Activity ID
10974Expires
May 1, 2026Format Type
Journal-basedCME Credit
1Fee
$30CME Provider: AMA Journal of Ethics
Description of CME Course
Background: Interprofessional collaboration is key to reducing overincarceration of people with severe mental illness. One collaboration model emphasizes cognitive tasks: becoming familiar with values and knowledge of other disciplines. Another model emphasizes calibrating expertise to the demands of the workplace. This study assesses the 2 models in the case of psychiatrists in a multidisciplinary mental health court who learned to divert people with psychiatric disease from jail. Methods: Ethnographic research was conducted over 4 years with the staff of a US mental health court. Interviews with 3 psychiatrists and observations of 87 staff meetings and probation review hearings were recorded, transcribed, entered into a database management program, and coded. Results: Psychiatrists did not need deep familiarity with the values or skills of legal professionals to divert people with psychiatric disease from incarceration. They successfully inserted their expertise through teaching about pharmaceutics, suggesting interventions based on diagnosis and behavior, and shifting the collective assessment of defendants from a punitive to a therapeutic framework. Conclusion: Reducing overincarceration of people with severe mental illness depends on interprofessional collaboration.
Disclaimers
1. This activity is accredited by the American Medical Association.
2. This activity is free to AMA members.
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Commercial Support?
NoNOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Educational Objectives
1. Explain a new or unfamiliar viewpoint on a topic of ethical or professional conduct
2. Evaluate the usefulness of this information for health care practice, teaching, or conduct
3. Decide whether and when to apply the new information to health care practice, teaching, or conduct
Keywords
Ethics, Psychiatry and Behavioral Health, Law and Medicine
Competencies
Medical Knowledge, Professionalism
CME Credit Type
AMA PRA Category 1 Credit
DOI
10.1001/amajethics.2023.353