文档介绍：High Risk Clients ? Physical Disability ? Substance Issues (Drug, Alcohol) ? Emotional/Mental Health Issues/Acute Psychological Issues ? Aging ? Loss of Independence/Inability to Care for Self ? Medical Board/Licensure/Privileging Issues ? Civil Litigation ? Practice Break Up/Exclusion High Risk Clients (Continued) ? Criminal Issues (Alcohol, Theft, Fraud, Sex Assaults, Sexual Boundary Issues) ? Domestic/Divorce/Loss of Children ? Rehabilitation (Required) ? Financial Issues/Business Continuation Expenses ? Bankruptcy ? Loss of Status/Friendships/Focus/Purpose/Identity/Loss of Hope ? Anniversary of Significant Events ? Isolation ? Disability-Individual (STD/LTD); SSDI Warning Signs ? Excuses for refusing treatment ? Avoiding CPHP/Attorney Regulation ? Missed Medical Appointments ? Missed Urine Drops ? Failure/Unwillingness to Proceed with Treatment/Proceedings ? Inability/Unwillingness to Assist Counsel ?“ Bending the Facts, ”/Evasive Behavior Physician Suicides ? As many as 400 MD ’ s each year (equivalent of 1 entire med school class) (Louise Andrew study updated 3/8/12) ? Physicians ? mortality risk from cancer/heart disease (sufficient care and early diagnosis) ? Med school students (Accidents No. 1; Suicides No 2) ? General Population Depression estimated 12% males; 18% females ? Stigma of mental health issues ANDREW STUDY Physician Suicides (Continued) ? Medical Students/Residents 15-30% screen positive for depression/mental health issues ANDREW STUDY ? Medical Personnel ? Increased knowledge of suicide; increased knowledge of lethal means ? Failure to report/undereporting of suicides ? Highest suicide rates – affective disorders (depression, bipolar disease, alcoholism, substance abuse) ?? chance of death by suicide for physicians as much as 70% higher for male than men in the general population ANDREW STUDY Physician Suicides (Continued) ? As much as 250-400% ? risk for female than other women in the population ANDREW STUDY ? Phy