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Bariatric Surgery and Psychiatric Care

The purpose of this resource document is to highlight the role of psychiatrists in the care of patients undergoing bariatric surgery. The document identifies key psychiatric components to pre-bariatric surgery assessment and aftercare, which underscore the need for integrated psychiatric services throughout patients’ bariatric surgery care.

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

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

Opposition to Cannabis as Medicine

The medical use of cannabis has received considerable attention as several states have voted to remove civil and criminal penalties for patients with qualifying conditions. Yet, on a national level, cannabis remains a schedule I substance under the Controlled Substances Act (CSA), the most restrictive schedule enforced by the Drug Enforcement Administration (DEA) (1). The Food and Drug Administration (FDA), responsible for approving treatments after appropriate and rigorous study, has not approv

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.

Access to Firearms by People with Mental Disorders

Gun violence is a major public health problem in our country. Recent data indicate that 19,392 people used a gun to kill themselves in 2010, and 11,078 killed someone else with a firearm (1). In 2003, the homicide rate in the United States was seven times higher than the average of other high-income countries (2). Although concern is understandably heightened when mass tragedies occur, the daily occurrence of scores of murders and suicides due to the use of guns rarely gets the attention afforde

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