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Article   |    
Who Should Perform the AIMS Examination?
Mark R. Munetz; Sheldon Benjamin
Psychiatric Services 1990; doi:
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The authors gratefully acknowledge the assistance of Paul S. Appelbaum, M.D., and members of the Law and Psychiatry Group of the University of Massachuserts Medical Center.

Case Western Reserve University Medical School, Ambulatory Services in the Department of Psychiatry at University Hospitals of Cleveland, 2040 Abington Road, Cleveland, Ohio 44106

University of Massachusetts Medical School, in Worcester, Massachusetts

1990 by the American Psychiatric Association

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Abstract

Psychiatrists and nonphysician mental health professionals working in community mental health centers have difficulty establishing the scope of their expertise, defining the limits of their roles, delegating responsibility, and sharing professional liability. The clinical, political, and administrative aspects of these tensions are examined in the context of arguments for and against physicians' delegating to nonphysician mental health professionals the task of screening CMHC patients for tardive dyskinesia using the Abnormal Involuntary Movement Scale. n 43 percent of mental health centers in Massachusetts surveyed by the authors, nonphysicians perform tardive dyskinesia screening. The authors suggest that the benefits of involving nonphysicians in tardive dyskinesia screening in the CMHC setting outweigh the disadvantages.

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