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Psychiatric disorders and referral obligations

Ian R Freckelton and George Mendelson
Med J Aust 2011; 195 (2): . || doi: 10.5694/j.1326-5377.2011.tb03205.x
Published online: 18 July 2011

The difficulties of knowing when, and to whom, to refer patients with a mental disorder

Recognising one’s clinical limitations and the need for them to be augmented by others’ specialised knowledge and experience is a key component of professional reflectiveness and humility. Referring a patient to a specialist should never be experienced as a reflection of inadequacy or as a slight upon the quality of one’s care. It is an opportunity to provide enhanced treatment and to draw collaboratively upon the specialisation and wisdom of a respected colleague.1 It is also an important ethical obligation.2


  • 1 Crockett Chambers, Melbourne, VIC.
  • 2 Monash Law School, Monash University, Melbourne, VIC.
  • 3 School of Psychology and Psychiatry, Monash University, Melbourne, VIC.
  • 4 Department of Forensic Medicine, Monash University, Melbourne, VIC.


Correspondence: i.freckelton@vicbar.com.au

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  • 3. Pickering WG. Medical omniscience. BMJ 1998; 317: 1729-1730.
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  • 6. Parker GB. Bipolar II disorder — diagnostic and management lessons for health practitioners from a coronial inquest. Med J Aust 2011; 195: 81-83.
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  • 8. Boehm v Deleuil & Anor [2005] WADC 55.
  • 9. Rogers v Whitaker [1992] HCA 58; (1992) 175 CLR 479 at [5].
  • 10. Wilsher v Essex Area Health Authority [1987] QB 730 at 777.
  • 11. McGroder v Maguire [2002] NSWCA 261.

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