Miller R S, Wiedeman G H, Linn L
Soc Work Health Care. 1980 Fall;6(1):51-61. doi: 10.1300/j010v06n01_06.
Through the use of a questionnaire it has been ascertained that a significant number of second-year graduate school social work students at the Columbia University School of Social Work are called upon to monitor and dispense psychotrophic drugs in various placements where they receive their practical clinical training. In some instances they may even fill out prescription blanks that are signed by psychiatrists who do not have the time to see the patients personally. This situation not only represents the abdication of medical responsibility, frequently leaving non-medical personnel with functions beyond their training and professional competence, but also raises important ethical and legal problems. Non-medical professionals in mental health settings should receive appropriate instruction in the essentials of psychopharmacology. Such training should not be left to chance as apparently is the case now. Non-medically trained members of the mental health team, if properly instructed, could cooperate more effectively with the psychiatrists who must in any event retain primary responsibility for pharmacotherapy.
通过问卷调查发现，哥伦比亚大学社会工作学院相当数量的社会工作专业二年级研究生在其实践临床培训的各个场所被要求监测和分发精神药物。在某些情况下，他们甚至可能填写由没有时间亲自看诊患者的精神科医生签署的处方空白。这种情况不仅代表了医疗责任的放弃，常常使非医疗人员承担超出其培训和专业能力范围的职责，还引发了重要的伦理和法律问题。心理健康机构中的非医疗专业人员应接受精神药理学基本知识的适当指导。这种培训不应像现在这样听天由命。心理健康团队中未经医学培训的成员如果得到适当指导，就能更有效地与精神科医生合作，而精神科医生无论如何都必须对药物治疗承担主要责任。
