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Research ArticleRegular Articles

The Impact of the Psychiatrist on the Life Care Plan

Shani C. Missner and Ziv E. Cohen
Journal of the American Academy of Psychiatry and the Law Online June 2019, 47 (2) 208-216; DOI: https://doi.org/10.29158/JAAPL.003837-19
Shani C. Missner
Dr. Missner is a Sponsored University Associate at Georgetown University, Washington, DC. Dr. Cohen is Clinical Assistant Professor of Psychiatry, Weill Cornell Medical College, and Adjunct Assistant Professor of Clinical Psychiatry, Columbia College of Physicians and Surgeons, New York, NY.
MD, PhD, CLCP
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Ziv E. Cohen
Dr. Missner is a Sponsored University Associate at Georgetown University, Washington, DC. Dr. Cohen is Clinical Assistant Professor of Psychiatry, Weill Cornell Medical College, and Adjunct Assistant Professor of Clinical Psychiatry, Columbia College of Physicians and Surgeons, New York, NY.
MD
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    Table 1

    Categories of the Life Care PLAN

    Evaluations: neuropsychology, physical therapy, occupational therapy, speech therapy, nutrition, recreational therapy, vocational assessment, audiology, vision, swallow studies
    Therapeutic modalities: neuropsychology, psychology, social work, physical therapy, occupational therapy, speech therapy, nutrition, recreational therapy
    Educational assessment: special education, summer program
    Vocational assessment: career guidance, career retraining, job coaching, supported work
    Wheelchair needs: manual or power wheelchair, shower wheelchair
    Aids for independent function: adaptive aids for the home, adapted clothing
    Orthotics/prosthetics: brace, prosthesis
    Orthopedic equipment needs: cane, walker, exercise equipment
    Home furnishings and accessories: hospital bed, Hoyer lift, portable ramp
    Medications: Prescription and nonprescription medications
    Supplies: for the prosthesis, catheter, respirator, gastrostomy
    Home care versus facility care: level of care determination
    Medical care routine: multidisciplinary physicians (including psychiatry), labs, imaging
    Medical care aggressive: hospitalization, invasive procedures
    Architectural renovations: handicap accessibility
    Transportation: adapted van, roadside assistance
    Potential complications: risks that are present even with optimal medical and preventative care (This is included for information purposes and pricing is not generated for this category.)
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    Table 2

    Scope of the Psychiatrist's Role in the Life Care Plan

    Premorbid psychiatric disorders
    Psychiatric disorders related to the injury or chronic illness
    Personality traits and disorders
    Prognosis of psychiatric illness
    Psychosocial history and family dynamics
    Psychosocial functioning and limitations
    Vocational functioning and limitations
    Psychological adjustment to disability
    Educational and vocational needs
    Attendant care or facility care
    Psychiatric treatment: medications, psychotherapy, and higher levels of care such as intensive outpatient treatment or hospitalization
    Interventional psychiatry: electroconvulsive therapy, transcranial magnetic therapy, intravenous ketamine
    Psychiatric standard of care
    Referrals to specialists
    Costs of treatment
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Journal of the American Academy of Psychiatry and the Law Online: 47 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 47, Issue 2
1 Jun 2019
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The Impact of the Psychiatrist on the Life Care Plan
Shani C. Missner, Ziv E. Cohen
Journal of the American Academy of Psychiatry and the Law Online Jun 2019, 47 (2) 208-216; DOI: 10.29158/JAAPL.003837-19

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The Impact of the Psychiatrist on the Life Care Plan
Shani C. Missner, Ziv E. Cohen
Journal of the American Academy of Psychiatry and the Law Online Jun 2019, 47 (2) 208-216; DOI: 10.29158/JAAPL.003837-19
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  • Article
    • Abstract
    • Training of the Life Care Planner
    • Components of the LCP
    • The Psychiatrist and the LCP
    • Legal Aspects of the LCP
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    • Footnotes
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