Book contents
- Behavioral Emergencies for the Emergency Physician
- Behavioral Emergencies for the Emergency Physician
- Copyright page
- Contents
- Contributors
- Preface
- Section 1. General considerations for psychiatric care in the emergency department
- Section 2. Evaluation of the psychiatric patient
- Section 3. Psychiatric illnesses
- Chapter 8 The patient withdepression in the emergency department
- Chapter 9 Assessment of the suicidal patient in the emergency department
- Chapter 10 The patient with somatoform disorders in the emergency department
- Chapter 11 The patient with anxiety disorders in the emergency department
- Chapter 12 The patient with post-traumatic stress disorder in the emergency department
- Chapter 13 The patient with psychosis in the emergency department
- Chapter 14 Personality disorders in the acute setting
- Chapter 15 The patient with factitious disorders or malingering in the emergency department
- Chapter 16 The patient with delirium and dementia in the emergency department
- Chapter 17 The patient with excited delirium in the emergency department
- Chapter 18 Medical illness in psychiatric patients in the emergency department
- Chapter 19 Acute care ofeating disorders
- Chapter 20 Management of the emergency department patient with co-occurringsubstance abuse disorder
- Section 4. Treatment of the psychiatric patient
- Section 5. Special populations
- Section 6. Administration of psychiatric care
- Index
Chapter 20 - Management of the emergency department patient with co-occurringsubstance abuse disorder
from Section 3. - Psychiatric illnesses
Published online by Cambridge University Press: 05 April 2013
Edited by
Book contents
- Behavioral Emergencies for the Emergency Physician
- Behavioral Emergencies for the Emergency Physician
- Copyright page
- Contents
- Contributors
- Preface
- Section 1. General considerations for psychiatric care in the emergency department
- Section 2. Evaluation of the psychiatric patient
- Section 3. Psychiatric illnesses
- Chapter 8 The patient withdepression in the emergency department
- Chapter 9 Assessment of the suicidal patient in the emergency department
- Chapter 10 The patient with somatoform disorders in the emergency department
- Chapter 11 The patient with anxiety disorders in the emergency department
- Chapter 12 The patient with post-traumatic stress disorder in the emergency department
- Chapter 13 The patient with psychosis in the emergency department
- Chapter 14 Personality disorders in the acute setting
- Chapter 15 The patient with factitious disorders or malingering in the emergency department
- Chapter 16 The patient with delirium and dementia in the emergency department
- Chapter 17 The patient with excited delirium in the emergency department
- Chapter 18 Medical illness in psychiatric patients in the emergency department
- Chapter 19 Acute care ofeating disorders
- Chapter 20 Management of the emergency department patient with co-occurringsubstance abuse disorder
- Section 4. Treatment of the psychiatric patient
- Section 5. Special populations
- Section 6. Administration of psychiatric care
- Index
Summary
This chapter describes the epidemiology of co-occurring disorder (COD), and discusses its assessment. It suggests the use of simplified diagnostic criteria to confirm substance use disorder (SUD) in a patient with known or suspected serious mental illness (SMI), assess and treat the patient with known or suspected SMI for a concurrent drug intoxication. The chapter also discusses disposition of the COD patient who is no longer acutely intoxicated, withdrawing or suffering from an acute medical condition. In the emergency department (ED) setting, patients with potential or known COD typically present with acute behavioral disturbance. The Drug Abuse Screening Test Modified for ED (DAST-ED) is adapted for specific use in the ED and is based on two well-known drug abuse screening tests that have been well studied and validated for use in the outpatient setting. Psychosocial treatments shown to be effective include motivational interviewing, cognitive behavioral therapy, and social skills training.
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- Behavioral Emergencies for the Emergency Physician , pp. 150 - 154Publisher: Cambridge University PressPrint publication year: 2013
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