Integrated Care for Complex Patients - A Narrative Medicine Approach

This book presents case-based descriptions of models for the inclusive, multispecialty and multidisciplinary clinical care of complex cases. Cases range from  primary care patients with complex systemic medical and psychiatric comorbidity, to those requiring specialty care, to those with potentially terminal illnesses. While each category and case has its unique requirements often necessitating different models of care, the commonalities in approaching complex clinical situations is underscored. Extended case narratives written by the treating physicians, summarizing both the course of clinical care and physicians' reflections on the challenges of managing complex patients, comprise the bulk of the book.  Five additional chapters on systems issues associated with care of complex patients, together with a chapter on end of life considerations, a narrative analysis of the physicians reflections about complex patients, and a concluding chapter are prominently included to anchor the case narratives. Written by experts in the field, these descriptions form unique models for assessing and treating complex cases.

Integrated Care for Complex Patients is a useful guide for all health practitioners and health administrators who are responsible for clinically complex cases, including physicians in  primary care and psychiatry, physician assistants and nurse practitioners, and psychologists.

Steven A. Frankel, MD
Director, The Center for Collaborative Psychiatry, Psychology, and Medicine
Marin County, California
Associate Clinical Professor
University of California at San Francisco
School of Medicine
San Francisco, California
Faculty, San Francisco Psychoanalytic Institute
Psychiatric Consultant
Kentfield Rehabilitation and Specialty Hospital
Kentfield, CA

 
Until August 2017
James A. Bourgeois, O.D., M.D.
Professor of Clinical Psychiatry
Department of Psychiatry
Director, Psychosomatic Medicine Division
Langley Porter Psychiatric Institute
University of California, San Francisco
Weill Institute for Neurosciences
401 Parnassus Avenue
San Francisco CA 93143-0984
415-476-9289; fax 415-476-7404
Email: james.bourgeois@ucsf.edu
 
As of August 2017
Chair, Department of Psychiatry
Baylor Scott & White Health Central Texas Division
Professor, Psychiatry, Texas A+M School of Medicine
2401 South 31st Street
Temple, Texas 76508