title: A model comprehensive psychiatric fitness-for-duty evaluation.
abstract: A three-pronged model for a comprehensive psychiatric fitness-for-duty evaluation is presented as a resource tool for occupational physicians in the evaluation of substance abuse. Specialized psychiatric evaluators can play a role in (1) rendering diagnosis and fitness-for-duty determinations, (2) recommending treatment and monitoring plans, and (3) offering remedies for improving the employee/employer and medical systems. The comprehensive evaluation is especially helpful in difficult-to-diagnose and complex cases. The author provides guidance for deciding when to refer, discusses issues of confidentiality, and lists indicators of substance abuse based on employee behavior/performance and medical signs and symptoms.
authors.affiliation: Comprehensive Psychiatric Consulting Services, San Jose, California, USA.
authors.forename: Norman T
authors.initials: NT
authors.lastname: Reynolds
mesh_terms: D002140:California; D004650:Employee Performance Appraisal / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D018580:Mandatory Testing; D016272:Occupational Health; D009787:Occupational Medicine / Q000379:methods; D011581:Psychological Tests; D012308:Risk Management / Q000379:methods; D012680:Sensitivity and Specificity; D015813:Substance Abuse Detection; D019966:Substance-Related Disorders / Q000523:psychology* / Q000534:rehabilitation*; D014938:Work Capacity Evaluation