Managing risks when practicing in three-party care settings

Robindra K. Paul, Christopher Lockey, Ryan C.W. Hall, Harold J. Bursztajn

    Research output: Contribution to journalArticlepeer-review


    In third-party, resource-administered, time-limited environments, it is vital to be mindful of fundamental principles, particularly in the midst of the stress of decision making under conditions of uncertainty. This in- cludes recognizing that clinical decision making in real time contains elements of uncertainty, and thus shared responsibility expressed as a respect for patients' autonomy is crucial. When clinical time or resources are limited, it is vital to distinguish between patients who want to take responsibility and pseudopatients who are not interested in treatment by reason of character or motive. The psychiatrist who respects a patient's autonomy is in the best position to provide wise, effective, nondefensive clinical care while also being able to manage the risks for the practice in resource-constrained third-party treatment environments.

    Original languageEnglish (US)
    Pages (from-to)18-22
    Number of pages5
    JournalPsychiatric Times
    Issue number4
    StatePublished - Apr 2011

    ASJC Scopus subject areas

    • Phychiatric Mental Health
    • Psychiatry and Mental health


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