The DSM-IV® brings this essential diagnostic tool up-to-date, to promote effective diagnosis, treatment, and quality of care. Now you can get all the essential diagnostic information you rely on from the DSM-IV® along with important updates not found in the 1994 edition.

Stay current with important updates to the DSM-IV®:

• Benefit from new research into Schizophrenia, Asperger’s Disorder, and other conditions

• Utilize additional information about the epidemiology and other facets of DSM conditions

• Update ICD-9-CM codes implemented since 1994 (including Conduct Disorder, Dementia, Somatoform Disorders)

DSM-IV-TR, the handheld version of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, is now available for both Palm OS and PocketPC handhelds. This Text Revision incorporates information culled from a comprehensive literature review of research about mental disorders and includes associated features, culture, age, and gender features, prevalence, course, and familial pattern of mental disorders. And with Skyscape's patented smARTlink™ technology, DSM-IV-TR can easily cross-index with other clinical and drug prescription products from Skyscape to provide a powerful and integrated source of clinical information that you can carry with you wherever you go!

In making DSM-IV diagnosis, clinicians and researchers may find it convenient to consult the Quick Reference to the Diagnostic Criteria From DSM-IV-TR®, a pocket sized book that contains the classification, the diagnosis criteria, and a listing of the most important conditions to be considered in a differential diagnosis for each category.

Changes were made to the following diagnostic criteria:

• Personality Change Due to a General Medical Condition
• Paraphilias
• Tic Disorders

Selected Models of Practice in Geriatric Psychiatry presents various settings in which psychiatrists treat elderly patients and describes for each setting <ul> • targeting and identification of patients • common clinical problems • approaches to treatment • physical plant and staffing requirements • administrative issues • reimbursement sources

Highly informative and easy to use, this eminently practical volume is organized into three major parts: Part A contains treatment recommendations (Section I, treatment summaries; Section II, treatment plans; Section III, special clinical considerations; and Section IV, risk management issues during treatment), Part B presents the evidence underlying these treatment recommendations (Section V, an overview of DSM-IV-TR criteria, prevalence rates, and natural history and course; and Section VI, a review of existing treatment literature), and Part C summarizes those areas in which better research data are needed.

Remarkably concise and comprehensive, this practice guideline continues to be an indispensable reference for every clinician who treats patients with this heterogeneous and complex disorder.

The APA makes Practice Guidelines available to help improve patient care and give members access to the latest information and research. Intended as a professional resource and not a "standard of care", the Practice Guidelines provide convenient summaries of what we know about key mental disorders and the effectiveness of specific treatments.

The eleven Practice Guidelines are:

<ul><li>Alzheimer's Disease and Other Dementias of Late Life <li>Bipolar Disorder, Second Edition <li>Borderline Personality Disorder <li>Delirium <li>Eating Disorders, Second Edition <li>HIV/AIDS <li>Major Depressive Disorder, Second Edition <li>Panic Disorder <li>Psychiatric Evaluation Of Adults <li>Schizophrenia, Second Edition <li>Suicidal Behaviors

These guidelines help you: <ul><li>Understand clinical features and symptoms <li>Make a confident differential diagnosis <li>Evaluate interventions commonly used to treat specific disorders <li>Select the appropriate site of service <li>Educate the patient and family <li>Assess the efficacy and risks of available medications <li>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. Each program offers Category 1 CME credits 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.

<ul><li>Alzheimer's Disease and Other Dementias of Late Life <li>Borderline Personality Disorder <li>Bipolar Disorder <li>Delirium <li>Eating Disorders <li>HIV/AIDS <li>Major Depressive Disorder <li>Panic Disorder <li>Schizophrenia <li>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.

Primary care physicians are often the first or only medical professionals to see patients with psychiatric and mental disorders. Until now, they have lacked a diagnostic tool geared to the primary care setting. The DSM-IV& #174;-PC is the first manual of mental disorders created specifically for use by primary care physicians. Developed as a collaborative effort between psychiatric and primary care organizations, this concise, user-friendly manual is a must-have resource for every primary care physician. Unlike other versions of DSM-IV, this manual is compatible with how the physician manages the primary care visit.

To aid the primary care physician's diagnosis, DSM-IV& #174;-PC focuses on common conditions, such as anxiety, depression, and substance abuse. It is epidemiologically oriented, with the most common and most important disorders listed first. This unique publication includes conditions that are common in primary care but that are not as well characterized in DSM-IV. Using an algorithmic format, DSM-IV& #174;-PC assists practitioners in moving from presenting symptoms to diagnosis. Symptoms and features that discriminate among disorders are emphasized. Students and residents will also benefit from this new format, making this text an outstanding curriculum tool for medical education.

Additional benefits of DSM-IV& #174;-PC include its compatibility with other prevailing coding schema, including DSM and ICD-9-CM. Thus, it enhances reliable, valid communication among health specialties and ensures applicability for coding and reimbursement. It also includes an abbreviated description of disorders usually first diagnosed in childhood.

The complete program includes an Examination Booklet with Answer Sheet, a Syllabus (in print and CD-ROM formats), a Personal Score Report with accompanying Critique and Reference Book, and Performance Interpretation Guidelines.

Please note: Residents receive the syllabus on CD-ROM only (no print syllabus) and members/nonmembers receive the syllabus in print and on CD-ROM.

CME credit is available by completing a CME self-study test based on the material presented in this practice guideline, then mailing the form and the fee to the APA Office of Research.

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians.

The APA designates this educational activity for up to 3.0 hours in Category 1 credit toward the Physicians Recognition Award of the American Medical Association and for the CME requirement of the APA. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

Using similar formats and definitions, each task force considered a matrix of priority areas of care, including specific patient populations (e.g., elderly, seriously and persistently mentally ill, developmentally disabled people) and diagnostic categories (e.g., depressive disorder, schizophrenia, substance use disorders). Each then examined important aspects of patient care and constructed a quality framework that included dimensions of access, quality (appropriateness of care), perception of care (satisfaction), outcome, and—for the children’s report—prevention.

Each task force also considered relevant methodological issues: cultural, linguistic, and ethnic differences; data collection and tracking; confidentiality of data; risk adjustment; use of rating scales and standardized instruments; and designation of standards.

Sample recommended goals include

<ul><li>For adults: patients with serious and persistent mental illness should have access to newer generations of antipsychotic medications as these become available; patients should achieve a significant reduction in symptom. <li>For children and adolescents: the mental health status of children and adolescents should be assessed annually; children with severe or persistent mental illness whose care involves multiple child-serving systems, caregivers, and service providers should have their care coordinated

Sample indicators include

<ul><li>For adults: utilization of new antipsychotics for patients with the diagnosis of schizophrenia; reduction in frequency of panic attacks in patients with the diagnosis of panic disorder <li>For children and adolescents: high levels of satisfaction of adolescents using mental health services or substance abuse services; reduction in a family’s stress level and impact of illness

As the initial step in what must be an evolving effort by clinicians to define, measure, report, and improve the care that patients and their families receive, this monograph is essential reading for those who provide and receive care, accredit and regulate care, and purchase and administer clinical services.

Purchasers of mental health care want clear, reliable, meaningful, and comparable information on what care is provided and with what results. APA convened these two task forces to lend its professional expertise to that issue, to advise on how to develop clinically based, patient focused quality indicators that use existing and ongoing research and clinical consensus in selecting potential indicators.

* Reviews several studies of early therapeutic school-based prevention programs such as Head Start, the New Haven School Development Program, Project Giant Step, Success for All, and preschool intervention programs * Examines issues related to the effects of environmental stress and of medical issues on developing psychopathology * Reviews the effects of mentally ill parents on a child's development, including both stress and heredity factors * Presents studies of the outcome of pathology for children with specific psychiatric diagnoses, such as in children with chronic medical illnesses, childhood traumas, mood and anxiety disorders, attention-deficit/hyperactivity disorder, conduct disorders, and eating disorders * Considers the effects of race, gender, and comorbidity on later development of pathology * Provides insight into the long-term effects of a child's disorder on other family members and presents research that helps us understand which childhood mental health problems children outgrow and which lead to later psychopathology

This invaluable resource consolidates current knowledge about the factors promoting or deterring children's development toward healthy adulthood. It is especially helpful in assisting practitioners with clinical decision making.