Complex patients are a sizeable population who generally require disproportionate attention for their management and respond poorly to treatment. Their systemic medical, psychiatric, and personal needs have a tendency to drain or exceed the capabilities of those who treat them while over-utilizing health care resources. As this patient population grows, we move ever closer to a crisis in health care delivery.
Our new book, Comprehensive Care for Complex Patients: the Medical-Psychiatric Coordinating Physician Model, by Steven A. Frankel, MD; James A. Bourgeois, OD, MD; and Philip Erdberg, PhD (Cambridge University Press, 2012), presents an innovative team-based approach for assessing and managing diagnostically complex and management intensive patients. The physician-led Medical-Psychiatric Coordinating Physician (MPCP) method not only improves patient treatment, but also provides for the containment of costs by reducing redundancy and curbing excess in the use of services. Other benefits include improved diagnostic accuracy and decision making, as well as better communication among physicians and allied health professionals. This book is essential reading for psychiatrists, primary care physicians, and physicians, directors, and administrators working in multidisciplinary specialty clinics.
This timely book provides:
- Guidelines to facilitate the effective identification, assessment, and treatment of clinically complex patients with mixed psychiatric and systemic medical illnesses
- Systematic and practical presentation of an innovative model created specifically for treating these patients
- Outcomes include improved case retention and symptom resolution, less wasted resources or overutilization of services, and greater patient satisfaction
Three forewords contributed by James Rundell, MD; Roger Kathol, MD; and Wolfgang Soellner, MD provide important context and commentary about the MPCP model.
What Others Say about Comprehensive Care for Complex Patients
“If you’re searching for a smarter, more effective way to take care of the 10% of patients who command 70% of our healthcare costs, this book is for you. The “complex patient” with co-morbid medical and psychiatric conditions demands a new approach and a new role for the psychiatrist leading the clinical care team. Here’s a richly detailed guide to tackling one of healthcare reform’s high priorities.”
— Lawson Wulsin, MD, Professor of Psychiatry and Family Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
“Today, organized medicine struggles with the disorganized havoc that complicated patients routinely wreak on the efficiency of systematized, evidence-based, protocolized, ultimately simplistic practice approaches. Models that embrace complexity are needed. For those of us laboring to make sense of the clinical maelstroms within which we spin – too often in isolation – this book offers ideas and reassurance to help master the storm rather than founder in its vortex. It provides a cerebral roadmap for overwhelmed and desperate clinicians striving to blaze sensible trails through senseless systems of care.”
— J. Michael Bostwick, MD, Professor of Psychiatry, Mayo Clinic, USA
“With this book, these experienced clinicians propose a very innovative model of clinical medical-psychiatric work with complex patients. The MPCP model identifies, structures, and integrates the key elements needed to comprehensively understand the diagnostic and therapeutic aspects pertinent to efficiently and collaboratively approach a patient’s medical-psychiatric condition. Not only do the authors present the model, they also guide the reader step by step through the implementation process, its essential phases, pitfalls, and risks.”
— Fabien Gagnon MD, DPsy, CCFP, CSPQ, FRCPC, FCFP, DFAPA, DFCPA, FAPM, Co-founder of the Canadian Academy of Psychosomatic Medicine, Professor, Head of the Division of Consultation-Liaison Psychiatry and Psychosomatic Medicine, Department of Psychiatry and Neurosciences, Universite Laval, Quebec, Canada
“Doctors Frankel, Bourgeois, and Erdberg’s detailed and honest book deliberately exposes an embarrassing secret – that medical care in our society is unnecessarily divided. With decades of clinical experience each, they quietly encourage a revolution in the way we practice medicine. Why accept the artificial schism between mind and body when integration of care is so intuitive and effective? The “MPCP” model suggests that, rather than limiting ourselves by self-imposed boundaries, physicians, particularly psychiatrists, explore the full spectrum of a patient’s mental and physical health, utilizing “truing” measures that enable us to judge our work by concrete results.”
Debra Kahn, MD, Assistant Clinical Professor, Department of Psychiatry and Behavioral Sciences and Director, Psychosomatic Medicine Service, University of California at Davis, Sacramento, CA, USA
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