The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world.[7] It has more than 38,000[7] members who are involved in psychiatric practice, research, and academia representing a diverse population of patients in more than 100 countries. The association publishes various journals and pamphlets, as well as the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM codifies psychiatric conditions and is used mostly in the United States as a guide for diagnosing mental disorders.
The organization has its headquarters in Washington, D.C.[8]
History[edit]
See also: Association of Medical Superintendents of American Institutions for the Insane
At a meeting in 1844 in Philadelphia, thirteen superintendents and organizers of insane asylums and hospitals formed the Association of Medical Superintendents of American Institutions for the Insane (AMSAII). The group included Thomas Kirkbride, creator of the asylum model which was used throughout the United States. The group was chartered to focus "primarily on the administration of hospitals and how that affected the care of patients", as opposed to conducting research or promoting the profession.[9]
In 1893, the organization changed its name to the American Medico-Psychological Association.[10] In 1921, the association changed that name to the present American Psychiatric Association.[11] The association was incorporated in 1927.[11]
The cover of the publication Semi-Centennial Proceedings of the American Medical Psychological Association, which the association distributed in 1894 at its 50th annual meeting in Philadelphia, contained the first depiction of the association's official seal.[12] The seal has undergone several changes since that time.[12]
The present seal is a round medallion with a purported likeness of Benjamin Rush's profile and 13 stars over his head to represent the 13 founders of the organization. The outer ring contains the words "American Psychiatric Association 1844." Rush's name and an MD are below the picture.[12][13]
An association history of the seal states:
The choice of Rush (1746–1813) for the seal reflects his place in history. .... Rush's practice of psychiatry was based on bleeding, purging, and the use of the tranquilizer chair and gyrator. By 1844 these practices were considered erroneous and abandoned. Rush, however, was the first American to study mental disorder in a systematic manner, and he is considered the father of American Psychiatry.[12]
In 2015, the association adopted a new logo that depicts the serpent-entwined Rod of Asclepius superimposed over the image of two hemispheres of a human brain. The logo appears next to the words "American Psychiatric Association", with the word "Psychiatric" in bold type; the tagline "Medical leadership for mind, brain and body" appears below the logo. The association will continue to use the seal bearing Rush's profile for ceremonial purposes and for some internal documents.[14]
Organization and membership[edit]
APA is led by the President of the American Psychiatric Association and a board of trustees with an executive committee.
APA reports[15] that its membership is primarily medical specialists who are qualified, or in the process of becoming qualified, as psychiatrists. The basic eligibility requirement is completion of a residency program in psychiatry accredited by the Residency Review Committee for Psychiatry of the Accreditation Council for Graduate Medical Education (ACGME), the Royal College of Physicians and Surgeons of Canada (RCPS[C]), or the American Osteopathic Association (AOA). Applicants for membership must also hold a valid medical license (with the exception of medical students and residents) and provide one reference who is an APA member.[citation needed]
APA holds an annual conference attended by an American and international audience.[citation needed]
APA is made up of some 76 district associations throughout the country.[16]
Foundation[edit]
APA operates a non-profit subsidiary called the American Psychiatric Association Foundation (APAF), offering community-based programs and research initiatives intended to better understand and support issues of mental health.[17] Its strategic partners include the Council of State Governments (CSG) Justice Center, Substance Abuse and Mental Health Services Administration (SAMHSA) and the National Association of Counties (NACo).[18]
Corporate Alliance[edit]
APAF partners with industry organizations to collaborate on mental health research and development through its Corporate Alliance. Current and recent members of the alliance include:[19][20]
Donors to the foundation in 2019 include the Austen Riggs Center, BB&T, Cenveo, McLean Hospital, Menninger Foundation, NeuroStar, Newport Academy, NewYork-Presbyterian Hospital, Sheppard Pratt, and Silver Hill Hospital.[20]
Publications and campaigns[edit]
APA position statements,[21] clinical practice guidelines,[22] and descriptions of its core diagnostic manual (the DSM) are published.
APA publishes several journals[22] focused on different areas of psychiatry, for example, academic, clinical practice, or news.
Top five Choosing Wisely recommendations[edit]
See also: Choosing Wisely
In coordination with the American Board of Internal Medicine, the APA proposes five recommendations for physicians and patients. The list was compiled by members of the Council on Research and Quality Care.[23] The APA places a primary focus on antipsychotic medications due to a rapid increase in sales, from $9.6 billion in 2004 to $18.5 billion in 2011.[24]
Do not prescribe antipsychotic medications to patients for any indication without appropriate initial evaluation and appropriate ongoing monitoring.
Do not routinely prescribe 2 or more antipsychotic medications concurrently.
Do not prescribe antipsychotic medications as a first-line intervention to treat behavioral and psychological symptoms of dementia.
Do not routinely prescribe antipsychotic medications as a first-line intervention for insomnia in adults.
Do not routinely prescribe antipsychotic medications as a first-line intervention for children or adolescents for any diagnosis other than psychotic disorders.[23]