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Psychiatric treatment of the VIP: some paradoxical risks
Benjamin C Silverman1, Alice Asby, David H Brendel
1Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
The Journal of Nervous and Mental Disease
|June 2, 2012
Summary
VIP status can paradoxically compromise psychiatric care quality. Specialized teams experienced with VIP patients may offer a solution for optimal treatment despite external pressures.
Area of Science:
- Psychiatry
- Healthcare Management
Background:
- Individuals with VIP (Very Important Person) status often receive preferential treatment.
- However, this status can paradoxically lead to suboptimal psychiatric care.
Observation:
- VIP patients and their entourages can exert external pressures.
- These pressures can prevent treatment teams from delivering standard care.
- Four case examples illustrate these challenges.
Findings:
- Treatment plans for VIP patients may be compromised by external pressures.
- The VIP status and associated entourage can interfere with standard psychiatric treatment protocols.
- Suboptimal care can result when these pressures are not managed.
Implications:
- Assigning VIP patients to specialized, experienced treatment teams is a potential solution.
- A strong, united team can maintain treatment integrity despite VIP-related difficulties.
- This approach can help ensure appropriate and consistent psychiatric care for VIPs.
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