JustSheila
Crusader
I think only the prescription from the Doctor is allowable. That's the correct answer from a patient/client welfare point of view and legal framework. Udarnik has already talked about clearance rates , dosage and therapeutic levels.
Just because a scientologist knows how to know, doesn't mean he knows anything. The psychiatrist has given a prescription and it's not up to anyone to mess with that.
When I work with clients, the info they bring about the treatment by a different practitioner is sometimes fanciful at best. If they have mental issues, try to figure that into the equation.
When co-managing a client it is essential to have some communication with the other practitioner. Just a note saying 'Client says you're doing blah, I'm doing blah, so far blah has happened' - is so simple and easy to do. It gives the other practitioner an opportunity to clarify misunderstandings and give direction. An expert in com-cycles should know this.
Or would that ruin a 'oh, but I thought' legal defence?
Treatment should always be in the best interest of the patient.
As far as we know all prescriptions are from a doctor.
There may be some comm between practitioners.
You work in this field?
Terril, Jump brought up a very good point.
Firstly, Dexter is not a 'practitioner.' Not having any professional counseling degree of any kind, he is not a qualified therapist. So there would be no referral of information - he is not in the network of medically qualified professionals.
Medical information is highly confidential and outside of medical professionals, can only be released with the client's specific written consent. Don't take my word for it, check the laws yourself.
Dexter sounds to be taking the client's word on what the psychiatrist says and changes in his medication. The fact that he does not have a written change in prescription and is not relying on actual prescriptions puts Dexter personally at great risk, as well as the client. I highly doubt Dexter has any direct communication with the doctor of any kind due to confidentiality laws.
Having worked in the mental health field myself, I can tell you that it's not uncommon for clients to lie about taking their meds. Sometimes knowingly, sometimes not, but it happens. I've seen co-workers fired for taking a client's word on this when it was later proven wrong. Like Jump says, you don't mess with the psychiatrist's prescription. Any changes are in writing in official prescription form.
Don't forget the tragedies from NN and other places where scientologists took people off psychiatric meds without psychiatric changes of prescription and the person died or even at times killed others. There are plenty of sad stories like this on ESMB.

