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    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

    Social Determinants of Mental Health in Children and Youth

    The field of psychiatry is at a historic precipice in advancing a more equitable society and mental health care system. A deeper understanding of the interplay between social determinants and mental health conditions is critical and is a core skill of structural competency.

    Physician Health Programs in the Treatment of Substance Use Disorders in Physicians

    In 1974, the American Medical Association (AMA) acknowledged physician impairment from alcoholism and drug dependence occurs, and recognized alcoholism and addiction as illnesses. Physician illness and impairment exist on a continuum with illness typically predating impairment, often by many years. This is a critically important distinction. Illness is the existence of a disease. Impairment is a functional classification and implies the inability of the person affected by disease to perform spec

    Advocating for Anti-Racist Mental Health Policies with a Focus on Dismantling Anti-Black Racism

    Racial injustices have long contributed to mental health disparities for minority and underserved populations. More than 50 years ago, Dr. Melvin Sabshin and colleagues documented the “structured pattern of racism” in psychiatry in a series of articles in the American Journal of Psychiatry. Insufficient progress has been made in eradicating institutionalized racism in psychiatry. Race-based disparities in psychiatric care and mental & behavioral health reflect this lack of progress and reproduce

    Education and Training for Substance Use Disorders

    Current training of physicians in the recognition and treatment of substance use disorders (SUD) is inadequate to meet the needs of such a diverse and growing population of patients. Medical schools, physician training (residency) programs, and continuing education programs for physicians in practice, provide limited training in the treatment of SUDs. The scope of training on SUDs is disproportionate to the population health need to address these problems, and many with SUDs go undiagnosed and u

    Physician Health Programs

    This Resource Document aims to highlight some important safeguards and best practices for Physician Health Programs (PHPs) for physicians who seek help voluntarily from PHPs as well as those who are mandated participants. These suggestions are intended to help PHPs and their affiliates to align their practices and procedures with the goals of treatment and to minimize the risk of adverse outcomes, both for the public and for the physicians who participate in PHPs.

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