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OtherREGULAR ARTICLE

Evaluating Psychiatric Disability: Differences by Forensic Expertise

Paul P. Christopher, Rasim Arikan, Debra A. Pinals, William H. Fisher and Paul S. Appelbaum
Journal of the American Academy of Psychiatry and the Law Online April 2011, 39 (2) 183-188;
Paul P. Christopher
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Rasim Arikan
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Debra A. Pinals
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William H. Fisher
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Paul S. Appelbaum
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    Table 1

    Practice Patterns Regarding SSA Disability Evaluations

    Survey ItemAPAAAPLTest
    nMeanSDnMeanSDz*p
    How often do you agree to complete evaluations on your patients?†531.62.77202.25.97−2.64.008
    Do you feel pressured by patients to complete SSA forms?†542.04.91202.45.93−1.77.078
    In the past year, how many SSA evaluations did you complete each month?‡541.46.69201.35.67−.75.452
    Survey ItemAPAAAPLTest
    N (%)N (%)χ2p
    Do you go through an informed consent process when you fill out SSA forms?§32 (60.4)8 (44)1.39.239
    Have you ever indicated that a patient was disabled to help him/her when you thought that he/she really could work?§8 (14)4 (20).4.498‖
    • * Mann Whitney U test.

    • † Lower number indicates greater frequency (1, always; 2, usually; 3, rarely; 4, never).

    • ‡ Higher number indicates greater number (1, 0–2 per month; 2, 3–5 per month; 3, ≥5 per month).

    • § n (%) of respondents who answered yes; df = 1.

    • ‖ Fisher's exact test.

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    Table 2

    Beliefs Regarding Dual Agency in SSA Disability Evaluations

    Survey ItemAPAAAPLMann-Whitney
    nMeanSDnMeanSDzp
    The dual roles of acting as a treating clinician and independent examiner negatively affect the disability determination process.622.52.90301.93.91−2.86.004
    An independent psychiatric examiner can render a more objective opinion than a treating clinician with regard to disability assessments.652.32.85322.091.03−1.34.181
    Disability evaluations performed by treating physicians affect the physician-patient relationship.642.02.79321.62.66−2.33.02
    • Lower mean indicates greater level of agreement. (1, strongly agree; 2, somewhat agree; 3, somewhat disagree; 4, strongly disagree)

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Journal of the American Academy of Psychiatry and the Law Online: 39 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 39, Issue 2
April 2011
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Evaluating Psychiatric Disability: Differences by Forensic Expertise
Paul P. Christopher, Rasim Arikan, Debra A. Pinals, William H. Fisher, Paul S. Appelbaum
Journal of the American Academy of Psychiatry and the Law Online Apr 2011, 39 (2) 183-188;

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Evaluating Psychiatric Disability: Differences by Forensic Expertise
Paul P. Christopher, Rasim Arikan, Debra A. Pinals, William H. Fisher, Paul S. Appelbaum
Journal of the American Academy of Psychiatry and the Law Online Apr 2011, 39 (2) 183-188;
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