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Where the public health principles meet the individual: a framework for the ethics of compulsory outpatient treatment in psychiatry
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Orientador(es)
Resumo(s)
Background
Compulsory treatments represent a legal means of imposing treatment on an individual, usually with a mental illness, who refuses therapeutic intervention and poses a risk of self-harm or harm to others. Compulsory outpatient treatment (COT) in psychiatry, also known as community treatment order, is a modality of involuntary treatment that broadens the therapeutic imposition beyond hospitalization and into the community. Despite its existence in over 75 jurisdictions worldwide, COT is currently one of the most controversial topics in psychiatry, and it presents significant ethical challenges. Nonetheless, the ethical debate regarding compulsory treatment almost always stops at a preclinical level, with the different ethical positions arguing for or against its use, and there is little guidance to support for the individual clinicians to act ethically when making the decision to implement COT.
Descrição
Palavras-chave
Involuntary treatment Mental Disorders Psychiatry Ethical Issues Outpatient Care Principle-based ethics
Contexto Educativo
Citação
Martinho, S.M., Santa-Rosa, B. & Silvestre, M. Where the public health principles meet the individual: a framework for the ethics of compulsory outpatient treatment in psychiatry. BMC Med Ethics 23, 77 (2022). https://doi.org/10.1186/s12910-022-00814-8
Editora
Springer