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College Mental Health and Confidentiality

College homicides and suicides often precipitate reviews of regulations, statutes and case law governing treatment and confidentiality.1 In April 2007, for example, a college senior at Virginia Polytechnic Institute and State University killed 32 students and faculty, wounded many others and then killed himself. The review panel appointed by the Governor found significant confusion among university officials about the Family Educational Rights and Privacy Act (FERPA)2, the federal law governing

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.

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

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).

Xenophobia, immigration and mental health

Prepared by the Committee on Hispanic Psychiatrists While prejudice is defined as an evaluation (usually negative) of a social group or individual that is significantly based on their group membership, xenophobia can be considered a form of negative prejudice directed against a national or ethnic group. Historically, xenophobia has been associated with various large scale destructive acts of violence between peoples or by persons against other persons belonging to the “other” group. These in

Why Should More Psychiatrists Participate in the Treatment of Patients in Jails and Prisons?

People with serious mental illness are substantially overrepresented in the criminal justice system. (Steadman, et al. 2009; Fazel et al. 2016) This results in a higher prevalence of mentally ill patients in correctional facilities than in the community and the high proportion of justice-involved patients in county and state mental health systems. State hospitals that remain after decades of deinstitutionalization have seen their beds fill with large proportions of criminal court commitments whi

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