American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders: Compendium 2006 Reviews

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American Psychiatric Association (APA) Practice Guidelines provide recommendations to help psychiatrists make treatment decisions that are supported by the best available evidence, including from current research and expert consensus. The guidelines are developed by expert work groups, who review available evidence using an explicit methodology. Iterative drafts undergo wide review by other experts, allied organizations, and the APA membership. Every guideline is also reviewed and approved for publication by the APA Assembly and Board of Trustees. This process balances the conclusions of scientific research with the practical experience of professionals working in the field. In addition to providing recommendations that may improve patient care, the guidelines may be used for education by medical students and residents, psychiatrists seeking recertification, other mental health professionals, and the general public. Researchers may use the guidelines to identify important clinical questions for which more research could be expected to improve treatment decision making. The thirteen Practice Guidelines are -Psychiatric Evaluation of Adults, Second Edition -Delirium -Alzheimer's Disease and Other Dementias of Late Life -HIV/AIDS -Substance Use Disorders, Second Edition -Schizophrenia, Second Edition -Major Depressive Disorder, Second Edition -Bipolar Disorder, Second Edition -Panic Disorder -Acute Stress Disorder and Posttraumatic Stress Disorder -Eating Disorders, Third Edition -Borderline Personality Disorder -Suicidal Behaviors These guidelines help you -Understand clinical features and symptoms -Make a confident differential diagnosis -Evaluate interventions commonly used to treat specific disorders -Select the appropriate site of service -Educate the patient and family -Assess the efficacy and risks of available medications -Develop an individualized treatment plan Interactive continuing medical education programs for many of the individual practice guidelines are available on the APA's web site (www.psych.org/cme). Each program offers AMA PRA Category 1 CreditsA that are accepted by the APA and the American Medical Association. The American Board of Psychiatry and Neurology (ABPN) has reviewed the APA Practice Guidelines CME Program and has approved it as part of a comprehensive lifelong learning program, which is mandated by the American Board of Medical Specialties as a necessary component of maintenance of certification.

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This book contains Quick Reference Guides (QRGs) to all of the published APA Practice Guidelines. QRGs are created by abstracting the crucial information from the text of the full guideline, with greatest emphasis placed on retaining the material most directly relevant to the treatment decision making, and are intended for day-to-day work with patients.
This compendium contains 13 Quick Reference Guides:

• Acute Stress Disorder and Posttraumtic Stress Disorder
• Alzheimer’s Disease and Other Dementias of Late Life
• Borderline Personality Disorder
• Bipolar Disorder
• Delirium
• Eating Disorders
• HIV/AIDS
• Major Depressive Disorder
• Panic Disorder
• Psychiatric Evaluation of Adults
• Schizophrenia
• Substance Use Disorders
• Suicide

Each guide is derived from the full text of a practice guideline developed by the American Psychiatric Association (APA) and published originally in The American Journal of Psychiatry. The purpose of these QRGs is to facilitate clinical use of APA’s practice guidelines by physicians. Although the practice guidelines provide detailed recommendations for treatment and comprehensively describe the evidence to support those recommendations, their length and text format do not allow for easy use in the psychiatrist’s day-to-day work with patients.
Crucial information is abstracted from the full guideline to ensure that the QRG closely follows the wording of the parent guideline. The abstracted text is then shortened further, with greatest emphasis placed on material most directly relevant to treatment decision making. Thus, material about diagnosis, epidemiology, and other background information is not included. Similarly, because of constraints on length, most of the information regarding treatment for special populations is excluded. The QRG is reviewed and approved by the Executive Committee for Practice Guidelines.
Central to proper use of these QRGs is recognition that they do not stand alone. The psychiatrist using them should be familiar with the full-text practice guideline on which each QRG is based. For clarification of a recommendation or for a review of the evidence supporting a particular strategy, the psychiatrist will find it helpful to return to the guideline. With rare exception the QRG faithfully reflects the content of the guideline. Exceptions are specifically noted in the QRG.
Each quick reference guide presents the major recommendations and their sequencing with enough detail to be both clinically helpful and practical to use.

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