Internet sites where you can rate physicians have become increasingly popular, but these sites can pose numerous problems for physicians, especially psychiatrists. The dilemma occurs when patients or nonpatients post negative reviews and false information about physicians. The psychiatrist-patient relationship is particularly unique, especially in the involuntary setting. Online reviews by some patients, especially those who have received involuntary psychiatric treatment, may not be the most informative or helpful to improve the standards of care. In this article, we discuss steps psychiatrists can take once a negative review has been posted and recommendations for the future.

The origin of the psychological autopsy was in the late 1950s and the result of a collaboration between the Los Angeles County Chief Medical Examiner-Coroner's Office and the Los Angeles Suicide Prevention Center. It was conceptualized as a thorough retrospective analysis of the decedent's state of mind and intention at the time of death. It was used initially in "equivocal" deaths where the manner of death was possibly either suicide or accident. Later, it was used in cases where a party (primarily family members) protested the Medical Examiner-Coroner's suicide determination. Over the past 25 years, the University of Southern California Institute of Psychiatry, Law, and Behavioral Science has served as the psychiatric/psychological consultants to the Coroner's Department. Research findings, the use of this approach in high-profile cases, and the most recent manner in which the psychological autopsy is conducted are discussed.

California's Assembly Bill (AB) 109, commonly referred to as “realignment,” resulted from two major class action lawsuits, in which the U.S. Supreme Court ruled that inadequate medical and mental health care in the California state prisons was a violation of inmates’ Eighth Amendment rights protecting them from cruel and unusual punishment. These deficiencies were attributed to state prison overcrowding. California responded by enacting new legislation, AB109, which allowed transfer of responsibility for low‐level offenders from the state to local counties. This qualitative pilot study used semi‐structured interviews to examine the experiences of 10 mentally ill individuals on AB109 probation in Los Angeles County, including their experiences with community mental health services. Interviews with four treatment providers at a Los Angeles treatment program for AB109 probationers were also conducted to illustrate providers’ perspectives on the barriers and facilitators to providing treatment to AB109 probationers. AB109 probationers reported encountering several barriers that negatively impacted their ability to access and utilize mental health services, including lack of education about AB109; problems with housing, transportation, and funding; and lack of social support. Treatment providers reported similar barriers. Several recommendations are proposed to improve the AB109 experience and to help reduce recidivism, which was a goal of AB109. Copyright © 2016 John Wiley & Sons, Ltd.