Proposed ethical practice guidelines for clinical pharmacopsychology: Sharpening a new focus in psychology.

Buelow, George; Chafetz, Michael D.

doi:10.1037/0735-7028.27.1.53

Cited by 17 publications

(18 citation statements)

References 25 publications

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“…Particularly in rural settings, the primarycare physician is the first person approached by the majority of those seeking help for psychological problems (Buelow & Chafetz, 1996). These physicians often prescribe medications incorrectly, and sometimes too frequently.…”

Section: Public Interestmentioning

confidence: 99%

Responding to society's needs: Prescription privileges for psychologists

Norfleet

2002

J Clin Psychol

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The health care revolution has contributed to the natural evolution of the role of psychologists. This has led to the necessity for future psychologists to have the authority to prescribe psychotropic medications in order to offer the best-available, comprehensive treatment to the public. Psychologists' training gives them a unique role in addressing the psychosocial aspects of medical problems, in collaboration with primary-care physicians. Prescribing psychologists are cost-effective, many practice in rural areas where people have no other access to mental health care, and they will be able to treat other underserved populations such as the poor, the elderly, the chronically mentally ill, children, and prisoners in the criminal justice system. Prescribing psychologists will have an increasingly prominent role in future health care policy decisions and practice.

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Section: Public Interestmentioning

confidence: 99%

Responding to society's needs: Prescription privileges for psychologists

Norfleet

2002

J Clin Psychol

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“…In fact, training and ethical issues in RxP are foci for opponents of prescriptive authority both within and outside the profession of psychology. Ethical considerations were discussed early on in the literature (Buelow & Chafetz, 1996), and later expanded to the present form. This chapter contains information on the evolution of ethical guidelines in psychopharmacology.…”

Section: Ethics and Training In Psychologymentioning

confidence: 99%

Professional psychology in the context of psychopharmacology: Ethical issues, education, and training.

Pujol¹,

Moore²

2019

APA Handbook of Psychopharmacology.

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Mental health disorders are also prevalent in American youth; one in five aged 13 to 18 experiences a severe mental health disorder during their lifetime (Merikangas et al., 2010). Additionally, suicide is the third leading cause of death among persons aged 10 to 14, and the second cause of death among persons ages 15 to 34 (Centers for Disease Control and Prevention, 2013). GROWTH IN THE USE OF PSYCHOTROPICSTreatment for psychiatric conditions, especially the use of psychopharmacologic agents, has grown in recent years in the United States. Approximately one of six adults took a psychiatric drug at least once in 2013, with twofold to threefold increases considering race/ethnicity, age, and sex (Moore & Mattison, 2017). Three psychiatric diagnostic groups are among the top 20 diagnostic categories in primary care settings (i.e., psychoses, excluding major depressive disorder; attention-deficit/hyperactivity disorder; and anxiety states), and antidepressants are the third most prescribed drug class (Hing, Rui, & Palso, 2013). Psychotropic medication use is also common among children and adolescents in the United States. Seven and one-half percent (7.5%) of children and adolescents ages 6 to 17 received medications for behavioral or emotional difficulties in 2011 to 2012 (Howie, Pastor, & Lukacs, 2014). Psychotropic medication prescriptions for noninstitutionalized adolescents increased by fivefold for any psychotropic medication, and were up to Disclaimer: The view(s) expressed herein are those of the author(s)

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Section: Opportunities To Improve Care and Servicesmentioning

confidence: 99%

“…A different mind-set for treating common problems affected by lifestyle choices, among other things, can go a long way to reducing unnecessary polypharmacy. Psychological interventions (including dynamic, cognitive and/or behavioral approaches) can prevent or modify many chronic conditions and, as noted by Buelow and Chafetz (1996), are “… rooted in physical and neurochemical processes” (p. 54) in which drugs and psychotherapy can elicit the same neurochemical actions. There are nondrug methods for coping with insomnia, pain, and anxiety, for example, including relaxation techniques and guided imagery.…”

Section: Opportunities To Improve Care and Servicesmentioning

confidence: 99%

Polypharmacy and older adults: A role for psychology and psychologists.

Arnold¹

2008

Professional Psychology: Research and Practice

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The literature and clinical experience confirm polypharmacy as an important contributor to avoidable morbidity and mortality among older adults. Sociocultural factors, along with the interplay among aging, physiology, chronic disease, and the medicines that seniors take play important roles in clinical presentations, conclusions drawn, interventions planned and implemented, and health care outcomes. Knowledgeable psychologists can help reduce the number and severity of common geriatric syndromes (e.g., falls and mental status changes) that our nation's elders suffer due to inappropriate polypharmacy. Providing high quality psychological services includes developing collaborative relationships with medication prescribers and participating in interdisciplinary teams, even if loosely defined (as is often the case at the community-based, independent practitioner level of care). Informed psychological interventions (including dynamic, cognitive, and/or behavioral) can effectively modify many older adults' medical and other health concerns, reducing the need for and risks associated with taking multiple medications. Participating in research, public education, and advocacy efforts in order to enhance the quality and effectiveness of the health care and services that older adults receive are also vital roles for psychology and psychologists.

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Proposed ethical practice guidelines for clinical pharmacopsychology: Sharpening a new focus in psychology.

Cited by 17 publications

References 25 publications

Responding to society's needs: Prescription privileges for psychologists

Responding to society's needs: Prescription privileges for psychologists

Professional psychology in the context of psychopharmacology: Ethical issues, education, and training.

Polypharmacy and older adults: A role for psychology and psychologists.

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