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090239 1 (1978-04-04)

handle is hein.gao/gaobacvxt0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, DC 20548 HUMAN RESOURCES 1Q7P DIVISION Mr. Wallace E Busbee Acting Deputy Assistant Inspector General For Audit Veterans Administration Dear Mr Busbee In June 1977, we initiated a followup review of our April 1975 report on the Veterans Administration's (VA's) controls over the use of psychotherapeutic drugs. 1/ Because the Department of Medicine and Surgery (DM&S) is still in the process of acting on these recom- mendations, we are discontinuing further work on this review However, we want to bring to your attention the nature and status of DM&S's efforts to improve controls over the use of psychotherapeutic drugs which may be useful to you in future audits of VA's health care facilities. ACTIONS TAKEN BY VA Although DM&S has initiated actions which may eventually result in controlling the use of psychotherapeutic druqs, it has not fully implemented our recommendations. Because of the important role psychotherapeutic drugs have in the care of psychiatric patients, we believe that DM&S needs to expedite its plans to insure appropriate use of these drugs. The recommendations contained in our April 1975 report and VA's actions on these recommendations are discussed below. Establish uniform guidelines for using psychotherapeutic drugs In July 1975, DM&S redistributed VA's study entitled Guidelines for Antipsychotic Drug Use by Drs Prien and Caffey (VA Central Neuropsychiatric Research Laboratory Report No. 95, May 1974) According to central office officials, 15,000 copies of the guidelines, 1/Controls on Use of Psychotherapeutic Drugs and Improved Psychiatrist Staffing Are Needed in Veterans Administration Hospitals (MWD-75-47, April 18, 1975). C-e7 7 X31 kep4-

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