Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

Quality of Care

A distribution of psychologists who are board certified, become increasingly rare outside of Atlanta.

In many of the smaller communities, you may not find someone within a reasonable distance who is board certified. And the closest board certified psychologist may not see injured workers.

While there may be protest that the patient cannot endure a ride of long duration in order to be seen, you may have no competent option.

You have two needs with an injured worker for whom someone has recommended psychological care: diagnosis and treatment. These do not have to be provided by the same individual.

Just as you may have an orthopedic patient from Tifton, GA whom you refer to Atlanta or Macon and then treated closer to home, you may be better served using this same approach with the psychological aspect of care.

Arrange for the patient to be examined in a major city that has clinicians who will and have seen injured workers. Ask specifically the diagnosis, cause of the disorders (if any) and recommended course of care. You may then use that structure in making the referral to someone closer to home if it is unfeasible for the patient to return to the examining clinician.

Diagnosis and treatment can be pursued separately. Use the recommendations of the former to structure the care of the latter.

If, for example, the patient has then (or previously) been seen for 8-10 visits, ask the consulting psychologist to weigh in on whether the care is appropriate, effective, should be altered or discontinued._

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