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Multimodal Treatment of Acute Psychiatric IllnessA Guide for Hospital Diversion$
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Justin Simpson and Glendon Moriarty

Print publication date: 2013

Print ISBN-13: 9780231158831

Published to Columbia Scholarship Online: November 2015

DOI: 10.7312/columbia/9780231158831.001.0001

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Multimodal Acute Care

Multimodal Acute Care

(p.47) 4 Multimodal Acute Care
Multimodal Treatment of Acute Psychiatric Illness

Justin M. Simpson

Glendon L. Moriarty

Columbia University Press

This chapter describes a multimodal acute care approach for people with severe mental illness (SMI). Clinicians must provide meaningful interventions that directly address issues causing crises so as to prevent hospitalizations. A multimodal approach offers a number of discrete interventions that can be utilized by providers. It is also a multipronged approach, which more accurately addresses the complex experience many SMI patients face. The recovery and multimodal approach effectively addresses coping-skill development, environmental and family issues, and underlying psychological liabilities. This chapter first considers the leading crisis intervention and brief treatment models that provide a basis for the proposed multimodal intervention approach. It then discusses the theoretical basis of the multimodal acute care approach suggested for use in hospital diversion and other similar programs. The multimodal acute care approach was adapted from multimodal therapy and also borrows heavily from the systematic treatment selection model. A recovery approach to hospital diversion is also explored, along with the components of the multimodal acute care approach.

Keywords:   multimodal acute care, severe mental illness, crisis intervention, brief treatment, hospital diversion, multimodal therapy, systematic treatment selection, recovery

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