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EMERGENCY PSYCHIATRY IN A CHANGING WORLD
Emergency Psychiatry in a Changing WorldProceedings of the 5th World Congress of the International Association for Emergency Psychiatry, Brussels, 15-17 October 1998

Edited by
M. De Clercq, Unité de Psychopathologie Adulte, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10 - BP 2160, Brussels 1200, Belgium
A. Andreoli, Geneva University School of Medicine, Geneva, Switzerland
S. Lamarre, Psychiatric Emergencies and Crises Service, St. Mary's Hospital Center, Montreal, Canada
P. Forster, Division of Mental Health Services, San Francisco, CA, USA

Included in series
International Congress, 1179

Description
Emergency Psychiatry in a Changing World is a compilation of selected topics presented at the 5th World Congress of the International Association for Emergency Psychiatry held on October 1998 in Belgium.

This volume discusses the dramatic increase in the number of emergencies and crisis situations in recent decades especially in general hospitals of large cities. It has been found that most psychiatric emergencies are triggered by mental breakdown of patients suffering from various psychiatric disorders caused by a series of crisis situations that have to do with familial, social and psychosocial problems. The psychiatric staff is faced with a situation where they have to set up adequate care structures to deal with these new problems.

Drug addicts, homeless persons, victims of macrosocial disasters (earthquakes, plane crashes, terrorist attacks, civil wars), and the daily victims of violence (muggings, holdup, rapes) are few examples of what the emergency services are dealing with today. The boundaries between psychiatric work and social control have become unclear.

New psychiatric care policies must be set in place, together with the development of new ethical and clinical guidelines. In the dawn of the 21st century, it is therefore essential to tackle the issues fundamental to the future of the work in the psychiatric field.

Audience
Professionals in the field of Emergency Medicine and Psychiatry

Contents
Emergency psychiatry in a changing world (M. De Clercq).

Part I: The Challenges of Emergency Psychiatry in a Changing World.
Emergency of psychiatry and the challenges of the year 2000 (M. De Clercq).

Part II: What We Have Learned About Emergency Psychiatry and the Acute Treatment of Mental Disorders.
What we have learned about emergency psychiatry and the acute treatment of metal disorders (A. Andreoli).

Part III: Emergency Psychiatry and Social Problems in Big Cities.
Nearly forgotten: the mental health needs of an urbanised planet (N. Sartorius). New Challenges for emergency psychiatry since deinstitutionalization (H.R. Lamb). From vital emergencies to social emergencies (X. Emmanuelli). Multicultural cities and the role emergency psychiatry in the next period of time (H.H.P. Vergouwen). Psychiatric emergencies and homelessness: assistance or intervention? (A. Garzino, M.-F. Frutoso, D. Arnaud). The "new social issues" impact on the psychiatric emergency: a study of cases (M. Dominguez and A.J. M. Carballeda). Possible consequences of and changes in care from an emergency psychiatry point of view (P.M. Furlan).

Part IV: Emergency Psychiatry and Social Control.
Emergency psychiatry and social control (P.L. Forster). Psychiatric emergency-treatment: help against one's will or action of professional violence? (P. Lehmann). Enhancing the client's autonomy leads to a new role for the health practitioner (S. Larmarre). The "emergency" age and the age of social control (Y. Cartuyvels).

Part V: Emergency Psychiatry and Acute Stress Disorders.
The advantages of immediate and post-immediate care following psychic traumas (F. Lebigot). Psychological debriefing: conceptual and procedural aspects of trauma prevention (C.M. Chemtob, P. Louville). Early psychotherapeutical approach of victims (D. Zucker). The psychotherapeutical approach of victims (D. Zucker). The psychological debriefing after a traumatic event: points of interest and limits (E. Vermeirn, Y.S.C. Lim-Cow, M. De Clercq). The unit of medico-psychological emergency and the forensic unit in mass disasters: direct and indirect care in the field (N. Prieto et al.). Diversity and limits of medico-psychological emergency interventions in France (P. Louville).

Part VI: Emergency Psychiatry and Posttraumatic Stress Disorder.
Measures for the treatment of severe, collective posttraumatic stress syndrome (J.Y. Hayez, E. de Becker). Combat shock revisited-the ECOMOG experience (G.T. Okulate ). Current therapeutic management of posttraumatic stress disorder (O. Cottencin et al.). The Rwandan family facing survival: the psychiatric repercussions of the war (J.B. Butera, F.J. Bultinck , P. Mercier). Current problems of emergency psychiatry at the radioecological disaster (A. Napreyenko, K. Loganovsky). Crisis reactions in a community exposed to a natural disaster: psychosocial repercussions of the ice storm in Montreal (H. Iskandar et al.). On the problem of mental health of the population of the radiation-polluted territories. Radiophobia or somatogenia? (V.L. Malygin et al.).

Part VII: Mental Health, Emergency Psychiatry and Conflicts.
Mental health and conflicts (D. Guha-Sapir). The importance of community mental health programmes in countries which have experienced man-made disasters (V. Dubois, D. Guha-Sapir, M. De Clercq). The impact of torture on the Vietnamese ex-political detainees: intervention models (T. Pham ). Overview of mental health issues in populations affected by war and genocide (A. Golaz et al.).

Part VIII: Emergency Psychiatry and Violence.
Violence: a public health issue (D.S. Halpérin). Emergency and violence in psychiatric community care (P. Roper). Prevalence, characteristics, and methods to address assaultive patients in a large neuropsychiatric hospital (A. Tapp et al.). Cognitive-behavioural treatment of aggressive patients (P. Gerits). Use of seclusion and restraint in psychiatric patients in Zimbabwe: Gender differences (M.B. Sebit et al.). Schizophrenia, non-compliance and violent behavior in civilly committed patients (A. Pehlivanidis et al.). Women -- victims of violence (D.M. Beissman, M.A.J. Mac Fadden).

Part VIX: Emergency Psychiatry in Developing Countries.
Psychiatric emergencies in third world countries: the example of Senegal and Benin (D.M. Douma et al.). Cultural and traditional beliefs, and psychiatric emergencies in Lusaka -- Zambia (O. Okitapoy). Emergency psychiatry in Turkey (D.I. Akbiyik, E. Berksun Oguz). In-patient referrals to psychiatry in peace and war (G.T. Okulate).

Part X: Emergency Psychiatry. Involuntary Commitment and the Law.
Psychiatrists and the courts: is a dialogue impossible? (V. Ryckmans). An assessment of requests for an advice received from the courts and from the police force by the psychiatric emergency services (S. Cornet, M. de Clercq). Disturbing behaviors as risk factors for compulsory care: implications for preventing compulsory admissions among severely mentally ill (A. Politis et al.). Comparison of referrals to crisis-units of RIAGGS: (Dutch community mental health centres): police vs. other referring agents (J.A. Jenner et al.). Compulsory treatments: between emergency psychiatry and social control (P.M. Furlan, F. Marci, S. Gelati).

Part XI: Emergency Psychiatry, Substance Abuse and Dual Diagnosis Patient.
Acute or crisis treatment of the dual-diagnosis patient: the mental health and substance abuse services interfaces (P.L. Forster). Acute case management of dual-diagnosis patients (G. Green). The dual-diagnosis patient: impact of methamphetamine and other drugs (M.M. Mirassou, M.H. Leamon). Pilot project: group for dually diagnosed patients (B. Chassé et al.). "Saturday night fever": ecstasy (MDMA) and medical emergencies (H. Williams et al.). Methamphetamine in the 1990's: American views on trends for emergency psychiatry (M.M. Mirassou, M.H. Leamon). New trends in substance abuse: the era of designer drugs (Y.S.C. Lim-Cow). Substance abuse in psychiatric emergencies: the family crisis and its developments (G. Invernizzi et al.). Research-action on acute intoxication and overdoses among drug users in Brussels: preliminary results and first hypothesis (F. Hariga , A.-F. Raedemaeker). Cannabis and psychosis in a young North African male (N. Hayt, M. Dewez).

Part XII: Management of Psychiatric Emergencies.
Management of psychiatric emergencies in the city of Buenos Aires (L.D. Mosca et al.). Psychiatric emergencies: nurses in the front line (M.J.-Ch. Mieville, D. Peter). The psychiatric emergency team: a valid alternative in a changing world (L. Morrison-Ngatai). The alternative to hospitalisation, a major issue in psychiatry. ERIC, a mobile psychiatric emergency service (S. Kannas et al.). Advantages of the mobile crisis approach to emergency mental health care (J.J. Zealberg). The actual situations and the point at issue of psychiatric emergency services in Osaka and Sawa Hospital (Y. Sawa). Society in crisis, religious cults and emergency psychiatry (A. Utināns). Neuropsychiatric approach of elderly patients in the emergency room (F. Primeau). Developmental troubles and mental handicap: is there an emergency above 35? (G. Galli Carminati, S. Djapo Yogwa). Psychiatric emergency service in a university hospital in Japan (M. Yasui et al.).

Part XIII: Crisis Interventions and Emergency Psychiatry.
Emergency psychiatry: crisis intervention. A methodological approach (F.M.A.A. Matthys). Model replication as a mechanism of decompensation in crisis (Z. Pleszewski). Systems theory in crisis situations: when time stands still (M. Winkler, J. Liefferink).

Part XIV: Emergency Psychiatry, Children and Adolescents.
From the psychiatric emergency of the adolescent to the judicial report (C. Rascle, S. Bourcet, P. Garros). Decisional strategies for the psychiatric hospitalization of adolescents (J.-M. Chanez et al.). Adolescents in crisis in French emergency rooms: should the law be modified? (R. Faou et al.). Prepubertal Anorexia Nervosa: somatic and /or psychiatric emergency? (J.A. Serrano et al.). The child and the psychiatric emergency (S. Thiry et al.).

Part XV: Emergency Psychiatry, Suicide and Suicide Attempts.
Pregnancy protects form suicide: a dangerous concept! (G. Vaiva et al.). Incidence, profile and evolution of suicide attempts seen in emergency wards in France, results of a multicentric study (F. Staikowsky, N. Descrimes). Repercussions of suicide on the family -- an analysis of 50 consecutive suicides (B. Delatte, O. Pirson, M. De Clercq). Family risk factors associated with repeated suicide attempt in French young people (F. Chastand et al.). Suicide in the period from 1988 to 1997 in Kolubara district (S. Medenica). The psychotic suicide attempters at the emergency department of a general hospital (F. Eudier, C. Botez, A. Badiche). Inquiry on victimisation in a population of suicidal persons (V. Blettery, J. Vedrinne, J.M. Elchardus).

Part XVI: Liaison Psychiatry and Emergency Psychiatry.
Could the emergency and liaison psychiatry be the new pivot of a new French sectorial policy? (F. Scheider). Ganser's syndrome: a psychiatric emergency (N. Kirch et al.). First steps towards the U-pattern: a comparison of the psychological profiles of patients admitted on an elective or emergency basis in a semi-urban environment (C. de Beauffort et al.). Psychiatric diagnoses out of 24-hour continuous referrals to the general hospital emergency room (M. Bellini et al.).

Part XVII: Research in Emergency Psychiatry and Crisis Intervention.
Consumer of Dutch mobile crisis teams: who are they and who refer them? (J.A. Jenner et al.). Emergency psychiatry for prisoners (C. de Beaurepaire, S. Balanger). Crisis intervention in psychiatric emergencies: a selection for admission to psychiatric services (G. Invernizzi et al.). Demographic features of patients attending a psychiatric emergency service (A. Lenzi et al.). The impact of structured activities on the mentally ill (S. Attia). A longitudinal evaluation of two psychiatric inpatient units attached to a community mental health centre; outcomes and costs (A.P. Boardman et al.). Feelings about Christmas, as reported by psychiatric emergency patients (V.R. Velamoor et al.). Psychiatric emergencies of ethnic minority patients in Belgium: a comparative study (D.J.A. Spooren, C.L. Jannes). Ethnic differences in diagnosis and dispositions in a psychiatric ward (P. Fossion et al.). Psychiatric intensive care-resource consumption and cost implications of differential antipsychotic drug use (C. Hyde, C. Harower-Wilson, P. Ash). Emergency psychiatric interventions in people with epilepsy (P. Rajna, J. Veres).

Index of authors. Keyword index.


Bibliographic & ordering Information
Hardbound, 668 pages, publication date: MAR-2000
ISBN-13: 978-0-444-50017-5
ISBN-10: 0-444-50017-0
Imprint: EXCERPTA MEDICA
Price: Order form
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GBP 148
EUR 222

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