PT - JOURNAL ARTICLE AU - Zonana, Howard TI - Commentary: When Is a Practice Guideline Only a Guideline? DP - 2008 Sep 01 TA - Journal of the American Academy of Psychiatry and the Law Online PG - 302--305 VI - 36 IP - 3 4099 - http://jaapl.org/content/36/3/302.short 4100 - http://jaapl.org/content/36/3/302.full SO - J Am Acad Psychiatry Law2008 Sep 01; 36 AB - Clinical Practice Guidelines (CPGs) have been promulgated by a variety of sources with differing goals: professional societies, state and federal governmental bodies, third-party payers such as insurers and HMOs, and hospitals. Compliance rates by practitioners are modest at best so that their use as standards of care for “usual and customary” practice is questionable. Some states are experimenting with the use of CPGs as a requirement for malpractice coverage.