There are several limitations to our study, including a limited number of patients, lack of an RA-related deformity evaluation and radiological scores, evaluation of anxiety and depression by a nonpsychiatrist
, and the non-cross-sectional nature of the study.
FIGURE 2 Proportion of mental health patients managed by different health care providers * ([dagger]) (8) Psychiatrist 12.3% Nonpsychiatrist
Mental Health Specialist 16.0% General Medical Provider 22.8% Human Services Provider 8.1% Complementary & Alternative Medical Provider 6.8% * Percentages represent prevalence data obtained over a 12-month period from the National Comorbidity Survey Replication.
The assisted-suicide process contains no mechanism to challenge the adequacy of the nonpsychiatrist
's assessment of capacity and noncoercion.
house staff frequently misdiagnose psychiatric disorders in general hospital inpatients.
"If people go and see psychiatrists more commonly than not they end up taking antidepressants for depression, but if they see a nonpsychiatrist
, more commonly than not they end up receiving tranquilizers," Karam said.
* A nonpsychiatrist
may believe that a patient is making a competent refusal but still wants a psychiatrist's perspective to better understand the patient's reasoning or to confirm the initial belief.
Psychiatrists missed one half and nonpsychiatrist
physicians missed one third of the major medical illnesses in patients they referred.
Of those who received treatment, 12.3% were treated by a psychiatrist, 16% by a nonpsychiatrist
mental health specialist, 22.8% by a general medical provider, 8.1% by a human service provider, and 6.8% by a complementary and alternative medical provider.
"I feel much more comfortable trying to do training and outreach with our nonpsychiatrist
physician partners," said Dr.
While those with more serious substance disorders were more likely to contact most types of professionals, this pattern was not consistently seen for contacting clergy and nonpsychiatrist
medical doctors (displayed in the third set of colum ns).
Almost all the increased prescribing of Ritalin can be attributed to nonpsychiatrist
HMOs often restrict the use of psychiatrists to diagnosing and prescribing drugs, with nonpsychiatrist
mental health professionals typically used for counseling and psychotherapy.