Psychiatric fitness-for-duty evaluations

Psychiatr Clin North Am. 2006 Sep;29(3):675-93. doi: 10.1016/j.psc.2006.04.009.


Fitness-for-duty examinations are a common type of psychiatric disability evaluation. These evaluations are typically best performed by the independent (nontreating) psychiatrist with forensic training or expertise in these examinations. A comprehensive evaluation requires careful definition of the referral questions and consideration of the terms of the referral; review of relevant job-specific documentation and medical records; the collection of collateral information from relevant third-party informants; a thorough clinical psychiatric examination; and possibly additional testing. The examination report needs to be comprehensive, address the specific questions in clear language understandable to the non-mental health clinician, and use all available data to substantiate the logical conclusions in a fair, accurate, and objective manner.

Publication types

  • Review

MeSH terms

  • Disability Evaluation*
  • Documentation / standards
  • Expert Testimony / legislation & jurisprudence*
  • Forensic Psychiatry / legislation & jurisprudence
  • Humans
  • Mental Disorders / diagnosis*
  • Mental Disorders / psychology
  • Mental Disorders / rehabilitation
  • Physician Impairment / legislation & jurisprudence
  • Physician Impairment / psychology
  • Referral and Consultation / legislation & jurisprudence
  • Rehabilitation, Vocational / psychology
  • United States