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Article CommentaryAnalysis and Commentary

Medical Privacy versus Public Safety in Aviation

Christopher A. Kenedi, Jacob M. Appel and Susan Hatters Friedman
Journal of the American Academy of Psychiatry and the Law Online June 2019, 47 (2) 224-232; DOI: https://doi.org/10.29158/JAAPL.003839-19
Christopher A. Kenedi
Dr. Kenedi is Assistant Professor, Departments of Medicine and Psychiatry, Duke University, Durham, North Carolina, and University of Auckland, New Zealand. Dr. Appel is Assistant Professor of Psychiatry and Medical Education, and Director of Ethics Education in Psychiatry, Mount Sinai School of Medicine, New York, New York. Dr. Friedman is The Phillip Resnick Professor of Forensic Psychiatry, Case Western Reserve University, Cleveland, Ohio, and Associate Professor of Psychological Medicine, University of Auckland, New Zealand.
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Jacob M. Appel
Dr. Kenedi is Assistant Professor, Departments of Medicine and Psychiatry, Duke University, Durham, North Carolina, and University of Auckland, New Zealand. Dr. Appel is Assistant Professor of Psychiatry and Medical Education, and Director of Ethics Education in Psychiatry, Mount Sinai School of Medicine, New York, New York. Dr. Friedman is The Phillip Resnick Professor of Forensic Psychiatry, Case Western Reserve University, Cleveland, Ohio, and Associate Professor of Psychological Medicine, University of Auckland, New Zealand.
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Susan Hatters Friedman
Dr. Kenedi is Assistant Professor, Departments of Medicine and Psychiatry, Duke University, Durham, North Carolina, and University of Auckland, New Zealand. Dr. Appel is Assistant Professor of Psychiatry and Medical Education, and Director of Ethics Education in Psychiatry, Mount Sinai School of Medicine, New York, New York. Dr. Friedman is The Phillip Resnick Professor of Forensic Psychiatry, Case Western Reserve University, Cleveland, Ohio, and Associate Professor of Psychological Medicine, University of Auckland, New Zealand.
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Article Figures & Data

Tables

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    Table 1

    Reporting of Public Hazards

    Reporting SystemExample
    Mandatory: when the threshold is met, providers must reportWhen specific criteria are met, health professionals must report child abuse.
    Permissive/discretionary: providers have latitude regarding reportingIn most states, pharmacists have discretion about reporting errors.39
    Prohibitive: absolute duty of confidentialityLawyers cannot reveal privileged communications.
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    Table 2

    Useful Resources for Evaluations

    Bor R, Hubbard T (editors): Aviation Mental Health: Psychological Implications for Air Transport. Surrey, United Kingdom: Ashgate Publishing, 2006
    Bor R, Eriksen C (editors): Pilot Mental Health Assessment and Support: A Practitioner's Guide. Oxford, United Kingdom: Routledge Publishers, 2017
    Position Statement on the Role of Psychiatrists in Assessing Driving Ability. Washington, DC: American Psychiatric Association, 2016
    Federal Motor Carrier Safety Administration: Report of Conference on Psychiatric Disorders and Commercial Drivers. Washington, DC: US Department of Transportation, 1991
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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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Medical Privacy versus Public Safety in Aviation
Christopher A. Kenedi, Jacob M. Appel, Susan Hatters Friedman
Journal of the American Academy of Psychiatry and the Law Online Jun 2019, 47 (2) 224-232; DOI: 10.29158/JAAPL.003839-19

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Medical Privacy versus Public Safety in Aviation
Christopher A. Kenedi, Jacob M. Appel, Susan Hatters Friedman
Journal of the American Academy of Psychiatry and the Law Online Jun 2019, 47 (2) 224-232; DOI: 10.29158/JAAPL.003839-19
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  • Article
    • Abstract
    • Confidentiality and Public Safety
    • International Considerations
    • Suicide and Homicide by Aircraft
    • Ground Rules for Cars, Trains, and Boats
    • Ethics and Reporting
    • Conclusions
    • Acknowledgments
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    • References
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