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    Psychotherapy notes provision of the Health Insurance Portability and Accountability Act (HIPPA) pri

    The Final HIPPA Privacy Rule defines psychotherapy notes as an official record, created for use by the mentalhealth professional for treatment, @recorded in any medium…documenting or analyzing the contents of conversation during a private counseling session or a group, joint or family counseling session that are separated from the rest of the individual@s medical record...@ 45 C.F.R. § 164.501 (65 Fed. Reg. at 82805) (emphasis added). The Rule does not protect psychotherapy notes whe

    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.

    Mental Health Issues Pertaining to Restoring Access to Firearms

    Mental health courts (MHCs) are one of a range of “problem-solving courts” operated on the premise that the criminal law can be used to therapeutic ends to the benefit of both individual defendants and society as a whole, a concept known as therapeutic jurisprudence (Winick 2003). Other examples of problem-solving courts include homelessness courts, veterans’ treatment courts, and domestic violence courts. Many psychiatrists are unfamiliar with MHCs despite their rapid expansion in recent years.

    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

    QTc Prolongation and Psychotropic Medications

    Psychiatrists and other clinicians frequently prescribe psychotropic drugs that may prolong cardiac repolarization, thereby increasing the risk for torsades de pointes (TdP). The corrected QT interval (QTc) is the most widely used and accepted marker of TdP risk. This resource document was created in response to the paucity of strong evidence to guide clinicians in best practice prescription and monitoring of psychotropic medications that may increase risk of TdP.

    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

    Suicide in Communications and Media

    Suicide is a leading cause of death in the United States. Research demonstrates that how media reports on suicide and suicide attempts may either increase contagion risk or decrease the risk of future suicide attempts, rendering the issue a matter of public health and safety.

    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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