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Involuntary Outpatient Commitment

Involuntary outpatient commitment is a form of court-ordered outpatient treatment for patients who suffer from severe mental illness and who are unlikely to adhere to treatment without such a program. It can be used as a transition from involuntary hospitalization, an alternative to involuntary hospitalization or as a preventive treatment for those who do not currently meet criteria for involuntary hospitalization. It should be used in each of these instances for patients who need treatment to p

Reclassification of ECT Devices

On December 26, 2018, the Food and Drug Administration (FDA) issued a final order regarding the reclassification of devices for administration of electroconvulsive therapy (ECT).i On the basis of device risk and the steps needed to give reasonable assurance of safety and effectiveness, the FDA categorizes medical devices into one of three classes (Class I, II, or III), with Class I devices generally posing the lowest risk to the patient.ii As part of a broader statutory requirement to re-categor

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).

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.

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

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