Each APA practice guideline is developed by a work group of psychiatrists in active clinical practice, including academicians or researchers who spend a significant percentage of their time in the clinical care of patients. Work group members are selected on the basis of their knowledge and experience in the topic area, their commitment to the integrity of the guideline development process as outlined by the AMA and IOM, and their representativeness of the diversity of American psychiatry.

Many experts in psychiatric treatment, particularly in the area of psychopharmacology, have significant research activities funded by the pharmaceutical industry. Recognizing this, APA has implemented a number of mechanisms to minimize the potential for producing recommendations that are biased because of conflicts of interest from contributors. On appointment, work group members are asked to disclose potential conflicts of interest, and these disclosures are reviewed by the work group chair and the APA Executive Committee on Practice Guidelines. Work group members are asked to decline participation if they feel there are conflicts of interest or biases that could impact their ability to maintain scientific objectivity. At an initial meeting, work group members are also asked to disclose potential conflicts of interest with each other. This transparency helps the group to evaluate and, as necessary, dissent with each other'€™s work during evidence review and draft development. The following statement appears in every practice guideline to clarify this point:

This practice guideline has been developed by psychiatrists who are in active clinical practice. In addition, some contributors are primarily involved in research or other academic endeavors. It is possible that through such activities some contributors, including work group members and reviewers, have received income related to treatments discussed in this guideline. A number of mechanisms are in place to minimize the potential for producing biased recommendations due to conflicts of interest. Work group members are selected on the basis of their expertise and integrity. Any work group member or reviewer who has a potential conflict of interest that may bias (or appear to bias) his or her work is asked to disclose this to the Steering Committee on Practice Guidelines and the work group. Iterative guideline drafts are reviewed by the Steering Committee, other experts, allied organizations, APA members, and the APA Assembly and Board of Trustees; substantial revisions address or integrate the comments of these multiple reviewers. The development of the APA practice guidelines is not financially supported by any commercial organization.

Potential bias is also minimized by iterative broad review of guideline drafts, as described in Section VI of this document. Finally, no commercial organizations provide support for the development of the APA practice guidelines.

APA is listed as the "author" of practice guidelines, with individual contributions and reviewers acknowledged. Final editorial responsibility for practice guidelines rests with the Steering Committee and the Department of Quality Improvement and Psychiatric Services.


Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
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