Treatment of Suicidal Patients in Managed Care

It offers practical guidance on how to improve care and reduce risk for suicidal patients. Inpatient versus outpatient treatments, alternative programs such as cognitive-behavioral strategies, adolescent suicide, suicide and substance abuse, and a step-by-step process for counseling everyone affected are all detailed with clarity and sensitivity in this book.

James M. Ellison, M.D., M.P.H., is Associate Clinical Professor in Psychiatry at Harvard Medical School, a consultant to The Cambridge Hospital Psychiatry Department, and Interim Clinical Director of Geriatric Psychiatry at McLean Hospital in Belmont, Massachusetts. He is also President of the Northeast Affiliate of the American Foundation for Suicide Prevention.

Contributors

vii

Acknowledgments

ix

Foreword

xi

James Harburger

Treating Suicidal Patients in the Managed Care Environment

1

(14)

John T. Maltsberger

Managed Crisis Care for Suicidal Patients

15

(24)

Judith Feldman

Linda Finguerra

Managed Care, Brief Hospitalization, and Alternatives to Hospitalization in the Care of Suicidal Patients

39

(20)

Patricia A. Harney

Suicidal Adolescents in Managed Care

59

(26)

Alan Lipschitz

Suicide in the Elderly

85

(26)

Ashok Bharucha

Substance Abuse and Suicidal Behavior in Managed Care

111

(20)

Richard Caplan

Psychiatric Pharmacotherapy, Suicide, and Managed Care

131

(22)

James M. Ellison

Risk Management Issues for Clinicians Who Treat Suicidal Patients in Managed Systems

153

(20)

Catherine Keyes

In the Aftermath of Suicide: Needs and Interventions

173

(16)

Steve Stelovich

Appendix A The Formulation of Suicide Risk

189

(8)

John T. Maltsberger

Appendix B Getting More of What Is Needed From Your Patient's Managed Care Organization

197

(6)

James M. Ellison

Index

203

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Treatment of Suicidal Patients in Managed Care

Summary

Author Biography

Table of Contents

Supplemental Materials