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Psychiatry Online
Practice Guidelines

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American Psychiatric Association Practice Guidelines

American Psychiatric Association (APA) practice guidelines provide evidence-based recommendations for the assessment and treatment of psychiatric disorders. Practice guidelines are intended to assist in clinical decision making by presenting systematically developed patient care strategies in a standardized format.

In 2011, APA adopted a new guideline development process to align with recommendations of the Institute of Medicine published in March 2011. Steps in the development process include establishing transparency, managing conflicts of interest, composing work groups, using systematic reviews of evidence, articulating and rating recommendations in guidelines, obtaining external review, and updating. For additional information regarding the new process and a list of the current membership of the APA Steering Committee on Practice Guidelines, please visit theAmerican Psychiatric Association.

Current GuidelinesView All
New
View Table of Contents for Practice Guidelines
The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
View Table of Contents for Practice Guidelines
The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia seeks to fulfill this need to improve the care of patients with dementia who are exhibiting agitation or psychosis. The guideline focuses on the judicious use of antipsychotic medications when agitation or psychosis occurs in association with dementia. It is intended to apply to individuals with dementia in all settings of care as well as to care delivered by generalist and specialist clinicians. The guideline offers clear, concise, and actionable recommendation statements to help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. Each recommendation is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. Findings from an expert opinion survey have also been taken into consideration in making recommendations or suggestions. In addition to reviewing the available evidence on use of antipsychotics in treating agitation or psychosis in patients with dementia, the guideline provides guidance to clinicians on implementing these recommendations to enhance patient care.
View Table of Contents for Practice Guidelines
This new edition ofThe American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults, Third Edition is the first set of the APA’s guidelines developed under the new guideline development process. These guidelines address the following nine topics, in the context of an initial psychiatric evaluation: review of psychiatric symptoms, trauma history, and treatment history, substance use assessment, assessment of suicide risk, assessment for risk of aggressive behaviors, assessment of cultural factors, assessment of medical health, quantitative assessment, involvement of the patient in treatment decision making, and documentation of the psychiatric evaluation. Each guideline recommends or suggests topics to include during an initial psychiatric evaluation. Findings from an expert opinion survey have also been taken into consideration in making recommendations or suggestions. In addition to reviewing the available evidence on psychiatry evaluation, each guideline also provides guidance to clinicians on implementing these recommendations to enhance patient care.
APA Practice Guidelines Legacy Collection (PDF)
APA developed and published 23 practice guidelines from 1992 to 2010, including multiple second and third editions. Thirteen of the guidelines are available in this section. The process used to develop these guidelines is describedhere. These guidelines are more than 5 years old and have not yet been updated to ensure that they reflect current knowledge and practice. In accordance with national standards, including those of the Agency for Healthcare Research and Quality's National Guideline Clearinghouse, these guidelines can no longer be assumed to be current.
CME
Guidelines: Evidence in Practice

CME courses on the APA Education Online Website target clinical application of guideline recommendations. Earn between 5 and 8 hours ofAMA PRA Category 1 Credits™ per course.

Resources
Understanding and Improving Mental Health

To find out more about mental health related issues and topics, please visit theAmerican Psychiatric Association.

AACAP

APA guidelines describe treatment of adult patients. For the treatment of children and adolescents with psychiatric disorders, practice parameters are available from theAmerican Academy of Child and Adolescent Psychiatry.

Permissions, Licensing & Reprints

APA makes the practice guidelines freely available here to promote their dissemination and use; however, copyright protections are enforced in full. No part of these guidelines may be reproduced except as permitted under section 107 and 108 of the United States Copyright Act. For permission for reuse, visit ourPermissions and Licensing center.


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