Who should perform the AIMS examination

UMMS Affiliation

Department of Psychiatry



Document Type


Medical Subject Headings

Antipsychotic Agents; Community Mental Health Centers; Dyskinesia, Drug-Induced; Humans; Licensure, Medical; Massachusetts; *Neurologic Examination; *Patient Care Team; *Referral and Consultation




Psychiatrists and nonphysician mental health professionals working in community mental health centers have difficulty establishing the scope of their expertise, defining the limits of their roles, delegating responsibility, and sharing professional liability. The clinical, political, and administrative aspects of these tensions are examined in the context of arguments for and against physicians' delegating to nonphysician mental health professionals the task of screening CMHC patients for tardive dyskinesia using the Abnormal Involuntary Movement Scale. In 43 percent of mental health centers in Massachusetts surveyed by the authors, nonphysicians perform tardive dyskinesia screening. The authors suggest that the benefits of involving nonphysicians in tardive dyskinesia screening in the CMHC setting outweight the disadvantages.

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Citation: Hosp Community Psychiatry. 1990 Aug;41(8):912-5. Link to article on publisher's website

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Link to Article in PubMed

PubMed ID