Title

Evaluating psychiatric disability: differences by forensic expertise

UMMS Affiliation

Department of Psychiatry

Date

6-2011

Document Type

Article

Medical Subject Headings

*Disability Evaluation; *Forensic Psychiatry; Humans; Physician's Practice Patterns; Questionnaires

Disciplines

Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology

Abstract

The task of evaluating psychiatric disability poses several ethics-related and practical challenges for psychiatrists, especially when they are responding to a request from a third party for a disability evaluation on their own patient. This study sought to evaluate the differences in how forensic and nonforensic psychiatrists approach and view evaluations for Social Security disability benefits. Thirty-two forensic and 75 nonforensic psychiatrists were surveyed on their practice patterns and perceptions of role, objectivity, and dual agency in the disability evaluation process. Significant differences were found between forensic and nonforensic psychiatrists' perceptions of the dual-agency conflict, beliefs about who should perform evaluations, and beliefs about the weight given to different opinions when decisions of whether to award disability benefits are made. A minority of respondents in both groups reported having identified a patient as disabled, despite believing otherwise. The implications of these findings are discussed.

Comments

Citation: J Am Acad Psychiatry Law. 2011;39(2):183-8.

Related Resources

Link to Article in PubMed