Suicide/Homicide Risk Management |
Acute risk patients, safety planning, duty-to-warn |
Severe outcomes & high severity claims if monitoring/action disputed |
Rates trend higher without formal protocols & documentation |
Involuntary Holds & Restraints |
Inpatient holds, ED consults, seclusion/restraint orders |
Civil rights & standard-of-care allegations; documentation critical |
Surcharges or endorsements; may require inpatient experience |
Controlled Substances & Complex Pharmacotherapy |
Stimulants, benzodiazepines, off-label combos, MAT overlap |
Adverse events, dependence, monitoring failures |
Underwriting review of PDMP use, informed consent, monitoring plans |
ECT / Neuromodulation |
ECT, TMS, esketamine clinics |
Procedure complications, consent disputes, facility standards |
Adds premium and sometimes separate endorsements |
Telepsychiatry Across States |
Synchronous/asynchronous care, multistate patients |
Licensing, venue, standard-of-care variance by state |
Carrier approval of states; must disclose all practicing locations |
Forensic & Correctional Psychiatry |
IME/Court testimony, custody cases, jail/prison settings |
Adversarial matters; higher frequency/severity potential |
Often higher PL rates; sometimes separate forms or carriers |
Child & Adolescent Psychiatry |
Custody disputes, school threats, mandated reporting |
Complex consent dynamics; heightened duty of care |
Modest surcharges; documentation & care coordination scrutinized |