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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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PRINTED FROM COLUMBIA SCHOLARSHIP ONLINE (www.columbia.universitypressscholarship.com). (c) Copyright University of Minnesota Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CUPSO for personal use.date: 15 June 2021

Fundamental Tools and Techniques

Fundamental Tools and Techniques

(p.58) 5 Fundamental Tools and Techniques
Multimodal Treatment of Acute Psychiatric Illness

Justin M. Simpson

Glendon L. Moriarty

Columbia University Press

This chapter describes fundamental tools and techniques that can be used in the treatment of severe mental illness and other conditions encountered by staff working in hospital diversion programs, including screenings, therapy techniques, and action plans. The chapter first considers suicide/self-harm assessment before turning to a discussion of drug screening, crisis action plans, safety contracts, and programs for improving the patient’s coping skills. It then explains activity scheduling, assertiveness training, and how to make sure that the patient adheres to the medication prescribed to him/her. It also offers general tips for addressing social and environmental issues that could prevent the patient from stabilizing fully or cause relapse of crisis episodes; for example, increasing internal locus of control, enhancing motivation, or changing the patient’s dysfunctional thinking. A table that provides guidance on which interventions to use and includes beginner, intermediate, and advanced levels of clinical competence is included.

Keywords:   treatment, severe mental illness, hospital diversion programs, suicide, self-harm, drug screening, crisis action plans, coping skills, activity scheduling, assertiveness training

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