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The Public Psychiatrist as Clinician 

The Public Psychiatrist as Clinician
Chapter:
The Public Psychiatrist as Clinician
Author(s):

James G. Baker

and Sarah E. Baker

DOI:
10.1093/med/9780190907914.003.0003
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date: 21 May 2022

The most common role of the community psychiatrist is as a clinical physician providing individual patient care, including psychiatric evaluation, diagnosis, and treatment planning for adult patients with severe mental illness, as well as child/adolescent patients with internalizing disorders and externalizing behaviors. This chapter describes common concerns that arise for public psychiatrists in their clinical role and offers resources for addressing them, including discussions on providing clinical care in a resource-limited system-of-care (e.g., working with and supervising nurse practitioners and physician assistants), fostering evidence-based best practices in public mental health care settings, and the special issues of clinical practice in rural settings. A case example describing community psychiatrists serving in this role is included.

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