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Core Principle for Alternative Payment Models for Behavioral Health

The APA’s Position Statement enunciates 10 principles. These are presented below along with their supporting background information. The first principle declares that the predominant goals for behavioral health APMs should be defined as increasing access and improving quality of care for individuals with mental health and substance use disorders (MH/SUDs), in order to improve outcomes.

The Management of Depression during Pregnancy: A Report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists

Objective—To address the maternal and neonatal risks of both depression and antidepressant exposure and develop algorithms for periconceptional and antenatal management. Method—Representatives from the American Psychiatric Association, the American College of Obstetricians and Gynecologists and a consulting developmental pediatrician collaborated to review English language articles on fetal and neonatal outcomes associated with depression and antidepressant treatment during childbearing. Ar

Risk-Based Gun Removal Laws

In 2014, the American Psychiatric Association (APA) published a “Resource Document on Access to Firearms by People with Mental Disorders,”1 which addressed the complex relationship between firearms, mental illness, suicide, and violence. The document highlighted the limitations of existing legislative strategies, such as the National Instant Criminal Background Check System (NICS), in combating the problems of gun-related suicide and violence in the United States. It noted that registries like N

Psychiatric advance directives

Advance directives were developed in the context of end of life care and are generally associated with medical and surgical decision-making for permanently incapacitated patients. Within psychiatry, interest in advance directives has been expressed as a means of facilitating the treatment of individuals afflicted with serious mental illnesses (Appelbaum, 1979). These disorders are typified by recurrent episodes of severe, cognition-impairing symptomatology that often result in decisional i

Guidelines to District Branches for a policy on physician impairment

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

Mental Health and Climate Change

Climate change is recognized as one of the top threats to global health in the 21st century. Mental Health impacts of climate change are significant sources of stress for individuals and communities. The social and mental health consequences of extreme and slow-moving weather events are well documented, ranging from minimal stress and distress symptoms to clinical disorder, including depression, anxiety, post-traumatic stress, and suicidal thoughts (Arnberg et al., 2013; Fullerton et al., 2013;

Cultural Psychiatry as a Specific Field of Study Relevant to the Assessment and Care of All Patients

The comparative study of mental health and mental illness among diverse societies, nations, and cultures and the multiple interrelationships of mental disorders with cultural environments have occupied the interest of individual psychiatrists and psychiatric organizations in the U.S. and abroad for many years. The growth of international collaboration in psychiatry since World War II, the many advances in clinical methods and research, particularly in the last several decades, have greatly enhan

Access to firearms by people with mental ilnness

Resource Document on Access to Firearms by People with Mental Illness Approved by the Joint Reference Committee, June 2009 Reports of mass shootings and other serious firearmrelated violence, such as the Columbine shootings of 1999 and the Virginia Tech shootings in 2007, are often accompanied by indications that the perpetrator had some emotional disturbance or mental illness. These incidents have raised growing concern about access to firearms (1) by people with mental disorders. Current f

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