Ethics in Psychiatry

January, 2014 | Vol: 12 Issue: 1

In this issue

Learning Objective

Article

An Ethical Perspective on the Affordable Care Act

Ethics in Psychiatry - The Carlat Psychiatry Report (TCPR)

This article will present ethical considerations of the ACA for psychiatrists. For the most part, ethical dilemmas for psychiatrists will occur in the quality and efficiency improvement category. Particular areas of concern are new innovations to improve quality and bring down costs, integrated health systems, linking payments to quality outcomes, payment bundling, and paying physicians based on value rather than volume.

Expert Q&A

Understanding the Physician Payment Sunshine Act

Ethical expert Dr Paul Appelbaum tells us how the Physician Payment Sunshine Act will affect psychiatrist.

Research Update

Is There a “Way Out” of Psychiatric Disability?

The largest and fastest-growing subset of Social Security Disability (SSDI) beneficiaries is patients with psychiatric diagnoses, even as the federal SSDI Trust Fund diminishes. In 2005, the Social Security Administration authorized the Mental Health Treatment Study (MHTS) to test the hypothesis that a comprehensive, team-based, supported employment program would increase the likelihood that beneficiaries would find work.

News of Note

A Disclosure That Raises More Questions Than Answers

Most medical journals (as well as TCPR) require authors to disclose their affiliations with pharmaceutical companies or other for-profit entities, to help readers assess for any evidence of bias. In a recent letter of apology published in the January 2014 issue of JAMA Psychiatry (Gibbons RD et al, JAMA Psychiatry 2014;71(1):95), five prominent researchers admit that they failed to reveal a key industry relationship in a November 2012 article (Gibbons RD et al, Arch Gen Psychiatry 2012;69(11):1104–1112).