Expertise

Psychiatric standards.Clinical causation.

Focused consultation where psychiatric standard of care, clinical judgment, institutional practice, or medical causation is disputed.

Psychiatric malpractice & standard of care

Review of psychiatric assessment, diagnosis, treatment, documentation, monitoring, supervision, and disposition decisions against the applicable clinical standard of care.

Assessment · Treatment · Documentation · Clinical judgment

Suicide risk & disposition

Evaluation of suicide risk assessment, observation level, hospitalization, discharge planning, follow-up, and whether clinical information was reasonably integrated into the disposition decision.

Risk assessment · Hospitalization · Discharge · Follow-up

Prescribing & medication-related harm

Psychotropic and controlled-substance prescribing, dose selection, monitoring, adverse effects, polypharmacy, oversedation, and the relationship between medication decisions and subsequent injury.

Psychopharmacology · Monitoring · Adverse effects · Causation

Addiction treatment & withdrawal

Alcohol, benzodiazepine, and opioid withdrawal; medication treatment for opioid use disorder; methadone and buprenorphine; detoxification protocols; and psychiatric consequences of untreated or inadequately treated withdrawal.

Withdrawal · Methadone · Buprenorphine · Treatment systems

Emergency, inpatient & institutional care

High-acuity psychiatric assessment and treatment in emergency, inpatient, correctional, and other institutional settings, including protocols, observation, transitions of care, and clinical responsibility.

Emergency psychiatry · Inpatient care · Correctional care · Protocols

Medical causation

Analysis of chronology, clinical deterioration, competing explanations, substance exposure, medication effects, underlying illness, and the relationship between alleged departures and claimed harm.

Chronology · Differential causation · Medication effects · Harm

Discussa matter.

Initial inquiries can be limited to the parties, jurisdiction, retaining side, psychiatric issue, and anticipated deadline.

Case inquiry