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Resource Documents

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79 Results

Alternatives to managed care

  • 2005

Although knowledge is increasing regarding specific pathways and specific brain areas involved in mental disease states, at present the use of brain imaging to study psychiatric disorders is still considered a research tool. Continued study of child and adolescent psychiatric disorders using a variety of brain imaging methods, as well as refinements in imaging techniques, may result in evidence supporting the utility of these tools for clinical work in the future. Imaging research cannot yet be used to diagnose psychiatric illness and may not be useful in clinical practice for a number of years. In the future, imaging techniques may be useful to examine medication effects and predict medication response.

Guidelines for psychiatric “fitness for duty” evaluations of physicians

  • 2004

Psychiatrists are often called upon to evaluate a physician’s fitness for duty. Specific questions may center on the presence of psychiatric or neuropsychiatric impairment. In these cases, the psychiatrist may be asked to examine the physician, prepare a report of detailed diagnostic findings and treatment options, and offer an opinion regarding fitness for duty.

Consensus statement on "Managing the risks of repetitive transcranial stimulation"

  • 2004

In response to the changing managed care environment, the APA Committee on Managed Care established a subcommittee to document the changes in managed care and to begin the process of thinking about alternative healthcare financing systems. The Committee undertook writing a resource document for APA members to identify and describe the changes that are occurring in the healthcare sector and to prepare them for changes that may occur so that psychiatry can be proactive in meeting these challenges

Psychotherapy notes provision of the Health Insurance Portability and Accountability Act (HIPPA) pri

  • 2002

The Final HIPPA Privacy Rule defines psychotherapy notes as an official record, created for use by the mentalhealth professional for treatment, “recorded in any medium…documenting or analyzing the contents of conversation during a private counseling session or a group, joint or family counseling session that are separated from the rest of the individual’s medical record...” 45 C.F.R. § 164.501 (65 Fed. Reg. at 82805) (emphasis added). The Rule does not protect psychotherapy notes when defending a malpractice suit brought by a patient or for satisfying documentation requirements of a licensing authority because it allows disclosure without authorization for these purposes. Save for very few other exceptions (1), “psychotherapy notes” cannot be disclosed to anyone without the patient’s specific authorization. Furthermore, such authorization cannot be compelled for payment, underwriting, or plan enrollment (emphasis added).

Mandatory outpatient treatment

  • 1999

Mandatory outpatient treatment refers to court-ordered outpatient treatment for patients who suffer from severe mental illness and who are unlikely to be compliant with such treatment without a court order. Mandatory outpatient treatment is a preventative treatment for those who do not presently meet criteria for inpatient commitment. It should be used for patients who need treatment in order to prevent relapse or deterioration that would predictably lead to their meeting the inpatient commitment criteria in the foreseeable future.

Peer review of expert testimony

  • 1996

The American legal system seeks justice through the adversarial process. The adversarial process, by its very nature, tends to highly polarize ideas. At times psychiatrists who testify as expert witnesses in court or similar settings have been perceived in the popular, legal and medical literature as either deficient in knowledge or to have knowingly behaved in an unethical manner to advance the cause of the party who hired them.(1-6) Sometimes these perceptions are not accurate. Other times they are true. This paper attempts to outline the problem and discuss possible solutions.

Guidelines to District Branches for a policy on physician impairment

  • 1990

The American Psychiatric Association has resolved to promote the mental and physical health of all physicians toward the goal of insuring optimum care of patients, protecting the public from possible harm by an impaired physician, preventing loss of valuable medical manpower, and helping the impaired physician regain health and productivity. The APA recognizes that psychiatrists, like other physicians, are at risk for impairment by mental and physical disorders, including addiction (or substance abuse). All physicians have an ethical obligation to assist colleagues who are impaired, including those who avoid and resist treatment.

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