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The Internet in clinical psychiatry

The goal of this resource document is to address the major areas of the use of the internet in communication with patients and the public in the practice of psychiatry. The rate of change of technological capabilities and their implementation is so rapid that the workgroup believes that it would be inappropriate to promulgate fixed rules for constantly changing situations. Rather, we seek to provide some questions to be considered when implementing any new communication technology with patients

Guidelines for psychiatrists in consultative, supervisory or collaborative relationships with nonphysician clinicians

The practice of psychiatry and of other mental health disciplines frequently occurs in the framework of organized health delivery systems. Psychiatrists are working with other professionals and nonprofessionals in hospital settings, community mental health centers, health maintenance organizations, as well as in group practices, and in consultative work with schools, family agencies, court clinics, etc. Interprofessional relationships are an essential aspect of good patient care and should be en

Telepsychiatry and Related Technologies in Clinical Psychiatry

The goal of this resource document is to address the major areas of the use of the internet in communication with patients and the public in the practice of psychiatry. The rate of change of technological capabilities and their implementation is so rapid that the workgroup believes that it would be inappropriate to promulgate fixed rules for constantly changing situations. Rather, we seek to provide some questions to be considered when implementing any new communication technology with patients

Syringe Exchange Programs

According to the office of the United States Surgeon General, syringe exchange programs are an effective public health intervention strategy that reduces the transmission of HIV and hepatitis. Syringe exchange programs do not encourage the use of illegal drugs, but seek to prevent the harm caused by unsafe drug use.

Physician Assisted Death

Over the past two decades, a number of US states have enacted statutes legalizing the practice of physician-assisted death (PAD).12 In 1997, Oregon passed the first statute that legalized PAD. Washington (2008), Vermont (2013), California (2015), and Colorado (2016) have followed suit. In addition, a state court ruling in Montana legalized PAD in 2009. In 2015, the Supreme Court of Canada ruled PAD to be legal and the Canadian Parliament subsequently enacted a law to implement PAD. In Febru

Risk Management and Liability Issues in Integrated Care Models

Upon full implementation of the Affordable Care Act, it is estimated that more than 32 million Americans will become insured and gain access to mental health and substance abuse services at parity (1). Despite considerable gains in the number of medical school graduates entering the field of psychiatry over the past ten years, it has become clear that the workforce of psychiatrists is not large enough, acting alone, to meet the needs of patients (2,3).

Guidelines for psychiatric “fitness for duty” evaluations of physicians

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.

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