By Paul S. Appelbaum MD, Thomas G. Gutheil MD
Thoroughly up to date for its Fourth version, this award-winning instruction manual provides psychological well-being execs authoritative suggestions on how the legislations impacts their medical perform. each one bankruptcy offers case examples of criminal matters that come up in perform, in actual fact explains the governing criminal ideas, their intent, and their medical impression, and provides concrete motion courses to navigating clinico-legal dilemmas. This variation addresses the most important fresh advancements together with new federal ideas preserving sufferers' privateness, rules minimizing use of seclusion and reticence, legal responsibility hazards linked to more moderen psychiatric drugs, malpractice dangers in forensic psychiatry, and new dependent review instruments for violence hazard, suicidality, and decisional capacity.
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Additional resources for Clinical Handbook of Psychiatry and the Law (CLINICAL HANDBOOK OF PSYCHIATRY & THE LAW
But that doesn’t negate the importance of responding to the situation in a clinically appropriate manner. In the usual situation, this request is an expression of certain fantasies about the state of the treatment and requires, among other things, exploration in the therapy and a reality response. ” One attempts, in managing this, to deal with concerns and questions in the usual exploratory manner. , the patient may believe that some of his secret thoughts are being read or that accusing indictments are being leveled at him in the content of the record, and that this record is being revealed or is potentially revealable to third parties).
Write or dictate promptly and legibly. Note cancellations, no-shows, late shows, and follow-up. Put a name or identifier on each page to permit refiling if separated from the chart. Appelbaum_CH01_001-032 26 10/26/06 6:10 PM Page 26 APPELBAUM & GUTHEIL ● Clinical Handbook of Psychiatry & the Law I. PSYCHIATRIC RECORD SECURITY IN THE INFORMATION AGE The same technological advances that ease clinical work, record-keeping, and communication with other caretakers and agencies also pose a host of problems in the area of preserving confidentiality, as Case Example 4 of this chapter illustrates.
3. Obtaining a History Often, an evaluating clinician in an emergency setting or on an inpatient unit is unable to obtain sufficient data from the patient alone and is forced to turn to third parties, even without the patient’s consent. At this point, a tension develops between (a) the patient’s right to confidentiality concerning the emergency and (b) the evaluator’s need to get information to treat the patient appropriately, because gathering data without revealing some aspect of the patient’s situation is difficult.