collaborative-care | CARLAT PUBLISHING

Decisional Capacity

May 21, 2021

Erick Cheung, MD

Associate Medical Director, UCLA Resnick Neuropsychiatric Hospital. Chief Quality Officer, Department of Psychiatry, UCLA, Los Angeles, CA. Dr. Cheung has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Patients sometimes refuse necessary, even lifesaving, treatments. How do we know they are making informed and reasonable decisions? Dr. Cheung summarizes key points in evaluating patients’ decisional capacity.

CLINICAL UPDATE

Perioperative Pain Management in Opioid Use Disorder

March 19, 2021

Rehan Aziz, MD.

Rehan Aziz, MD. Associate Professor of Psychiatry and Neurology, Rutgers Robert Wood Johnson Medical School. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Previously, clinicians commonly stopped opioid agonists (methadone and buprenorphine) to simplify pain control during and after surgery. New guidance from the American Society of Addiction Medicine now suggests otherwise.

Management of Opioid Withdrawal in the Emergency Setting

March 19, 2021

Rehan Aziz, MD.

Rehan Aziz, MD. Associate Professor of Psychiatry and Neurology, Rutgers Robert Wood Johnson Medical School. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

An emergency department visit can be a “reachable moment” for people with unhealthy opioid use. Here, we review pharmacologic and harm-reduction strategies for use in those settings—and how to advocate for your patients when consulting with emergency clinicians.

CLINICAL UPDATE

Prescribing to Children of Divorce

March 12, 2021

Anthony Charuvastra, MD.

Anthony Charuvastra, MD. Adjunct Assistant Professor, NYU Langone Medical Center Department of Child and Adolescent Psychiatry. Dr. Charuvastra has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

What is the best approach to effective clinical care with families that are separated or divorced? This article covers the complexities, the legalities, and an expectation of collaboration that can help us to help children to receive good mental health care despite the inevitable differences between parents in these situations.

EXPERT Q&A

Opioid Use Disorders and Serious Mental Illness

December 10, 2020

Sandra Gomez-Luna, MD

Sandra Gomez-Luna, MD
Clinical Assistant Professor at Yale University. Adult, adolescent, and child psychiatrist in Darien, CT. Dr. Gomez-Luna has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Those with serious mental illness and unhealthy opioid use have special treatment considerations due to polypharmacy and overlapping stigma. Dr. Gomez-Luna walks us through these nuances and explains microdosing of buprenorphine—a helpful technique for starting treatment in patients who may have other opioids on board.

A New Way to Talk to Patients about Medication

August 30, 2019

Shawn Christopher Shea, MD

Shawn Christopher Shea, MD

Director of the Training Institute for Suicide Assessment and Clinical Interviewing. Internationally recognized innovator in the fields of clinical interviewing and suicide prevention and author of seven books, several of which are included in Doody’s Core List of the most important books in psychiatry and medicine. Dr. Shea has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Shawn Christopher Shea, MD has been fine-tuning the art of doctor-patient communications for over 30 years. He shares his tips on talking about medications.