Related Experiment Video
Updated: Apr 15, 2026

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
Step up to the bar: avoiding discrimination in professional licensure
1Dr. Appelbaum, who is editor of this column, is the Elizabeth K. Dollard Professor of Psychiatry, Medicine and Law, Department of Psychiatry, Columbia University, New York City (e-mail: psa21@columbia.edu ).
Licensure boards must focus on functional impairment, not mental disorders, for professional applicants. A Louisiana bar admission settlement highlights this shift, potentially serving as a model for other states and professions.
Area of Science:
- Legal and ethical considerations in professional licensing
- Mental health law and policy
- Disability rights and professional regulation
Background:
- Professional licensure boards historically implemented specific rules for applicants with mental disorders to protect the public.
- These rules sometimes mandated extensive mental health disclosure, irrespective of functional impairment.
- Such practices raised concerns regarding potential discrimination against individuals with mental health conditions.
Purpose of the Study:
- To examine the impact of specific disclosure rules for applicants with mental disorders by licensure boards.
- To analyze the legal challenges and outcomes concerning mental health disclosure in professional admissions.
- To assess the implications of a settlement on future practices of licensure boards.
Main Methods:
- Analysis of legal actions and settlements involving professional licensure boards and applicants with mental disorders.
- Review of the Americans with Disabilities Act (ADA) implications on professional licensing requirements.
- Case study of the Louisiana bar admission process and subsequent legal resolution.
Main Results:
- Louisiana's bar admission authorities required broad mental health status disclosure from applicants.
- The U.S. Department of Justice found these practices violated the Americans with Disabilities Act.
- A settlement was reached, shifting the focus from mental disorders to functional impairment.
Conclusions:
- Licensure boards should prioritize assessing functional impairment over diagnosing mental disorders in applicants.
- The Louisiana settlement offers a precedent for other states and professions, including healthcare.
- This approach aligns with disability rights legislation and promotes fairer professional admissions.
Related Concept Videos
Nurses' Legal Responsibilities III
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
Stereotypes, Prejudice, and Discrimination
Nurses' Legal Responsibilities II
Communication between nurses and...
Ethical Standards I
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
Ethical Issues
Ethical Concerns in Healthcare:
