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Opinion: The unintended consequences of the Lindsay Clancy case
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关键摘要
Lindsay Clancy案或致全美500名生殖精神科医生更难覆盖孕产期患者
- 全美仅约500名执业生殖精神科医生
- 普通精神科医生和产科医生是孕产期心理疾病主要接诊者
- 过度法律与公众 scrutiny或使医生更不愿治疗患病母亲
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正文提要
Much of the focus on the Lindsay Clancy case has been on the reported systemic failures of the mental health system, with the hope that this case will revamp the approach to maternal mental health. We, as forensic and reproductive psychiatrists, agree that the system is not perfect. But we are concerned that this focus could have a dangerous unintended consequence: The legal and public scrutiny around the Clancy case could make psychiatrists more reluctant to treat mothers with mental illness.
In an ideal world, all mothers would have easy access to reproductive psychiatrists. The reality is that only about 500 reproductive psychiatrists are practicing in the United States. As a result, general psychiatrists (as in the Clancy case) and OB-GYNs are often the frontline providers for perinatal mental illnesses. Both are trained to assess and treat these disorders but do not have a dedicated focus on them.