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Child Adolesc Psychiatr Clin N Am. 2013 Jul;22(3):493-507, vi. doi: 10.1016/j.chc.2013.03.005. Epub 2013 May 17.
The rising popularity of complementary and alternative medicine (CAM) in child and adolescent psychiatry raises unique ethical and legal concerns for psychiatrists and other conventional health care providers. This article explores these concerns and provides clinical advice for promoting patient health and safety while minimizing the psychiatrist's risk. Although any departure from the conventional standard of care is a potential risk, the risk of malpractice liability for practicing integrative medicine in child and adolescent psychiatry is low. CAM is most safely recommended from a legal standpoint when there is some published evidence of safety and efficacy.
补充和替代医学(CAM)在儿童和青少年精神病学中的日益普及,给精神科医生和其他传统医疗保健提供者带来了独特的伦理和法律问题。本文探讨了这些问题,并为促进患者的健康和安全提供了临床建议,同时将精神科医生的风险降到最低。虽然任何偏离传统护理标准的做法都存在潜在风险,但在儿童和青少年精神病学中实践整合医学的医疗事故责任风险很低。从法律角度来看,当有一些关于安全性和有效性的已发表证据时,CAM 是最安全的推荐。