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Textbook of Hospital Psychiatry, Second Edition

Edited by Harsh K. Trivedi, M.D., M.B.A., and Steven S. Sharfstein, M.D., M.P.A.

  • ISBN 978-1-61537-345-1
  • Item #37345

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The field of hospital psychiatry has faced unimaginable challenges and opportunities during the last decade. Even as we continue to fight COVID-19, the century's greatest public health crisis, the need for behavioral health treatments continues to increase.

Providers and policymakers agree that integrating behavioral treatments into regular courses of patient care helps address postdischarge needs, including safe housing, reliable transportation, and nutrition. Behavioral wellness is currently benefiting from increased public attention, but disparities in access continue to plague people of color and members of the LGTBQIA+ community, who often struggle to find culturally competent treatment. There is a significant need for dedicated psychiatric hospitals and dedicated units in general hospitals to meet America's mental health needs.

Progress is happening, but many familiar challenges remain. Inadequate healthcare coverage and reimbursement for services has left both patients and medical providers desperate for reform. Staffing shortages are worsening as practitioners in the baby boomer generation retire and those roles go unfilled by new graduates.

Despite these challenges, psychiatric hospitals continue to adapt and find ways to care for patients. This updated textbook contains valuable knowledge and new insights for clinicians regarding treatment, staffing, and care, and features new chapters on family involvement and safety, federal and local financing, and information on collaborative care and Lean. Forward-looking chapters focus on the integration of treatment across settings and providers and examine new strategies such as telemedicine to extend the reach of clinicians. Together, and with expert guidance, readers of this must-have resource will find a roadmap for clinical, administrative, and financial steps to help providers take advantage of these unprecedented times to develop services and advance hospital psychiatry in the United States.


  • Dedication
  • Contributors
  • Preface
  • Introduction
  • Chapter 1: History of Hospital Psychiatry
  • Part I: Inpatient Care

  • Chapter 2: The Child Unit
  • Chapter 3: The Adolescent Unit
  • Chapter 4: The Adult Unit
  • Chapter 5: The Geriatric Unit
  • Chapter 6: The Developmental Disabilities Co-Occurring Unit: Neuropsychiatry Across the Lifespan
  • Chapter 7: The Eating Disorders Unit
  • Chapter 8: The Forensic Unit
  • Chapter 9: The Psychotic Disorders Unit
  • Chapter 10: The Substance Use Disorders Co-Occurring Unit
  • Chapter 11: The State Hospital
  • Chapter 12: The Veterans Hospital
  • Part II: The Continuum of Care

  • Chapter 13: Community Mental Health and Hospital Based Outpatient Services
  • Chapter 14: Residential Treatment for Children and Adolescents
  • Chapter 15: Residential Intensive Psychodynamic Psychotherapy for Adults
  • Chapter 16: Psychiatric Emergency Services and Interface with the General Hospital
  • Part III: Hardwiring Excellence

  • Chapter 17: Administration and Leadership
  • Chapter 18: Financing of Care
  • Chapter 19: Quality, Measurement Based Care, and Outcomes
  • Chapter 20: Risk Management
  • Chapter 21: Preventing Conflict, Violence, and Use of Seclusion and Restraint
  • Chapter 22: Lean and Operational Excellence
  • Chapter 23: Architecture and Thoughtful Design
  • Part IV: Workforce and Special Issues

  • Chapter 24: Psychiatrists, Psychiatric Nurse Practitioners, and Psychologists
  • Chapter 25: Psychiatric – Mental Health Nursing
  • Chapter 26: Social Work and Rehabilitation Therapies
  • Chapter 27: Working With Families
  • Chapter 28: From Within: A Consumer Perspective on Psychiatric Hospitals
  • Part V: The Future of Hospital Psychiatry

  • Chapter 29: Collaborative Care and Emerging Models
  • Chapter 30: The Future of Hospital Psychiatry
  • Index


    Jason Addison, M.D.
    Benedicto Borja, M.D.
    John J. Boronow, M.D.
    Harry A. Brandt, M.D.
    Kathryn Burns, R.N., M.S.N.
    Nathaniel Clark, M.D.
    Steven F. Crawford, M.D.
    Roger Daub
    Antonio DePaolo, Ph.D.
    Charles C. Dike, M.D., M.P.H., FRCPsych
    Lisa B. Dixon, M.D., M.P.H.
    Kenneth S. Duckworth, M.D.
    Carrie Etheridge, LCSW-C
    Thomas Flis, M.S.
    Gregory Gattman, FACHE
    Thomas Glenn, M.S.F.
    Jennifer L. Goetz, M.D.
    Amy Halt, M.D., Ph.D.
    Jerry Halverson, M.D.
    Reverend Dr. Norma J. Heath
    Debra Heck, M.D.
    Brian M. Hepburn, M.D.
    Steven Hertig, B.A., CHPC
    Thomas D. Hess, M.B.A.
    Kathleen Hilzendeger
    Michelle S. Hooper, M.S.H., AIA
    Ken C. Hopper, M.D., M.B.A.
    Kevin Ann Huckshorn, Ph.D., R.N., M.S.N., ICADC
    Roger Kathol, M.D, CPEUniversity of Minnesota, Minneapolis, Minnesota
    Sunil Khushalani, M.D., DFAPA, FASAM
    George Kolodner, M.D., DLFAPA, FASAM
    Vaune Kopeck, OTR/L
    Caitlin Lawrence, M.D.
    Janice L. LeBel, Ph.D., ABPP
    Ted Lutterman, B.A.NRI
    Ashley J. B. MacLean, M.D.
    Louis Marino, M.D.
    Merle McCann, M.D.
    Marsden McGuire, M.D., M.B.A.
    Michael A. Norko, M.D., M.A.R.
    Scott R. Pekrul, M.D.
    Todd Peters, M.D.
    Debra A. Pinals, M.D.
    Sarah Piscitelli, M.A.
    Eric M. Plakun, M.D.
    Deepak Prabhakar, M.D., M.P.H.
    Savitha Puttaiah, MB.B.S., M.D.
    Rachna Raisinghani, M.D.
    Jeff Richardson, M.S.W., M.B.A.
    Ziona Rivera
    Kelly Savoca, CPA, M.B.A.
    Robert J. Schloesser, M.D.
    Terri Schultz, R.N., M.B.A.
    Bruce J. Schwartz, M.D.
    Manan Shah, M.D.
    Edward R. Shapiro, M.D.
    Steven S. Sharfstein, M.D., M.P.A.
    April Sobiech, LCSW-C
    Peter Spyrou, M.D.
    Anne Marie Stoline, M.D.
    Paul Summergrad, M.D., FRCPsych
    Yasas Tanguturi, M.D., M.P.H.
    Howard D. Trachtman, B.S., CPS, CPRP, COAPS
    Harsh K. Trivedi, M.D., M.B.A.
    Catharyn Turner II, M.D., M.Ed.
    Virginia Susan Villani, M.D.
    Tobias D. Wasser, M.D.
    Laura Lawson Webb, M.S.N., R.N., PMHN-BC
    Jennifer Weiss Wilkerson, M.H.S.A., FACHE
    Aaron Winkler, M.D.
    Robert W. Wisner-Carlson, M.D.
    Edward Zuzarte, M.D.

About the Authors

Harsh K. Trivedi, M.D., M.B.A., is President and Chief Executive Officer of Sheppard Pratt in Baltimore, Maryland.

Steven S. Sharfstein, M.D., is President Emeritus of Sheppard Pratt in Baltimore, Maryland.

The new Textbook of Hospital Psychiatry is more than an updated edition. New authors have been added, chapters rewritten and the textbook serves as an authoritative tome on contemporary Hospital Psychiatry in the US. Not content to capture the state of the art contributors have looked to the future of hospital based treatment and its role in systems of care.—Jack W. Bonner, III, M.D., Emeritus Professor, University of South Carolina School of Medicine GreenvilleMedical Director Emeritus, Highland Hospital

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