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Tables of Contents for Psychiatry and Law for Clinicians
Chapter/Section Title
Page #
Page Count
List of Tables and Figures
xiii
Introduction to the Concise Guides Series
xv
Preface to the Third Edition
xvii
Clinical Psychiatry and the Law
1
18
Overview of the Law
1
9
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
10
5
Standard of Care in Manged Care Settings
10
2
Clinical Risk Management
12
1
Positive and Negative Defensive Psychiatry
13
1
Beyond Legal Requirements
14
1
References
15
4
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
20
2
Clinical Management of Legal Issues
22
17
Creation of the Doctor-Patient Relationship
22
6
Supervisor-Supervisee Relationships and Liability
28
2
Patient Billing: Avoiding Double-Agent Roles
30
2
Nonpayment: Clinical Issues
32
1
Abandonment
32
2
Substitute Therapists
34
1
Termination
35
3
Managed Care and the Discharge of Hospitalized Patients
38
1
References
39
2
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
45
2
Valid Authorization
47
1
Waiver of Confidentiality
47
2
Confidentiality and Crime Revelations
49
1
Writing About Patients
50
1
Delinquent Bills
50
1
Confidentiality After Death
51
2
Testimonial Privilege
53
1
Subpoenas
54
2
Record Keeping
56
3
Confidentiality in Managed Care Settings
59
1
References
60
3
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
15
Informed Consent
69
1
Competency
70
3
Exceptions to Disclosure
73
1
Waiver
74
1
Maintaining a Clinical Perspective
75
1
Informed Consent and the Patient With Psychosis
75
2
Incompetent Patients: Consent Options
77
3
Consent Refusal and Patient Management
80
1
Voluntary Hospitalization
81
1
Consent Forms
82
1
Informed Consent in Managed Care Settings
83
1
References
84
3
Psychiatric Treatment
87
24
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
16
Prescribing Medication
91
8
Tardive Dyskinesia and Informed Consent
99
1
Electroconvulsive Therapy and Informed Consent
100
2
Psychotherapy and Informed Consent
102
2
Recovered Memories of Sexual Abuse
104
1
Prescribing Medications in Managed Care Settings
105
2
References
107
4
Seclusion and Restraint
111
14
Overview of the Law
111
2
Clinical Management of Legal Issues
113
5
Indications
113
3
Contraindications
116
2
Implementing Seclusion and Restraint
118
4
Chemical Restraints
121
1
Seclusion and Restraint in Managed Care Settings
122
1
References
122
3
Involuntary Hospitalization
125
18
Overview of the Law
125
5
Involuntary Hospitalization: Rationale
125
1
Civil Commitment: Usage of the Term
125
1
Criteria
126
1
Procedures and Standards
127
1
Statutes Addressing the Purpose of Commitment
128
1
Liability
129
1
Clinical Management of Legal Issues
130
10
Current Trends in Civil Commitment
130
1
Procedures and Types of Commitment
130
3
Substantive Standards for Long-Term Commitment
133
4
Questionable Commitments
137
1
Using the Diagnostic and Statistical Manual of Mental Disorders
138
1
Avoiding Quasi-Legal Roles
138
1
Managed Care and Involuntary Hospitalization
139
1
References
140
3
The Suicidal Patient
143
36
Overview of the Law
143
4
Foreseeable Suicide
145
2
Legal Defenses
147
1
Clinical Management of Legal Issues
147
27
Assessment
147
1
Risk-Benefit Analysis
148
3
Suicide Risk Factors
151
4
Sucide Risk Assessment
155
11
Suicide Prevention Contracts
166
1
Treatment
167
1
Inpatient and Outpatient Settings
167
2
Suicide as a Function of Psychiatric Illness
169
2
Managed Care and the Suicidal Patient
171
1
Supervision by Family or Friends
172
2
Physician-Assisted Suicide
174
1
References
174
5
The Potentially Violent Patient
179
40
Overview of the Law
179
6
When Does the Duty to Protect Arise?
180
1
Discharging the Duty
180
2
Special Considerations
182
1
Evolving Trends
183
1
Summary
184
1
Clinical Management of Legal Issues
185
29
Predicting Violent Behavior
185
4
Violence Risk Factors
189
8
Tarasoff and Psychiatric Practice
197
8
The Patient With HIV
205
2
The Risk-Benefit Assessment
207
1
Assessing and Managing the Risk of Violence
208
1
Treatment Refusal
209
2
Release of Hospitalized Patients
211
1
Managed Care and Premature Release
212
2
References
214
5
Therapist-Patient Sex: Maintaining Treatment Boundaries
219
32
Overview of the Law
219
5
Civil Liability
219
2
Other Civil Theories and Defenses
221
1
Criminal Sanctions
221
2
Professional Disciplinary Action
223
1
Clinical Management of Legal Issues
224
21
Incidence of Therapist-Patient Sexual Contact
224
1
Ethics and Malpractice
225
2
Evaluation, Consultation, and Group Therapy
227
1
Supervisors and Trainees
228
1
The ``Natural History'' of Therapist-Patient Sex
228
2
Maintaining Treatment Boundaries
230
3
Managing Transference and Countertransference in Therapy
233
3
Sexual Relationships With Patients Whose Therapy Has Been Terminated
236
2
Management of the Sexually Exploited Patient
238
5
Prevention
243
2
References
245
6
Appendix A: Suggested Readings
251
2
Appendix B: Glossary of Legal Terms
253
6
Index
259