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Where the public health principles meet the individual: a framework for the ethics of compulsory outpatient treatment in psychiatry

2022Artigo científico Acesso aberto
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datacite.subject.fosCiências Médicas
dc.contributor.authorMartinho, Sérgio M.
dc.contributor.authorSanta-Rosa, Bárbara
dc.contributor.authorSilvestre, Margarida
dc.date.accessioned2026-01-30T16:07:16Z
dc.date.available2026-01-30T16:07:16Z
dc.date.issued2022
dc.description.abstractBackground 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.eng
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMartinho, 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/s12910-022-00814-8pt_PT
dc.identifier.doi10.1186/s12910-022-00814-8pt_PT
dc.identifier.issn1472-6939
dc.identifier.urihttp://hdl.handle.net/10400.26/61349
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.hasversionhttps://link.springer.com/article/10.1186/s12910-022-00814-8
dc.relation.publisherversionhttps://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-022-00814-8pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectInvoluntary treatmentpt_PT
dc.subjectMental Disorderspt_PT
dc.subjectPsychiatrypt_PT
dc.subjectEthical Issuespt_PT
dc.subjectOutpatient Carept_PT
dc.subjectPrinciple-based ethics
dc.titleWhere the public health principles meet the individual: a framework for the ethics of compulsory outpatient treatment in psychiatryeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage77
oaire.citation.titleBMC Medical Ethicspt_PT
oaire.citation.volume23pt_PT
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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