Integrated Care for Complex Patients

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

Part I. Introductory Section.- 1. Historical perspectives.- 2. Description of the "outpatient" settings for the cases reported in this book.- 3. Assessment.- 4. Beyond Algorithms.- 5. Measurement of progress and outcome in complex medical situations.- Part II. Case Studies.- 6. Incremental decisions and models for care in complex pediatric cases.- 7. Incremental decisions and models for care in family medicine.- 8. Incremental decisions and models for care for paraphilia with medical complexity.- 9. Incremental decisions and models for care in neurodegenerative disease.- 10. Incremental decisions and models for care in complex neurological cases.- 11. Incremental decisions and models for care with neuromuscular illness.- 12. Incremental decisions and models for care with Medical- Psychiatric illness: the need for integration of care.- 13. Incremental decisions and models for care in complex geriatric cases.- 14. Incremental decisions and models for care for cases emphasizing pain and palliative care.- 15. Incremental decisions and models for care for substance use disorders.- 16. Incremental decisions and models for treating medically complex cases involving end of life care.- Part III. Summary and Conclusions.- 17. Summary of our observations and experience drawn from the case studies presented in this book.- 18. Conclusions and new ideas about care and care delivery for complex patients in outpatient settings, using our experience as represented in the case studies presented in this book.