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Review Article | DOI: https://doi.org/10.31579/2637-8892/350
1Director of Forensic Psychiatry, Professor, Department of Psychiatry, University of Toronto, Toronto, ON.
2Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, ON.
3Professor, Department of Psychiatry, Queen’s University, Kingston, ON.
*Corresponding Author: Graham D. Glancy, 1Director of Forensic Psychiatry, Professor, Department of Psychiatry, University of Toronto, Toronto, ON.
Citation: Graham D. Glancy, Kiran Patel, Jeffrey McMaster, Robert McMaster, Najat Khalifa, (2025), A Team Approach to Correctional Psychiatry, Psychology and Mental Health Care, 9(8): DOI:10.31579/2637-8892/350
Copyright: © 2025, Graham D. Glancy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 10 November 2025 | Accepted: 21 November 2025 | Published: 28 November 2025
Keywords: corrections; psychiatry; team; wellness
Psychiatrists working in corrections are often working in geographical and professional isolation. This can contribute to a range of problems that include psychological burnout, overprescribing, and inability to resolve ethics dilemmas. We discuss staffing a correctional psychiatric unit with the team of psychiatrists from a university forensic psychiatric division. We then describe how this approach may alleviate or prevent the unwanted sequelae noted above.
Recently, the consulting psychiatrist of a treatment center at a maximum-secure and a medium-secure institution went on a career break, and four psychiatrists from an academic institution in Canada were appointed to fill the vacated role. Each of these psychiatrists will work one day a week, covering four days a week in total (one day less than the coverage provided by the previous psychiatrist). In this paper, we discuss the advantages and disadvantages of the new arrangement over the previous one, taking into consideration the challenges of working in a correctional environment, including professional isolation, patient demands, and sometimes unrealistic expectations from others. The center is an accredited psychiatric facility specifically designated for the treatment of patients incarcerated in the correctional system. Patients are referred from any of the other institutions on the basis that they require intensive mental health services. The admission criteria include the presence of the following:
· Major Mental Disorder, Neurological Disorder, Or Cognitive Impairment
· Personality Disorder
· Sexual Paraphilia (In Certain Circumstances)
· Significant Risk To Self Or Others
· Functional Impairment
Patient motivation and ability to engage in treatment is another important consideration. Patients may be admitted voluntarily or under the appropriate section of the Mental Health Act, under which the center is a recognized psychiatric facility. Although it is located on one government property, the center is split across two institutions: a maximum-security institution and a medium-security institution. The maximum-security site has a capacity of 90 incarcerated individuals, including six observation cells for enhanced monitoring of patients at increased risk for suicide or self-injury. The medium-security institution has a capacity of 36 beds. Both sites are staffed by multidisciplinary teams and operational staff with provision for psychiatric on-call coverage outside of working hours.
Team Approach
As early as 1964, Boslow described a team approach in a psychiatrically oriented correctional institution in the US. This institution, the famous Patuxant, was created in response to legislation in the state of Maryland that imposed on psychiatry and its allied professions the responsibility of treating and rehabilitating a large group of people who were defined by law as “defective delinquent[s]” (Boslow 1964, p. 37). The paper focuses on how the team, as directed by statute by a psychiatrist, worked together in the situation. Regehr and Glancy (2021) also describe an interprofessional team’s functioning in the delivery of mental health services. They note that the team works when two or more professions interact to improve the effectiveness and quality of patient care. The authors describe challenges that team members encountered working together, including role blurring, conflict from different and contradictory professional values, and power differentials. The concept of an interdisciplinary team approach was established and developed along with mental health services in general. Bronstein and Abramson (2017) designate a framework for successful teamwork that includes meeting to determine common goals; setting contract terms of the current collaboration (written or unwritten); establishing team leadership; monitoring and refining team policies and procedures; and establishing methods for conflict resolution. Appelbaum et al. (2001) discuss the integration of security staff into the treatment team. They argue that correctional officers are the eyes and ears of the mental health team and should be included in treatment planning and monitoring. Psychologists have also long been part of the correctional team, working alongside psychiatrists. They can provide specialist assessment and treatment as well as valuable collaborative expertise (Dumont et al., 2020). We did not find literature discussing teams of psychiatrists specifically in correctional institutions. Interdisciplinary teams are described as helpful for correctional outpatient teams (Roskes et al., 2001). Peer support groups have been described for teams of general practitioners working within a practice, and it has been suggested that they improve patient care as well as the health of the practitioners (Howell & Wilson, 2004). Quinn et al. (2009) suggested that multidisciplinary in-hospital teams improve patient outcomes, and peer support has been shown to be useful in enhancing writing production in small groups of physicians.
Isolation And Lack of Support
It is not uncommon for correctional psychiatrists to be isolated geographically, professionally, and personally. Long-term correctional facilities or prisons tend to be located outside urban centers. Psychiatrists who work in these institutions are often under contract and may have to drive long distances to get to the institutions and work long hours with enormous caseloads. There are several different funding models across North America, including in Canada (Trestman, 2015). Most models involve contract arrangements, including outside vendor models, which might include global or split contracting. In Canada there is a hybrid model for the provision of psychiatric services that involves a mix of contract arrangements and collaborations with academic institutions (e.g., Queen’s University, University of Saskatchewan, Philippe-Pinel National Institute of Forensic Psychiatry, University of British Columbia) (Cameron et al., 2021). In practice, the delivery of psychiatric services often ends up in the hands of sole practitioners who work across multiple institutions. Because the geographical locations of these institutions are often far from urban centers or university medical schools, psychiatrists are often professionally isolated. There have been various approaches to the housing and treatment of individuals with mental disorders across jails and prisons (Dvoskin & Brown, 2015). Dedicated housing can concentrate mental health services in a specific part of the institution. This model keeps people with mental disorders away from those without mental illness, which enhances the security of those with mental illness, as well as the totality of the system. Gage (2015) notes that a psychiatrist working in this environment must come to terms with the relevant “alien reality” in that setting to be satisfied with the work and clinically effective. He goes on to say that many clinicians in this area become overwhelmed and professional solitude is a challenge. Geographical isolation coupled with relatively low staffing models means the psychiatrist practices in relative isolation compared to most hospital or group practice models. There are unlikely to be colleagues available for discussions, collegiality, peer support, or consultations. Owing to differences in professional perspectives, it may be difficult for the psychiatrist to turn to other members of the multidisciplinary team for support and mentorship. Notably, correctional psychiatrists are not necessarily forensic psychiatrists (Glancy, 2015). Although some have posited that this should be the case, the reality is that forensic psychiatrists are not always available to work in correctional institutions, especially when these institutions are geographically remote. Traditionally, correctional psychiatrists have not belonged to organizations of general psychiatrists or forensic psychiatrists, although some commentators regard correctional psychiatry as a subspecialty of forensic psychiatry (Cameron et al., 2021). This lack of belonging compounds the sense of professional isolation and might also contribute to a failure to raise standards of care.
Constant Patient Demands
Several commentators have opined on the types of stresses correctional psychiatrists cope with in the short and long term (American Psychiatric Association 2015). Stresses include lack of decent office space, dealing with the prison culture, safety concerns, and such inefficiencies as patient access barriers (Gage, 2015). In addition to the high caseload, Gage notes the problem of limited access to consultation, which might otherwise be easily available, for instance, in a psychiatric hospital setting. In addition to systemic pressures, there are difficulties in dealing with high volumes of patients with a high prevalence of substance-related and personality disorders (Fazel & Danesh, 2002). Even in the presence of serious mental disorders, comorbidity with substance use disorder and personality disorder is so common as to be the norm. Consequently, prescribing in corrections has unique challenges and can be the source of considerable stress (Tamburello et al., 2020). Illegal or street drugs are difficult, though not impossible, to obtain in correctional facilities; thus, it is not uncommon for people to attempt to obtain replacements from prescribers. A variety of drugs may fill the bill, but the most common are benzodiazepines, psychostimulants, and more recently, derivatives of THC, such as Nabilone (Tamburello, 2015). Efforts to obtain these medications can involve malingering (Knoll, 2015), threatening violence, threatening legal action, or threatening to report the psychiatrist to their medical licensing body. Many patients come up with ingenious explanations, including the death or retirement of a fictitious prescribing physician; previously obtaining the medications from a relative, such as their mother; previously obtaining the medication in a foreign country, claiming no other medications worked; and other elaborate narratives. Dealing with these pressures is exhausting and wearing, thereby contributing to physician burnout and lack of efficacy. As noted above, comorbidity in patients in corrections is the norm rather than the exception, resulting in patients who are exceptionally difficult to serve. It is not uncommon for a psychiatrist to have to deal with acute psychotic symptomatology overlaid with significant personality attributes, which can make diagnosis and treatment both difficult and hazardous. The overlay of personality disorder on acute mental illness is particularly stressful for the treatment team. In the hospital setting, this is often dealt with by consulting with colleagues of various disciplines, who can provide ideas about treatment avenues and implicitly offer support for the psychiatrist. In isolated correctional centers, it can be challenging to obtain consultation from peers or experts in a particular field. Therefore, the clinical load falls on the psychiatrist, who has to endure most of the stresses involved. In hospital settings, corridor consultations and informal discussions with colleagues can provide some of these functions, but this is often impossible in remote correctional facilities. Symptoms of burnout can lead to decreasing quality of care, as well as dissatisfaction from both physicians and patients (Quinn et al., 2009). A psychiatrist under undue stress will likely lose some efficacy. This can lead to undesirable or inappropriate practices, with adverse health and security consequences. For example, a strong and well-supported physician can resist the pressure to prescribe inappropriate controlled or excessive doses of medications; however, this resistance can be broken down for a psychiatrist who is experiencing burnout. Once the psychiatrist starts to give in, the floodgates can open for requests from other incarcerated individuals, which are increasingly hard to deny. This can lead to inappropriate prescribing and eventual harm to patients, as well as threatening the safety and security of the institution.
Difficult-To-Resist, Unrealistic Management Demands
In addition to their obligation to the patient, psychiatrists in corrections are also obliged to support the safety and security of the institution (Glancy & Simpson, 2018). This compounds the stress felt by the correctional psychiatrist, who often wrestles with these ethical dilemmas daily. The management structure in correctional mental health is somewhat different from that of a hospital or community health service, whose exclusive goal is health care delivery. In the correctional situation, management is often security rather than health care personnel. The management mode and goals may differ entirely from a psychiatrist's experience in a health care setting. Often, management goals are not realistic, sensitive to, or within the grasp or mandate of practicing psychiatrists. Policies and procedures can also impact treatment delivery. Planning the delivery of health, such as seeing a patient at predefined intervals (e.g., every day, every five days, every 15 days), which may not be clinically indicated, contributes to burnout. Medical defence organizations that represent psychiatrists working in hospital or community settings may be unfamiliar with the additional burden of correctional psychiatry and thus unwilling to support and represent them. To address some of these challenges, the Correctional Service of Canada (CSC) has progressively shifted towards independent health governance by relying on Accreditation Canada for external accreditation of health services and delineation of budget lines, to allow health services managers to determine health care staffing and policies (Cameron et al., 2021).
Knowledge and competence
In most hospital settings, psychiatrists benefit from both formal and informal continuing medical education. Informal discussions, reading other physicians’ charting, and formal continuing education are the norm in a hospital setting. These attributes would be most unusual, however, in a correctional setting. Isolated psychiatrists are therefore at risk of not benefiting from continuing medical education, which could result in a decline in clinical competence. As well, older physicians benefit from practicing in close collaboration with younger physicians, who have greater knowledge of new ideas and technologies. In some respects, there is pooled knowledge in a group of hospital-based psychiatrists, which may be shared among group members through various formal and informal means. This is not readily available to geographically isolated correctional psychiatrists, potentially leading to psychiatrists using outdated methods for years because they do not have the impetus to change. Based on our experience, an alternative scenario is when a correctional psychiatrist experiments with innovative therapies they have read about but are not actually done in a hospital setting. These practices, such as polypharmacy, are sometimes inappropriate in a correctional setting. In both scenarios, the correctional psychiatrists do not have peers available with whom to compare their practice, nor are others around who can ensure they are practicing with the same standards.
Referring Patients to A New Provider
Issues of countertransference are particularly pertinent in a correctional setting. This is partly attributable to the high rate of comorbidity of all disorders with concomitant personality and substance use disorders. In hospital settings, countertransference can be dealt with by referring the patient to another physician, or at least by consultation with other physicians. This may not, however, be possible in an isolated correctional setting, resulting in the psychiatrist continuing to treat the patient despite being unable to resolve countertransferential issues. In the long term, the psychiatrist may feel they are serving a life sentence with the patient! The situation is particularly stark if the patient has threatened or even physically attacked the psychiatrist. It is difficult to rebuild a therapeutic rapport in these circumstances. Even short term, issues of countertransference can lead to less effective treatment and dissatisfaction of both the psychiatrist and their patient. Isolated correctional psychiatrists have few avenues available for resolving this. Other possible scenarios include if the psychiatrist over-identifies with their patient, resulting in over- or inappropriate prescribing and treatment patterns, or if they begin to fear or dislike their patient, which can have the same results. This is bound to raise ethical dilemmas with respect to the basic principles of beneficence and nonmaleficence.
Advantages of the New System
Several correctional institutions in this area are built in the same geographic region to facilitate transfers among various levels of security. The government had previously signed a memorandum of understanding (MoU) with a university’s psychiatry department to provide mental health support to people who were federally sentenced, as the university was geographically close to a conglomeration of institutions. This MoU only funded two psychiatrists, however, and could not provide enough staffing for all institutions in the area. In 2021, the director of the treatment center addressed the shortage by contracting members of the Division of Forensic Psychiatry and Department of Psychiatry at the University of Toronto to provide services to the center. Each of the four contracted psychiatrists spends one day a week at the center, some of which is done virtually using a secure virtual platform. All four spend the rest of the week completing duties related to the Division of Forensic Psychiatry at the University of Toronto. They may continue to live and work in the university setting, attend the usual number of meetings in that setting, and stay in regular contact with their colleagues. They attend regular interdisciplinary team meetings at the center and have set up a monthly meeting to discuss a variety of issues arising from their work there. As a result of this arrangement, the psychiatrists remain in their university setting and are less likely to experience geographical or personal isolation. They maintain close collegial relationships with their University of Toronto peers, attend meetings and rounds in a similar fashion, and have access to continuing medical education, as previously experienced. The psychiatrists interact with each other frequently and often debrief with the group at the end of the day. This helps each of them reflect on the day’s work and seek input from their peer group. It also enables them to share any relevant information with the person who will be in attendance the next day. The team convenes monthly to consider any issues that arise and together meet with the regional director to discuss issues of policy and practice. Quinn et al. (2009) refer to “communities of practice,” in which colleagues support one another; we believe such communities aid in preventing physician burnout. Regarding the acute and most worrying patients in the center, the psychiatrist working the next day routinely has an opportunity to review the case. This informal consultation mechanism reassures the psychiatrist that their work is attaining the standard of care and they are not missing any details. The arrangement has the significant benefit of sharing the emotional load implicit in dealing with severely ill patients. It is not unusual for two or more of the psychiatrists to informally communicate about forward planning for some of the most difficult patients. The team arrangement further allows another psychiatrist(s) to review orders or prescriptions. If it is felt the medication prescribed does not meet the standard of care, the psychiatrists are comfortable with and able to discuss their concerns with one another and rectify any errors. Each also has a varying degree of familiarity with the provincial Mental Health Act, making it easy for them to consult one another to ensure proper legal procedures are followed.
Countertransference
Issues of countertransference are significant and central to work in correctional psychiatry. Having colleagues who are easily available, familiar with the situation, and know the specific patient(s) can help in handling the issue; discussing a situation with a colleague can be invaluable. In other situations (e.g., where a patient has made serious threats or attempted assault), it may be prudent to refer the patient to a colleague who can start afresh and build a new relationship with the patient; with four psychiatrists on the team, options are available. In some scenarios, transference and countertransference can be diluted by rotating the patient through different members of the team. This has the additional effect of reaffirming the psychiatrist’s decisions, which can reassure the patient and defuse difficult situations. A patient’s lack of progress can sometimes be related to countertransference, and referral or consultation can assist in handling this issue. This referral can reassure the psychiatrist and patient, who may be frustrated with each other and the situation.
Coverage During Absences
Because all four of the psychiatrists on the team are familiar with the patients and procedures, coverage for vacation and study leave is readily available. This isn’t the case for single psychiatrists working in isolation, who return from leave and are often overwhelmed with excessively long clinics and accumulated administrative tasks. This avalanche of work can quickly diminish the benefits from leave. The team approach can help alleviate this problem.
Burnout
Features of physician burnout include emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment (Wilkie et al., 2022). Although there is no literature to support this directly, we hypothesize that many psychiatrists working in the conditions described above would experience burnout syndrome, because many of the factors inherent in an isolated prison setting are likely to contribute to burnout. Burnout can lead psychiatrists to believe they cannot be helpful to their patients, which produces irritability in the face of multiple requests for help. Not uncommonly, overinvolvement can turn into exhaustion and cynicism, leading the psychiatrist to become ineffective in their position.We argue that adopting the team approach illustrated above prevents many of the risk factors for burnout. Certainly, the job of a correctional psychiatrist may still be somewhat stressful, but the team approach can dilute many of these sources of stress. In addition, it provides a group of peers who can notice burnout and advise on appropriate sources of intervention. Having a team means colleagues can relieve a psychiatrist of some of their workload, including administrative duties, so that the affected member can attend to their own needs and seek appropriate help and counsel to alleviate these troublesome features.
Disadvantages of the New System
It would be trite to say this approach completely alleviates all stresses or concerns about working in corrections. There are still stresses, many of which are common to any other physician, such as the burden of electronic medical records. The workload remains intense despite the support of the physician community and an excellent multidisciplinary team. This arrangement might affect continuity of care, though we have no evidence thus far that this is the case. One challenging issue to resolve is when patients appeal findings of incapacity to consent to treatment or involuntary commitment to the provincial review board, it may be difficult to arrange for a specific psychiatrist to be on rotation on a given day. Thus far, the psychiatrists address this issue by taking time out of their other duties to attend the board. They are still searching for an alternative.
A correctional center recently took a new approach to providing psychiatric care to their two centers and hired four forensic psychiatrists from a university center to offer one day of care each week. In this paper, we have identified many features of correctional psychiatrists’ experiences, including assimilating into the alien culture of correctional institutions. Correctional psychiatry demands an attenuation of the ethics basis of the practice in that correctional psychiatrists serve two ethics masters in their dual responsibility to the patient and to the security of the institution. The institution also has a different management structure and significant oversight by nonmedical structures. It is well known that correctional psychiatrists practice in conditions of both professional and geographical isolation, resulting in a significant lack of support. This can give rise to increasing levels of stress and burnout, culminating in a lack of efficacy and, thus, a reduced standard of care for patients. In the new team approach, the four psychiatrists frequently communicate, both formally and informally, and provide a community of support. They remain well connected within the university system and practice in that setting for most of the week. Each psychiatrist has their own level of knowledge and experience, which they readily share with other members of the team as needed. In the naturalistic setting of continuity of care, the psychiatrists routinely provide formal and informal daily consultation to one another and may cover for each other for vacations or when a psychiatrist is participating in continuing medical education. This approach reduces professional and geographical isolation and, we posit, is one factor that can help prevent burnout. Correctional psychiatry may still be intense and stressful, but the team approach can be used to alleviate some of these stressors and the resulting problems associated with correctional psychiatry by preventing burnout and increasing the standard of care. In this way, the team approach will produce more effective patient care, which must be the ultimate goal of any health care system.
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Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
