The MGH White Book, formally known as the "Massachusetts General Hospital Handbook of General Hospital Psychiatry," is a comprehensive guide for psychiatric care in the general hospital setting. First published in 1974, this handbook has become a standard reference for clinicians, offering practical advice and guidance on managing psychiatric issues in patients with medical, surgical, and obstetrical conditions. The guide is designed to help healthcare professionals, including psychiatrists, psychologists, social workers, nurses, and other medical staff, navigate the complexities of providing psychiatric care in a non-psychiatric setting.
Overview of the MGH White Book

The MGH White Book is written by experts in the field of psychiatry and draws from the extensive experience of the Massachusetts General Hospital, one of the world’s premier psychiatric and medical institutions. The guide covers a wide range of topics, including psychiatric consultations, psychiatric emergencies, psychotherapeutic interventions, and the management of psychiatric medications. It also addresses special populations, such as children, adolescents, and older adults, and provides guidance on legal and ethical issues in psychiatric care.
Key Components of the MGH White Book
One of the key components of the MGH White Book is its emphasis on the biopsychosocial model of care. This approach recognizes that psychiatric issues are often intertwined with medical, social, and environmental factors, and that effective treatment must address these multiple dimensions. The guide provides practical strategies for assessing and managing psychiatric conditions in the context of medical illness, including delirium, dementia, and substance abuse. It also discusses the importance of communication and collaboration among healthcare providers, patients, and families in achieving optimal outcomes.
| Topic Area | Description |
|---|---|
| Psychiatric Consultations | Guidelines for requesting and conducting psychiatric consultations in the general hospital setting |
| Psychiatric Emergencies | Protocols for managing psychiatric emergencies, such as suicidal behavior and violent aggression |
| Psychotherapeutic Interventions | Overview of evidence-based psychotherapies, including cognitive-behavioral therapy and psychodynamic therapy |
| Psychiatric Medications | Guidance on selecting and managing psychiatric medications, including dosing, side effects, and interactions |

Key Points
- The MGH White Book is a comprehensive guide for psychiatric care in the general hospital setting
- It emphasizes the biopsychosocial model of care, recognizing the interplay between medical, social, and environmental factors
- The guide provides practical strategies for assessing and managing psychiatric conditions in the context of medical illness
- It discusses the importance of communication and collaboration among healthcare providers, patients, and families
- The MGH White Book is an essential tool for healthcare professionals working in general hospital settings
Applications of the MGH White Book in Clinical Practice

The MGH White Book has numerous applications in clinical practice, from guiding psychiatric consultations to informing the development of hospital policies and procedures. Its emphasis on evidence-based practice and patient-centered care makes it a valuable resource for healthcare professionals seeking to improve the quality and safety of psychiatric care in the general hospital setting. By drawing on the expertise of leading clinicians and researchers, the guide provides a unique perspective on the complexities of psychiatric care and offers practical solutions to common challenges.
Future Directions for the MGH White Book
As the field of psychiatry continues to evolve, the MGH White Book is likely to remain a leading resource for healthcare professionals. Future editions may incorporate new developments in psychiatric diagnosis and treatment, such as advances in neuroimaging and personalized medicine. The guide may also expand its coverage of special populations, such as patients with intellectual disabilities or those experiencing trauma. By staying current with the latest research and clinical innovations, the MGH White Book will continue to provide healthcare professionals with the knowledge and skills they need to deliver high-quality psychiatric care in the general hospital setting.
What is the primary focus of the MGH White Book?
+The primary focus of the MGH White Book is providing guidance on psychiatric care in the general hospital setting, with an emphasis on the biopsychosocial model of care and evidence-based practice.
Who is the intended audience for the MGH White Book?
+The intended audience for the MGH White Book includes healthcare professionals working in general hospital settings, including psychiatrists, psychologists, social workers, nurses, and other medical staff.
What topics are covered in the MGH White Book?
+The MGH White Book covers a wide range of topics, including psychiatric consultations, psychiatric emergencies, psychotherapeutic interventions, and the management of psychiatric medications. It also addresses special populations and provides guidance on legal and ethical issues in psychiatric care.
The MGH White Book is a comprehensive and authoritative guide for psychiatric care in the general hospital setting. Its emphasis on evidence-based practice, patient-centered care, and collaboration among healthcare providers makes it an essential tool for healthcare professionals seeking to improve the quality and safety of psychiatric care. By drawing on the expertise of leading clinicians and researchers, the guide provides a unique perspective on the complexities of psychiatric care and offers practical solutions to common challenges.