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Psychopharmacology Challenges in the Diagnosis and Treatment of Bipolar Depression Part 1: Assessment Diagnosing and distinguishing bipolar unipolar depression is difficult. Make assessment easier with these 5 distinctions.p9 Eating Disorders Across the Life Span Learn more about 4 populations at risk for eating disorder behaviors prevalence, assessment, triggers, and treatments.p20 Social Suppoet Needs of Families Adopting Special Needs Children You can better provide the relief parents need by learning how they make decisions, developing effective social support programs, and improving community resources.p28 Why Rural African-American Women who use Cocaine Mistrust Women: The Insider Perspective These women describe, in their own words, 6 themes that prevent them from enjoying relationships with their peers.p36. Lessen the number of restrictions. Remove specialty restrictions for some drugs and place such drugs under request for approval by specialist. Disallow Rx by civilian providers of patients who are not TRICARE Prime. Non-TRICARE beneficiaries' pharmacy budget should not come out of MTF money. This places a burden on the MTF to not add new drugs to the formulary due to concerns of misuse by civilian providers locally. In the end, TRICARE Prime beneficiaries suffer due to restrictive formulary policies that cannot control civilian prescribing patterns! Restrict less medications to specific services. Rather, educate providers in regard to cost, side effects, and appropriate use. Give feedback as needed to providers in regard to their use of expensive third-line medications. Don't block any Rx from specialists, only family doctors. I would allow certain medications to be restricted by specialty. This would prevent overutilization of some expensive medications by providers who might not have the training to appropriately prescribe certain medications. [But it would still] allow the specialist the ease of routine prescription writing rather than going through the non-formulary approval process. Certain drugs are controlled by the pharmacy by permitting only certain subspecialists to use them. Examples include sumatriptan, mirtazapine, and celecoxib. I find this more exasperating than obtaining a new drug order request to circumvent restrictions on non-formulary drugs. If these drugs are to be tried on a trial basis, a consult [to a specialist] has to be generated. Less restriction of prescribing i.e., specialists only prescribing for Vioxx or Mdtrogel is ridiculous ; . Restrict beneficiaries with non-MTF prescriptions from using MTF pharmacy. Require that they use the non-MTF options that are now widely available. That would allow the MTF formulary to expand without the concern that the budget would go out of control because of prescriptions by non-MTF providers. Do not restrict drugs to specific specialties. Restricting drugs to subspecialists results in consults to them that may be unnecessary for asthma and allergy medications in particular ; . The formulary in "theory" is fine. A problem occurs if you need to step outside the formulary. Many times I have experienced the attitude from pharmacy staff and commanders that [they think] I don't know what I'm and nordette.

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18 REFERENCES Armstrong, D. 1983 ; Political Anatomy of the Body: Medical Knowledge in Britain in the Twentieth Century, Cambridge: Cambridge University Press. Bauman, R. and Sherzer, J. eds ; 1974 ; Explorations in the Ethnography of Speaking, Cambridge: Cambridge University Press. Bertaux, D. ed ; 1981 ; Biography and Society: the Life History Approach in the Social Sciences, London: Sage Publications. Davis, A.G. 1982 ; Children in Clinics, London: Tavistock. Graham, H. 1984 ; 'Surveying through Stories' in C.Bell and H. Newby eds ; Social Researching: Politics, Problems, Practices, London: Routledge & Kegan Paul. Gumperz, J.J. and Hymes, D. eds ; 1972 ; Directions in Socio-Linguistics, New York: Holt, Rhinehart & Winston Inc. Hockey, J. and James, A. 1993 ; Growing Up and Growing Old: Ageing and Dependency in the Life Course, London: Sage Publications. James, A. and Prout, A. 1990 ; Constructing and Reconstructing Childhood. Basingstoke: Falmer Press. Orton, C. 1981 ; Learning to Live with a Skin Disorder, London: Souvenir Press. Rapport, N. 1987 ; Talking Violence, St.Johns: Institute of Social and Economic Research. Turner, B.S. 1987 ; Medical Power and Social Knowledge, London: Sage Publications. Vosey, M. 1975 ; A Constant Burden: the Reconstitution of Family Life, London: Routledge & Kegan Paul and mobic.

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