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Re: 'value added' fee

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Rian, There is an excellent version of the narc. contract in the Family Practice Management Journal.Go to aafp.org and then to FP Management to find the contract in the Nov/Dec 01 issue. The contract is in the article "A Tool for Safely Treating Chronic Pain". Click on Our Medication Use Agreement for a copy of the contract.

Hope it helps.

Patin

Reno,NV

Re: 'value added' fee

Boundary setting is definately necessary at times, especially with borderline personalities...I found scheduling more frequent appointments with people who "need to talk" more helps. Usually weekly appointments for a month or so helps us determine what the real needs are, and then the phone isn't abused. If it continues, I have had to draw up a contract, like my narcotics contract, for two patients. I had to actually "fire" one based on the agreement of the contract. She enrolled in a 6 week Cognitive Behavioral Therapy program and then came back on better terms. I was, to note, actively involved in my own weekly psychoanalysis at the time to figure out why I let patients cross my boundaries...trying to save them all etc. It took two years and thousands of dollars...but it was worth it. Rothe DO379 Piney Branch WayBurnsville, NC 28714(828)273-2889

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Thank you so much to those of you who were so kind as to reply to my request for narcotic contracts. I now have several examples and I will create an alloy from those precious metals. On completion I will post my version on this listserve.

Rian Mintek M.D.

Re: 'value added' fee

Boundary setting is definately necessary at times, especially with borderline personalities...I found scheduling more frequent appointments with people who "need to talk" more helps. Usually weekly appointments for a month or so helps us determine what the real needs are, and then the phone isn't abused. If it continues, I have had to draw up a contract, like my narcotics contract, for two patients. I had to actually "fire" one based on the agreement of the contract. She enrolled in a 6 week Cognitive Behavioral Therapy program and then came back on better terms. I was, to note, actively involved in my own weekly psychoanalysis at the time to figure out why I let patients cross my boundaries...trying to save them all etc. It took two years and thousands of dollars...but it was worth it. Rothe DO379 Piney Branch WayBurnsville, NC 28714(828)273-2889

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