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Jul 18th
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Fitness for Duty Assessments

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In the course of a performing a demanding job, there are sometimes instances when an individual's capacity to perform their job duties is brought into question.   Sometimes these claims are with merit, as the individual may be suffering from true psychiatric illness; sometimes, the claim is without foundation.   Fitness for duty assessments, especially of high accountability professionals (i.e., physicians, attorneys and members of the transportation fields), have long been a main part of my psychiatric practice.   When true illness is present, I am often able to identify the presence of these conditions and then provide the patient/client as well as the referral source (i.e., employer/disciplinary body/hospital/insurance company) with a clear plan designed to improve functioning, help insure stability and provide assurance of on-the-job-safety.


Do you have a question? Please read our frequently asked questions and answers.

How are fitness for duty assessments performed?

My clinical assessments are often composed of several components and generally consist of review of all critical information, a face-to-face assessment (often in two-parts), collateral contacts and then pulling the entire assessment together into a readable and comprehensive psychiatric report.


How long do these assessments take?

There is a number of factors to be considered in completing a clinical assessment, including the availability and accessibility of collateral data and ability to contact collateral sources.   The face-to-face assessment (depending on the issue) is generally completed over two sessions and can typically range from two to six hours.    Generally, the completed psychiatric report is delivered within three to five weeks of the referral being made.



Who pays for these assessments?

A variety of payment options have been used, but typically the patient and/or referral source (i.e., employer/hospital/disciplinary body/insurance company) cover the cost of the assessment.   I do not accept insurance.   I do offer a discount for government agencies that refer patients/clients.



Who gets a copy of these reports?

Given the often highly sensitive nature of the clinical material, at the onset of the evaluation, the recipient of the report is specifically identified and a Release of Information executed by the patient/client.   Unless a court order is received, under no circumstances will my psychiatric report be released to any other party, other than the one(s) explicitly specified by the patient/client.   Confidentiality is strictly adhered to.