Medical Necessity for Psychiatry Computers and the Medicare Audit Computers and the Medicaid Audit Audits and Health Care Fraud Chapter 13. The Medicare Audit Process Chapter 14. Progress Note Problems Examples of Pr...
