Harriet S.MeyerMD, Contributing Editor, JAMADavid H.MorseMS, Journal Review EditorRobertHoganMD, adviser for new media
There has long been a need for a resource book for physicians who deal with psychiatric emergencies in various settings. This excellent review book successfully updates our knowledge on many aspects of the psychiatric emergency service (PES).
The delicate status of the PES in the United States has been summarized by the editor. In his foreword, Dr Allen points at many factors that have led to a sharp rise in PES visits. He reminds the reader that many of the PES visits will be unpaid, which will discourage health care facilities from organizing this priceless service. Allen also notes that patients with substance abuse, confusion, agitation, and self-aggressive behavior are now managed in community settings, and hospitalizations are brief at best, leaving emergent psychiatric problems attenuated but not resolved. "Consequently, many clinicians feel pressure to keep their emergency assessment and management skills honed," he concludes.
Emergency PsychiatryEmergency Psychiatry. JAMA. 2002;288(23):3050-3051. doi:10.1001/jama.288.23.3050-JBK1218-3-1