Ethics in community mental health care: justice for all?

Article Abstract:

The welfare law that limits disbursement of Supplemental Security Income benefits only to citizens and specific non-citizens may adversely affect legal immigrants permanently residing in the US who do not qualify for any of the non-citizen categories. This is very unfortunate because their circumstances should not remove their entitlement to the same benefits. Moreover, it should be stressed that most of these people are either elderly or debilitated by physical and mental illnesses.

Social aspects, Laws, regulations and rules, Demographic aspects, Immigrants, Welfare recipients, Welfare reform

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Assessing decision-making capacity: a slippery business

Article Abstract:

Standards for determining decision-making capacity for consenting to or refusing treatment are discussed. The 'sliding scale' standard proposed by James Drane, Ronald Dworkin's distinction between critical and experiential interests, and administration by a surrogate decision-making committee are considered.

Standards, Decision-making, Decision making, Evaluation, Medical care decision-making authority (Law), Medical care decision making authority (Law), Capacity and disability

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Confidentiality and common sense

Article Abstract:

Common sense should determine the limits to patient confidentiality in community mental health care. Informal caregivers, for example, may have a legitimate need to know about medications, possible side effects, symptoms and other pertinent information.

Analysis, Confidential communications, Mental health counseling, Psychiatric ethics

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