Psychiatrically impaired medical practitioners: an overview with special reference to impaired psychiatrists

Australas Psychiatry. 2009 Feb;17(1):6-10. doi: 10.1080/10398560802579351.

Abstract

Objective: This paper will define and describe impairment in medical practitioners due to mental illness, with special reference to the specialty of psychiatry, and then review the prevalence and identification of impaired practitioners.

Methods: The quantitative and qualitative evidence regarding the incidence and impact of medical practitioner impairment due to mental illness (and, to some extent, substance use), with special reference to impaired psychiatrists, is reviewed.

Results: Medical practitioner impairment due to mental illness has a severe impact on their lives and their families due to both the effects of the disorder and the experience of communal, professional and self stigma.

Conclusions: The consequences of impairment among medical practitioners and specialist psychiatrists as well as the under-reporting of impaired practitioners is a significant problem.

Publication types

  • Review

MeSH terms

  • Adult
  • Alcoholism / diagnosis
  • Alcoholism / epidemiology
  • Alcoholism / psychology*
  • Alcoholism / rehabilitation
  • Australia
  • Clinical Competence
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Mandatory Reporting
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology*
  • Mental Disorders / rehabilitation
  • Middle Aged
  • New Zealand
  • Personality Disorders / diagnosis
  • Personality Disorders / epidemiology
  • Personality Disorders / psychology
  • Personality Disorders / rehabilitation
  • Physician Impairment / legislation & jurisprudence
  • Physician Impairment / psychology*
  • Physician Impairment / statistics & numerical data
  • Prognosis
  • Psychiatry* / statistics & numerical data
  • Risk Factors
  • Stereotyping
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / psychology*
  • Substance-Related Disorders / rehabilitation