Psychiatric-mental health advanced practice registered nurses (PMH-APRNs) are like water: they are flexible, they are fluid, and they go where they are needed. Deinstitutionalization of psychiatric patients resulted in not only more community-based treatment, but also new and expanded outpatient roles for psychiatric nurses. The third edition of Advanced Practice Psychiatric Nursing meets the practice standards developed by the American Psychiatric Nurses Association, the International Society of Psychiatric-Mental Health Nurses, and the American Nurses Association, which require all PMH-APRNs to have skills in psychotherapy, psychopharmacology, and holistic assessment. Each chapter reflects not only state-of-the-art knowledge, but decades of clinical wisdom. The book is divided into five sections: Section I provides an overview of the theoretical and evidence base for practice and an exploration of the concept of shared decision-making and reaching concordance between clinicians and clients. Section II explores the foundations necessary for the practitioner to implement integrated practice and discusses the synergistic effects of integrating practice concepts. This includes chapters presenting the overviews of psychotherapy, psychopharmacology, and complementary and alternative approaches in the context of the stages of treatment. A new chapter focuses on legal and ethical issues in treatment. Section III applies the information from previous chapters and focuses on integrative management of specific syndromes. The chapters discuss mood disorders, anxiety-related disorders, psychotic symptoms, sleep disturbances, disordered eating, disordered cognition, impulse control, disordered attention, self-directed injury, and other-directed violence. Section IV covers aspects of managing substance misuse, medical problems, pregnancy, telehealth, and forensic issues that often co-occur with psychiatric syndromes. A new chapter focuses on care for sexual and gender minority patients. Section V covers the importance of maintaining competence and quality in clinical practice. The section includes a new chapter on self-care among PMH-APRNs that focuses on resilience in practitioners, and the final chapter focuses on the global perspectives and the future of psychiatric-mental health advanced practice nursing.

This innovative book is the first to examine the contemporary psychological experience of African Americans through the lens of a positive, strengths-based model. It combats the deficit perspective that has permeated the psychological literature about African Americans by focusing on the strengths that have facilitated their growth and resilience—while also considering existing challenges and struggles. The author examines in depth the major areas of psychological research across family, peer, and romantic relationships, education, work, ethnic-racial socialization and identity, prosocial behavior and civic engagement, and the mental and physical health of African Americans today. With a focus on real life applications, the text includes pedagogical elements introducing topics in Current Events, Interventions in Practice, Individual Issues, African Cultural Values, and Media and Technology. Additional features include learning objectives in each chapter, discussion questions, a closing summary, an extensive trove of additional resources, and PowerPoints and a sample syllabus for instructors. One very important goal of this book is to elucidate the strengths of African Americans, but at the same time, not forget their history and current struggles. In the book, many chapters include history to help provide an understanding of where African Americans are coming from and why their progress is such an accomplishment. Furthermore, the current state of African Americans lives are discussed—the good, the bad, and the ugly. So while this is a book focusing on strengths, it would be unrealistic to ignore the current struggles of African Americans. We must note where growth is still needed. The book strives to navigate this fine line. The goal of the book is to elucidate the strengths that African Americans have while highlighting the struggles that continue and to note how strengths can be used to help more African Americans prosper psychologically, spiritually, economically, and physically.

Everyone loves animals. We learn about them in zoos and aquariums, rehabilitate them when they’re sick, observe their habits and abilities, and treat them as members of our families. One theme that is intentionally woven throughout the book is the importance of knowing a species’ natural history before making assumptions or drawing conclusions about an animal’s behavior. The book consists of eight chapters. All chapters include an “Animal Spotlight” and “Human Application” section. The book is divided into one history chapter, one theory and methods chapter, five content chapters, and a final chapter on future directions. In addition, it pays special attention to describing the different ways that researchers set up their studies to arrive at their conclusions. Chapter one and two discusses the history and methodology of animal cognition. Chapter three discusses animal consciousness. It takes an in-depth look at how philosophers and scientists have defined consciousness, specific cognitive abilities that might signal consciousness, and which animals can be said to have them, or a version of them. The main topics covered include theory of mind, self-awareness, and emotions. Chapter four focuses on communication. It addresses many different ways that animals communicate with each other, including vocal, gestural, and olfactory. Social cognition is featured in Chapter five. Social cognition involves the many complex ways in which animals engage socially among themselves. Chapter six addresses the overall flexibility of the animal mind. For centuries, there have been those who believe animals are mindless behaving machines. Finally, Chapter seven reminds that despite the fact research findings teaches what species on the whole can do, not all animals within a species are the same; individual differences exist. The final chapter eight brings everything together.

This book helps students to learn about fundamental brain functioning and to apply the information with various clinical populations with whom they may help to serve. It also helps the professor to advance beyond the typical mindset of teaching only the basics in brain functioning. The book is divided into two sections. In Section I of the book, a foundational framework of neuroscience is provided, including important historical events, patients, and neuroscientists as well as an explanation of all the different techniques used in understanding human behavior. The first part of the text also focuses on core foundations of brain functioning, with an emphasis on the important neural systems often found dysregulated in psychopathology. Clinical techniques such as electrophysiology recordings, neuroimaging techniques, MRI scans are also discussed. The second section of the text explores many areas of psychopathology from a behavioral, cognitive, and neurobiological perspective before describing typical effective strategies used to treat the various disorders. The various disorders that are covered in this section include childhood disorders such as attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), schizophrenia, mood disorders including bipolar disorder, anxiety disorders, the three types of eating disorders, anorexia nervosa, bulimia nervosa and binge eating, sleep disorders such as parasomnia and insomnia, substance disorders, and personality disorders including antisocial personality disorder and borderline personality disorder.

Human services professionals face tremendous challenges today. Clients, government agencies, and other funders increasingly expect professionals to produce measurable and verifiable outcomes. The main goal with this textbook is to help students better understand the utility of research to human services. That is to say, the book presents research as a tool for practice, something that can be used to help professionals in their work with clients, designing programs and services, and advocating for policy changes. In addition to presenting research as a tool for practice, the book also emphasizes connections between human service research and practice, stressing that each plays important and complementary roles in addressing social and personal problems. This textbook is primarily an introduction to social research as it relates to the human services. There are two new main features to this edition. Each chapter opens with a Vignette describing a situation in which a human services professional is faced with a task or dilemma that can be addressed through research or by employing a research technique in practice. The second new major feature is the Practitioner Profile, included in most chapters. These Practitioner Profiles present actual human services professionals who are not professional researchers but nonetheless incorporate research methods into their practice. Similar to the Practitioner Profiles, several chapters also include one or more Research in Practice features designed to help students better understand applications of research methods and concepts and the overall research process. At the end of each chapter, there is a list and brief description of the Main Points of the chapter, which serves as a review of the major concepts covered. Following the Main Points is a list of Important Terms for Review. Following the Important Terms for Review are three sets of questions, critical thinking, evaluating competency, and self-assessment.

Practitioners in the helping professions (e.g., nursing, social work, psychology) often serve perpetrators and survivors of interpersonal violence, and many are asked to make predictions about the likelihood of future violence. Knowledge about risk and risk factors is increasingly expected in courts, clinics, conference rooms, shelters, hospital emergency rooms, child protective service offices, schools, research settings, batterer intervention programs, parenting programs, domestic violence advocacy programs, and child abuse and intimate partner violence (IPV) prevention programs. This book reviews what is generally known about the prediction of violent behavior and then discusses implications for the prediction of interpersonal violence. It addresses the specific variables involved in the prediction of child abuse and neglect, child fatalities (including those that occur within the context of IPV), IPV, and femicide. This book represents the most current research, trends, and professional viewpoints regarding the prediction of interpersonal violence. It discusses in greater depth challenges with assessment measures and factors used to predict future violence. It is clear, however, that assessments of risk for future violence are improved when appropriately administered, psychometrically sound risk assessment scales are used. Furthermore, practitioners need to couple these objective measures with information collected on the characteristics of the perpetrator, the perpetrator’s relationship to the victim, the victim’s assessment of risk, the practitioner’s experience and judgment, and context-specific factors (e.g., poverty, unemployment, discrimination, social support).

This book examines new research regarding battered women and cross-cultural and cross-national issues, and addressed issues ranging from murder--suicide in domestic violence cases to proposed legislation and congressional resolutions. It reflects new research on traumatic responses, and addresses trauma-informed and trauma-specific psychotherapy, interventions with youth in juvenile detention centers, information from government task forces regarding children exposed to violence and juvenile justice, and new findings regarding the application of psychology to the legal system. Some of the battered women who already have been identified with a mental disorder that is exacerbated by the abuse or those who develop battered woman syndrome and posttraumatic stress disorder (PTSD) from the abuse itself may need some psychotherapy to help them heal and move on with their lives. The link between sex trafficking and domestic violence has also become much better known within the last 10 years. The concept of learned helplessness has been quite useful in expert witness testimony to help jurors understand how difficult it is for women to leave the relationship and why some women become so desperate that they must arm themselves against batterers. To eradicate domestic violence and violence in the community, people must stop modeling both sexist and violent behavior and change the divorce laws to empower children and abused women so they are no longer victimized by the abusers.

This book presents a unique pioneering classification system, written by the author of a bestselling textbook on functional behavioral assessment (FBA), for school psychologists and other personnel who conduct FBAs for problem behaviors. The Cipani Behavioral Classification System (BCS) is a pioneering function-based classification system for categorizing problem target behaviors in education and mental health settings. The Cipani BCS is theoretically sound as it is procured from the four major functions of operant behavior: Socially Mediated Access (SMA), Direct Access (DA), Socially Mediated Escape (SME), and Direct Escape (DE). Hence, such is content-valid given the extensive and longitudinal history of work and research in behavior analysis experimentally demonstrating functional relationships between behavior and its environmental outcome. From these four major categories of behavioral function, the Cipani BCS derives 13 subcategories or specific functions under these primary generic functions. For each function, there is a general description, explanation, and illustrative examples of the category. Also included are practice case illustrations to facilitate understanding of how to diagnose the function and its category. Using this system, assessment activities are more expertly guided by a cognizance of a number of potential diverse functions, and assessment becomes an iterative process. The delineation of a diagnostic phase as an outcome of assessment activities, until now, has not been cogently presented in other FBA materials.

This book is designed to provide essential knowledge and skills in behavioral health for all members of the primary care health team. It begins with a short history of the development of evidence for the value of the biopsychosocial model in primary care and an overview of the role of the behavioral health specialist in the primary care team. In order to provide context for the practice of behavioral health care, the book reviews the theoretical basis for understanding health behavior and the development of brief counseling methods for influencing patients to engage in healthier behaviors. Current epidemiological trends of some of the most common presenting conditions in primary care set the stage for moving into chapters on specific conditions, including diabetes, cardiovascular conditions, chronic pain, sleep disorders, geriatric conditions, cancer-related conditions, substance abuse, and obesity. Each of these chapters begins with a typical referral note from a primary care provider requesting a behavioral health assessment or intervention and concludes with a sample of how the behavioral health specialist might respond to the referral. These sample referrals and consultation notes are intended to provide a practical example of how the behavioral health specialist might function on a primary care team and how our patients might navigate an integrated health care system within the patient-centered medical home. The book concludes with a chapter on systems medicine, which will provide readers with a vision of the future of health care engaging the developing science of brain function and how the brain can be modified to improve our experience of health and wellness.

This book employs and transcends the customary methods of diagnosis and treatment by providing several unique assessment procedures, as well as many distinctive therapeutic recommendations. Major factors that have made brevity possible in psychotherapy are the learning-based, problem-focused, and solution-oriented approaches, and the evolution of sophisticated and effective techniques for biological assessment and intervention. Whereas many clinicians derided behavior therapists for their emphasis on being active, giving homework assignments, and maintaining specific foci, procedures of this kind have now become standard fare across a diverse range of brief therapies. Specific boundaries have been proposed to protect patients from exploitation and any form of harassment and discrimination, and to emphasize the significance of respect, integrity, confidentiality, and informed consent. In many circles these well-intentioned guidelines have reached a point of absurdity and are transformed into rigid straitjackets that force clinicians into a remote and cold posture. In addition to the psychotherapy literature, the author modernizes his eclectic and goal-oriented approach to psychotherapy. Using traditional acronym--BASIC I. D.--the author stresses the assessment of seven dimensions of a client’s personality: Behavior, affect, sensation, imagery, cognition, interpersonal relationships, and drugs/biology. In multimodal assessment, the BASIC I. D. serves as a template to remind people to examine each of the seven modalities and their interactive effects. The book demonstrates how brief multimodal therapy can be adapted and applied to specific disorders. When individual agendas, hidden or other, undermine a relationship, individual therapy is often essential before the couple can benefit from conjoint therapy. When distressed couples are relatively stable and are genuinely interested in achieving a harmonious relationship, salubrious outcomes can usually be achieved in six or seven sessions of “didactic instruction”.