Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service: What Happens to Children with Acute Mental Illness

Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service: What Happens to Children with Acute Mental Illness

Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service: What Happens to Children with Acute Mental Illness

Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service: What Happens to Children with Acute Mental Illness

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Overview

Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service: What Happens to Children with Acute Mental Illness takes the reader inside the child psychiatry emergency room at Massachusetts General Hospital (MGH) in Boston. Each chapter highlights both the child's dilemma and the doctors' thought processes, and stresses the elements of rapid assessment. The real-life patient stories also offer myriad teaching points about child development and the warning signs of illness, and provide compelling lessons regarding types of interactions with school systems, health care systems, and family systems. Each individual story presents the breadth and depth of the child psychiatric emergency evaluation at MGH, from initial assessment to disposition, presenting a genuine glimpse into the children's psychiatric emergency room at one of the nation's most famous psychiatric departments. This book demonstrates vividly how even the best-intentioned communities can fail to offer services to their neediest families. Each story presents a fascinating glimpse into the complex and sometimes tragic world of child psychiatry on the front lines.


Product Details

ISBN-13: 9780313399503
Publisher: ABC-CLIO, Incorporated
Publication date: 07/06/2012
Series: The Praeger Series on Contemporary Health and Living
Sold by: Barnes & Noble
Format: eBook
Pages: 115
File size: 372 KB

About the Author

Laura M. Prager, MD, is assistant professor of psychiatry (child psychiatry) at Harvard Medical School and director of the Child Psychiatry Emergency Service at Massachusetts General Hospital.

Abigail L. Donovan, MD, is assistant psychiatrist at Massachusetts General Hospital and clinical instructor of psychiatry at Harvard Medical School.

Table of Contents

Acknowledgments ix

Introduction xi

1 Safe to Return to School? 1

2 Ghostly Drawings 9

3 A Wounded Son 17

4 Do You See What I See? 23

5 Cornered and Contaminated 31

6 The Whirling Dervish 41

7 The Astronomer 51

8 It's Just a Cold 59

9 Children Come with Parents 67

10 Little Bear 77

11 "We Ain't No Delinquents, We're Misunderstood" 85

12 Suicide by Security Blanket 95

Afterword 105

Glossary 107

Index 111

What People are Saying About This

Andrés S. Martin

"The growing awareness of childhood mental illness has uncomfortably collided with fewer community resources through which to provide effective care. Overburdened emergency rooms across the nation have often become the one available clinical haven for children and their families at times of need. In Suicide by Security Blanket, Prager and Donovan capture with palpable empathy and concern the realities of these seldom-seen regions. Their book alerts us to a rising pediatric tide we ignore at our own peril."

Carolyn Roy-Bornstein

Suicide by Security Blanket, and Other Stories from the Child Psychiatry Emergency Service is a rare and candid look at the state of child psychiatry today. In twelve unflinchingly told vignettes, Laura Prager and Abigail Donovan, two child psychiatrists from Massachusetts General Hospital, limn the fine balance between the pathologic and the merely unusual, the dangerous and the just wild ... The book alternates between scene and narration, showing us clinical scenarios in painful detail, then sharing with us the doctors’ thought processes and decision-making strategies ... A compelling read and should be required reading for any child psychiatry residency program.”

Elizabeth Berger

"This unusual, refreshing, and valuable book presents the stories of individual children in the psychiatric emergency room, with a clarity and depth of detail rarely accessible to an audience of general readers. Each case is presented from multiple viewpoints: the child, the family, and the responding professional team. Engrossing as these narratives are as specific cases, they also speak eloquently to the overall failures in social responsibility which help propel families and children into crisis. The vignettes beautifully reflect the complexity and sometimes ambiguity of real-life emergency room child psychiatry while remaining coherent and comprehensible to the layperson. At the same time, the inadequacy of our system of mental health services for children and adolescents is painfully apparent. This volume is a clearly-expressed, sensible, and persuasive addition to public dialogue on mental health care as it meets (at its best) and does not meet (as is typical) urgent psychiatric needs of children and families."

Andrés S. Martin

"The growing awareness of childhood mental illness has uncomfortably collided with fewer community resources through which to provide effective care. Overburdened emergency rooms across the nation have often become the one available clinical haven for children and their families at times of need. In Suicide by Security Blanket, Prager and Donovan capture with palpable empathy and concern the realities of these seldom-seen regions. Their book alerts us to a rising pediatric tide we ignore at our own peril."

Andres S. Martin

"The growing awareness of childhood mental illness has uncomfortably collided with fewer community resources through which to provide effective care. Overburdened emergency rooms across the nation have often become the one available clinical haven for children and their families at times of need. In Suicide by Security Blanket, Prager and Donovan capture with palpable empathy and concern the realities of these seldom-seen regions. Their book alerts us to a rising pediatric tide we ignore at our own peril."

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