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Tables of Contents for Concise Guide to Psychiatry and Law for Clinicians
Chapter/Section Title
Page #
Page Count
Introduction to the American Psychiatric Press Concise Guides
xv
2
Preface to the Second Edition
xvii
2
Acknowledgments
xix
 
1 CLINICAL PSYCHIATRY AND THE LAW
1
18
Overview of the Law
1
10
Malpractice Claims in the Managed Care Era
2
2
Malpractice and Psychiatry: Incidence
4
1
Malpractice Litigation: The Basics
4
4
Major Areas of Liability
8
2
Defenses
10
1
Clinical Management of Legal Issues
11
5
Standard of Care in Managed Care Settings
11
1
Clinical Risk Management
12
1
Positive and Negative Defensive Psychiatry
13
2
Beyond Legal Requirements
15
1
References
16
3
2 THE DOCTOR-PATIENT RELATIONSHIP
19
22
Overview of the Law
19
3
The Legal Foundation for the Doctor-Patient Relationship
19
1
Fiduciary Role: Avoiding Double Agentry
20
1
Termination and Abandonment
21
1
Clinical Management of Legal Issues
22
16
Creation of the Doctor-Patient Relationship
22
6
Supervisor-Supervisee Relationships and Liability
28
2
Patient Billing: Avoiding Double-Agent Roles
30
1
Nonpayment: Clinical Issues
31
1
Abandonment
32
2
Substitute Therapists
34
1
Termination
35
2
Managed Care and the Discharge of Hospitalized Patients
37
1
References
38
3
3 CONFIDENTIALITY AND TESTIMONIAL PRIVILEGE
41
22
Overview of the Law
41
3
Confidentiality: Clinical-Legal Foundation
41
1
Breaching Confidentiality
42
1
Testimonial Privilege Defined
43
1
Liability
44
1
Clinical Management of Legal Issues
44
16
Confidentiality and Testimonial Privilege: Distinction
44
1
Ethical and Legal Obligations
45
1
Minors
46
1
Valid Authorization
47
1
Waiver of Confidentiality
47
2
Confidentiality and Crime Revelations
49
1
Writing About Patients
50
1
Delinquent Bills
51
1
Confidentiality After Death
52
1
Testimonial Privilege
53
2
Subpoenas
55
1
Record Keeping
56
4
Confidentiality in Managed Care Settings
60
1
References
60
3
4 INFORMED CONSENT AND THE RIGHT TO REFUSE TREATMENT
63
24
Overview of the Law
63
6
Competency
64
1
Information
65
1
Voluntariness
66
1
Exceptions and Liability
67
1
Right to Refuse Treatment
68
1
Clinical Management of Legal Issues
69
16
Informed Consent
69
1
Competency
70
4
Exceptions to Disclosure
74
1
Maintaining a Clinical Perspective
75
1
Informed Consent and the Psychotic Patient
75
2
Incompetent Patients: Consent Options
77
3
Consent Refusal and Patient Management
80
1
Voluntary Hospitalization
81
2
Consent Forms
83
1
Informed Consent in Managed Care Settings
84
1
References
85
2
5 PSYCHIATRIC TREATMENT
87
22
Overview of the Law
87
4
Psychopharmacology: Standard of Care
87
1
Electroconvulsive Therapy
88
2
Psychotherapy
90
1
Clinical Management of Legal Issues
91
15
Prescribing Medication
91
8
Tardive Dyskinesia and Informed Consent
99
2
Electroconvulsive Therapy and Informed Consent
101
1
Psychotherapy and Informed Consent
102
2
Prescribing Medications in Managed Care Settings
104
2
References
106
3
6 SECLUSION AND RESTRAINT
109
12
Overview of the Law
109
2
Clinical Management of Legal Issues
111
8
Indications
111
2
Contraindications
113
2
Implementing Guidelines
115
3
Chemical Restraints
118
1
Seclusion and Restraint in Managed Care Settings
119
1
References
119
2
7 INVOLUNTARY HOSPITALIZATION
121
18
Overview of the Law
121
5
Involuntary Hospitalization: Rationale
121
1
Civil Commitment: Usage of the Term
121
1
Criteria
122
1
Procedures and Standards
123
1
Statutes Addressing the Purpose of Commitment
124
1
Liability
125
1
Clinical Management of Legal Issues
126
10
Current Trends in Civil Commitment
126
1
Procedures and Types of Commitment
127
3
Substantive Standards for Long-Term Commitment
130
3
Questionable Commitments
133
1
Using the Diagnostic and Statistical Manual of Mental Disorders
134
1
Avoiding Quasi-Legal Roles
135
1
Managed Care and Involuntary Hospitalization
135
1
References
136
3
8 THE SUICIDAL PATIENT
139
26
Overview of the Law
139
4
Foreseeable Suicide
141
1
Legal Defenses
142
1
Clinical Management of Legal Issues
143
18
Assessment
143
4
Suicide Risk Factors
147
3
Suicide Risk Assessment
150
5
Treatment
155
1
Inpatient and Outpatient Settings
156
1
Informing Third Parties of a Patient's Suicidal Intent
157
1
Suicide as a Function of Psychiatric Illness
157
2
Psychiatric Residents and Training Program Orientation
159
1
Managed Care and the Suicidal Patient
159
2
Physician-Assisted Suicide
161
1
References
161
4
9 THE POTENTIALLY VIOLENT PATIENT
165
34
Overview of the Law
165
7
When Does the Duty to Protect Arise?
166
1
Discharging the Duty
166
4
Special Considerations
170
1
Risk of Patient Self-Harm: Duty to Inform Third Party?
171
1
Unreachable Identified Victims
171
1
Summary
171
1
Clinical Management of Legal Issues
172
24
Predicting Violent Behavior
172
6
Tarasoff and Psychiatric Practice
178
7
The HIV Patient
185
3
The Risk-Benefit Assessment
188
1
Assessing and Managing the Risk of Violence
189
2
Selecting a Course of Action
191
1
Release of Hospitalized Patients
192
2
Managed Care and Premature Release
194
2
References
196
3
10 THERAPIST-PATIENT SEX: MAINTAINING BOUNDARIES
199
32
Overview of the Law
199
5
Civil Liability
199
2
Other Civil Theories and Defenses
201
1
Criminal Sanctions
202
1
Professional Disciplinary Action
203
1
Clinical Management of Legal Issues
204
22
Incidence of Therapist-Patient Sexual Contact
204
1
Ethics and Malpractice
205
3
Evaluation, Consultation, and Group Therapy
208
1
Supervisors and Trainees
208
3
Maintaining Treatment Boundaries
211
3
Managing Transference and Countertransference in Therapy
214
3
Sexual Relationships With Terminated Patients
217
2
Management of the Sexually Exploited Patient
219
5
Malpractice Insurance
224
1
Prevention
225
1
References
226
5
Suggested Readings
231
2
Glossary of Legal Terms
233
6
Index
239