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Ethics and mental health

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https://www.readbyqxmd.com/read/28534296/anticipating-the-ethical-challenges-of-psychiatric-genetic-testing
#1
REVIEW
Paul S Appelbaum, Shawna Benston
PURPOSE OF REVIEW: Genetic testing for mental illness is likely to become increasingly prevalent as the science behind it is refined. This article identifies anticipated ethical challenges for patients, psychiatrists, and genetic counselors and makes recommendations for addressing them. RECENT FINDINGS: Many of the ethical challenges of psychiatric genetic testing are likely to stem from failures to comprehend the nature and implications of test results. Recent studies have identified gaps in the knowledge base of psychiatrists and genetic counselors, which limit their abilities to provide patients with appropriate education...
July 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28531560/uneasy-encounters-youth-social-dis-comfort-and-the-autistic-self
#2
Edmund Coleman-Fountain
Notions of deficit and 'faultiness' shape depictions of the association between autism and uneasy social relationships. That framing has been the focus of critique by autistic activists and scholars who, exploring autistic people's sociality, reframe issues of social difficulty in terms of inequality and discomfort. Located within this set of debates, the article analyses data from a UK based study of mental health narratives derived from semi-structured interviews with 19 autistic young adults aged 23 to 24...
May 12, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28525526/critical-analysis-of-the-council-for-international-organizations-of-medical-sciences-2016-international-guidelines-for-health-related-research-involving-humans
#3
REVIEW
Miguel Hugo Kottow Lang
This paper presents a preliminary discussion of the Council for International Organizations of Medical Sciences (CIOMS), recently issued “International Ethical Guidelines for Health-related Research Involving Humans” (2016) that acknowledges the document’s declared concern of the protection of human subjects and awareness of their needs and interests in “low-resource settings”. Nevertheless, guideline recommendations present exceptional situations –vulnerability, mental incompetence- wherein voluntary and consented participation may be reduced or omitted under three concurrent conditions: compelling scientific value, the need to include persons that will not benefit directly from participation, exposure to minimal or slight risks...
May 15, 2017: Medwave
https://www.readbyqxmd.com/read/28515187/reducing-social-isolation-and-loneliness-in-older-people-a-systematic-review-protocol
#4
Filipa Landeiro, Paige Barrows, Ellen Nuttall Musson, Alastair M Gray, José Leal
INTRODUCTION: Social isolation and loneliness affect approximately one-third to one-half of the elderly population and have a negative impact on their physical and mental health. Group-based interventions where facilitators are well trained and where the elderly are actively engaged in their development seem to be more effective, but conclusions have been limited by weak study designs. We aim to conduct a systematic review to assess the effectiveness of health promotion interventions on social isolation or loneliness in older people...
May 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28504978/beyond-googling-the-ethics-of-using-patients-electronic-footprints-in-psychiatric-practice
#5
Carl E Fisher, Paul S Appelbaum
Electronic communications are an increasingly important part of people's lives, and much information is accessible through such means. Anecdotal clinical reports indicate that mental health professionals are beginning to use information from their patients' electronic activities in treatment and that their data-gathering practices have gone far beyond simply searching for patients online. Both academic and private sector researchers are developing mental health applications to collect patient information for clinical purposes...
May 12, 2017: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/28499065/not-sick-enough-experiences-of-carers-of-people-with-mental-illness-negotiating-care-for-their-relatives-with-mental-health-services
#6
Michael Olasoji, Phil Maude, Kay McCauley
AIM: The literature reporting experiences of relatives of people with mental illness regarding their interactions with mental health services identifies many commonalities. However, the actual experience of carers engaging the services and understanding health care systems remains a gap in the literature. The aim of this study was to explore the experiences of carers (of people with a severe mental illness) in a major area mental health service in Victoria Australia as they fulfil their caring role whilst negotiating support for their relative...
May 12, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28498575/implementing-shared-decision-making-in-routine-mental-health-care
#7
Mike Slade
Shared decision making (SDM) in mental health care involves clinicians and patients working together to make decisions. The key elements of SDM have been identified, decision support tools have been developed, and SDM has been recommended in mental health at policy level. Yet implementation remains limited. Two justifications are typically advanced in support of SDM. The clinical justification is that SDM leads to improved outcome, yet the available empirical evidence base is inconclusive. The ethical justification is that SDM is a right, but clinicians need to balance the biomedical ethical principles of autonomy and justice with beneficence and non-maleficence...
June 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/28484305/moral-stress-and-job-burnout-among-frontline-staff-conducting-clinical-research-on-affective-and-anxiety-disorders
#8
Adam L Fried, Celia B Fisher
There has been increased attention on job-related stress and burnout experienced by clinicians working with vulnerable and at-risk populations, including effects on personal mental health, therapeutic decision-making, and job effectiveness. Little is known, however, about the job-related stressors and symptoms of burnout experienced by clinical research staff working with similar populations, especially in terms of moral stress they may experience when adherence to scientific procedures appears to conflict with their personal commitment to address the clinical needs of their research participants or role as health care provider...
June 2016: Professional Psychology, Research and Practice
https://www.readbyqxmd.com/read/28483171/-a-38-year-old-woman-with-a-legal-and-voluntary-interruption-of-pregnancy-due-to-mental-health-risk-an-unexpected-outcome
#9
Diana Restrepo, Marle Duque, Laura Montoya, Catalina Hoyos
OBJECTIVE: To describe a case of legal and voluntary interruption of pregnancy due to a mental health risk in the mother. However, the foetus survived and the mother decided to care for the child. METHODS: Description of the case and a non-systematic review of the relevant literature. RESULTS: A multiparous woman of 38 years with unknown gestational age who requests legal and voluntary interruption of pregnancy. After abortion a male child born of 1050 grams was born, intubated and admitted to intensive care...
April 2017: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/28483080/the-ties-that-bind-a-case-report-about-restraining-a-mentally-unwell-family-member-at-home-for-over-a-decade
#10
Jing Ling Tay, Christopher Yi Wen Chan, Zhen Chong Ho, Manu Lal
This is a case report describing a patient, with schizophrenia, who was physically chained by her mother in their house for more a decade. Illness factors, family dynamics, stigma, lack of mental health literacy and cultural roles contributed to her chaining. To our knowledge, this is the first case report that examines the prolonged use of physical restraints by family members on a patient in a developed urban setting and that explores the cultural and ethical issues surrounding this phenomenon. We have concluded that there remains a need for a national level approach to increase mental health literacy, reduce stigma and promote existing psychiatric community health services in a culturally sensitive manner...
April 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28480484/online-ethics-where-will-the-interface-of-mental-health-and-the-internet-lead-us
#11
REVIEW
Victoria Cosgrove, Emma Gliddon, Lesley Berk, David Grimm, Sue Lauder, Seetal Dodd, Michael Berk, Trisha Suppes
While e-health initiatives are poised to revolutionize delivery and access to mental health care, conducting clinical research online involves specific contextual and ethical considerations. Face-to-face psychosocial interventions can at times entail risk and have adverse psychoactive effects, something true for online mental health programs too. Risks associated with and specific to internet psychosocial interventions include potential breaches of confidentiality related to online communications (such as unencrypted email), data privacy and security, risks of self-selection and self-diagnosis as well as the shortcomings of receiving psychoeducation and treatment at distance from an impersonal website...
December 2017: International Journal of Bipolar Disorders
https://www.readbyqxmd.com/read/28471575/specific-ethical-codes-for-mental-health-care-professionals-do-we-need-to-annotate
#12
Tal Bergman-Levy, Oren Asman, Eyal Dahan, Binyamin Greenberg, Shmuel Hirshmann, Rael Strous
BACKGROUND: In Israel a general code of ethics exists for physicians, drafted by the Israel Medical Association. The question arises whether psychiatrists require a separate set of ethical guidelines. OBJECTIVES: To examine the positions of Israeli psychiatrists with regard to ethics in general and professional ethics in particular, and to explore opinions regarding a code of ethics or ethical guidelines for psychiatry.  Methods: A specially designed questionnaire was compiled and completed by psychiatrists recruited for the study...
August 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28468555/current-postvention-research-and-priorities-for-the-future
#13
Karl Andriessen, Dolores Angela Castelli Dransart, Julie Cerel, Myfanwy Maple
BACKGROUND: Suicide can have a lasting impact on the social life as well as the physical and mental health of the bereaved. Targeted research is needed to better understand the nature of suicide bereavement and the effectiveness of support. AIMS: To take stock of ongoing studies, and to inquire about future research priorities regarding suicide bereavement and postvention. METHOD: In March 2015, an online survey was widely disseminated in the suicidology community...
May 3, 2017: Crisis
https://www.readbyqxmd.com/read/28463436/ethical-considerations-for-involving-latina-adolescents-in-mental-health-research
#14
Allison L McCord
TOPIC: US Latina adolescents experience significant mental health disparities, such as depressive symptoms and suicidal ideation and, therefore, should be involved in research studies focused on minimizing these health disparities. However, researchers must consider the specific ways this population is vulnerable and provide adequate protections to reduce risks related to these vulnerabilities. PURPOSE: The purpose of this article is to describe the different ways that Latina adolescents with mental health problems can be vulnerable research participants, identify strategies to protect this population during a research study, and describe steps taken to apply these strategies in an ongoing qualitative study examining depression in Latina adolescents...
May 2, 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28459380/advancing-lgbt-healthcare-policies-and-clinical-care-within-a-large-academic-healthcare-system-a-case-study
#15
Mollie A Ruben, Jillian C Shipherd, David Topor, Christopher G Ahnallen, Colleen A Sloan, Heather M Walton, Alexis R Matza, Glenn R Trezza
Culturally competent healthcare is especially important among sexual and gender minority patients as poor cultural competence contributes to health disparities. There is a need to understand how to improve healthcare quality and delivery for lesbian, gay, bisexual, and transgender (LGBT) Veterans in particular, because they bring unique physical and mental health needs as both LGBT individuals and Veterans. The following paper is a case study that focuses on the policy and clinical care practices related to LGBT clinical competency, professional training, and ethical provision of care for Veteran patients in the VA Boston Healthcare System...
May 1, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28458331/preliminary-thoughts-on-research-in-medical-humanities
#16
Xiaojing Yun, Jiawei Guo, Haihong Qian
Medical humanities (MH) is an interdisciplinary field of medicine which includes the humanities (literature, philosophy, ethics, history, and religion), social sciences (anthropology, cultural studies, psychology, sociology, and health geography), and the arts (literature, theater, film, and visual arts) and their application to medical education and practice. Studies of MH should not be limited to theoretical discussions. Research results must be translated into use of methodologies to formulate medical policies, guide clinical practices, and help resolve physical or mental problems...
April 29, 2017: Bioscience Trends
https://www.readbyqxmd.com/read/28455426/essential-components-of-integrated-care-for-youth-with-mental-health-and-addiction-needs-protocol-for-a-scoping-review
#17
Cara A Settipani, Kristin Cleverley, Lisa D Hawke, Maureen Rice, Joanna L Henderson
INTRODUCTION: Efforts to move towards integrated care have been met with increased interest and enthusiasm in recent years given the potential to improve care and population health while containing costs. However, there is a need to better understand community-based integrated care approaches for youth with mental health and/or addiction concerns to guide future implementation efforts and develop a set of standards for key components. The objectives of this scoping review are to: (1) identify the populations, settings, service providers, interventions, infrastructure and care coordination methods that have been included in integrated care for youth with mental health and/or addiction needs and (2) identify constructs that have been measured and evaluated (eg, outcomes, engagement) in the context of youth integrated care...
April 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28452627/sexual-consent-capacity-ethical-issues-and-challenges-in-long-term-care
#18
Jennifer Hillman
More than two million Americans live in nursing homes and other long-term care facilities. Available research suggests that the majority of older nursing home residents, including those with some degree of cognitive impairment, place significant value upon a variety of sexual activities. With nearly half of all residents suffering from dementia, psychologists and other mental health professionals often face significant challenges in the assessment of their patients' sexual consent capacity. A primary ethical issue is to balance an individual resident's rights to autonomy and privacy with a facility's need to protect residents from harm...
January 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/28452609/supporting-activity-engagement-by-family-carers-at-home-maintenance-of-agency-and-personhood-in-dementia
#19
Pat Yin Fan Chung, Caroline Ellis-Hill, Peter Coleman
An explorative paper to describe how family carers, through the caregiving journey, reaffirm and promote the agency of people with dementia. Agency is an important concept in dementia care and is crucial to the promotion of wellbeing and the delivery of person-centred care. This article is based on one of the key findings of a study that explored family carers' experiences of engaging their relatives in daily activities in domestic settings. Following research governance and ethical approval, 30 in-depth interviews (initial and follow-up) were carried out with 15 resident-carers of people with dementia who were recruited via local community mental health teams...
December 2017: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/28449670/ethics-of-health-research-with-prisoners-in-canada
#20
Diego S Silva, Flora I Matheson, James V Lavery
BACKGROUND: Despite the growing recognition for the need to improve the health of prisoners in Canada and the need for health research, there has been little discussion of the ethical issues with regards to health research with prisoners in Canada. The purpose of this paper is to encourage a national conversation about what it means to conduct ethically sound health research with prisoners given the current realities of the Canadian system. Lessons from the Canadian system could presumably apply in other jurisdictions...
April 27, 2017: BMC Medical Ethics
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