Pediatric Consultation-Liaison Psychiatry

This ambitious resource presents an inventive approach to integrating pediatric and mental health care based in comprehensive, family-centered service delivery. Its framework adds a problem-solving focus to the core principles of pediatric consultation-liaison psychiatry, emphasizing young patients’ developmental, family, and social context. An international panel of expert clinicians explores the value of the mental health component in treating complex and chronic cases across varied settings, as well as practical considerations in implementing collaborative pediatric care systemwide, including at the global level. Detailed case histories illustrate skills and traits essential to making this problem-based approach work, such as multidimensional thinking, a prevention mentality, a dedication to lifelong learning, and empathy and respect for young clients and their families.

Included in the coverage:

·        Pediatric medicine for the child psychiatrist.

·        Safety issues in a general medical facility setting.

·        “Other medical” presentations and considerations in pediatric consultation-liaison psychiatry.

·        Principles of biopsychosocial formulation and interventions in the pediatric medical setting.

·        Preventive models for reducing major causes of morbidity and mortality in childhood.

Child and adolescent psychiatrists, child and school psychologists, and physicians in pediatrics, general practice, and family medicine will welcome Pediatric Consultation-Liaison Psychiatry as both a robust training text and a blueprint for the future of children’s medicine.

Introduction.- General principles of pediatric psychosomatic medicine, including developmental and systems of care perspectives.- Essential pediatrics for the pediatric consultation-liaison psychiatrist.-  Essential psychiatry and substance use disorders for the non-psychiatrist.- Psychopharmacological principles .- Common scenarios and concerns in traditional inpatient pediatric consultation-liaison psychiatry.- Suicidality, self-harm and dangerousness.- Eating and feeding disorders.- Adjustment to medical illness.- Acute mental status change.- Other common medical considerations for behavioral symptoms.- Contemporary value-building roles spanning inpatient and outpatient care.- Principles of bio-psycho-social formulations and interventions in medical settings (case examples from pediatric nephrology, pediatric gastroenterology).- Psychological testing and pre-procedure evaluation (case example from pediatric cardiology, pediatric endocrinology, pediatriconcology,).- Improving adherence and promoting behavioral change (case example from adolescent medicine, pediatric allergy/pulmonology, etc.).- Identifying and managing brain/behavioral conditions (case example from pediatric rheumatology, pediatric neurology, etc.) .- Multidisciplinary management of complex conditions (case example from genetics, etc.).- Interfacing with palliative and end-of-life care and ethical decisions (case example from neonatology, etc.).- Healthcare systems and global perspectives.-Administrative and financing models.- Patient experience, safety, and quality.- Primary care integration.- Preventive models for reducing major causes of morbidity and mortality in childhood.- Addressing healthcare disparities.- Complementary and alternative approaches to improving comfort and access.- Pediatric psychosomatic medical approach to optimize global access to child and adolescent mental healthcare.- Appendices.- Teaching tools: basic psychiatry for other children’s healthcare professionals.- Screening tools.- “Talking points” for justifying the value of pediatric psychosomatic medicine services.