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Psychiatric Issues in Behavioral Health Disability

  • Bettina B. Kilburn
Chapter

Abstract

This chapter explores the essential differences between two important professional roles that a psychiatrist may routinely practice. The distinction is important because of the separate professional responsibilities associated with each. A psychiatrist may engage in the psychiatric disability or workers’ compensation process in either a forensic role or as a treating provider. Thus, it is imperative for a psychiatrist to be aware of these differences in order to avoid intrinsic ethical and potential legal issues when one attempts to perform both roles simultaneously. As a treating provider, the psychiatrist is in a position to improve an individual’s overall health function by many measures, increase quality of life for mentally ill individuals and families, and impact the multidimensional costs of mental illness. There is a growing body of evidence to support that shorter recovery and better clinical outcomes result from focusing psychiatric treatment on restoration and maintaining function. This is in contrast to traditional psychiatric thinking that recovery from mental illness requires an individual to be “away from” the demands of a stressor, such as his or her work situation. There are numerous evaluations and treatment approaches available to the treating psychiatrist who wishes to shift away from the traditional paradigm in order to serve as an advocate for his or her patient, as well as in promoting the individual’s full participation in work and in other life activities.

Keywords

Psychiatry Disability Behavioral health Forensic role Medicalization Psychiatric occupational function Malingering Work stress Return to work 

Notes

Acknowledgments

Each of us has the privilege of learning on the shoulders of others. In formulating this chapter, I have drawn deeply from the well of extensive research by many scholars and practitioners, to whom I am in great debt. Special thanks to Jennifer Christian, M.D., President and CMO of Webility Corporation and Founder of Work Fitness and Disability Roundtable and Jeffrey P. Kahn, M.D., CEO, WorkPsych Associates, Inc. for providing a wealth of foundational research and to Jeffrey Segal, M.D., J.D., F.A.C.S., CEO of Medical Justice, for invaluable assistance in defining and articulating the forensic psychiatric role.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Bettina B. Kilburn
    • 1
  1. 1.Disability Research and Consulting, LLCAtlantaUSA

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