Ethics in Community Mental Health Care

by Backlar, Patricia; Cutler, David L.

• ISBN13: 9780306467042
• ISBN10: 0306467046
• Format: Hardcover
• Copyright: 2002-02-01
• Publisher: Plenum Pub Corp

Summary

Ethics in Community Mental Health Care: Commonplace Concerns examines everyday ethical issues that clinicians encounter as they go about their work caring for people who have severe and persistent mental disorders. Individuals (psychiatrists, social workers, case managers, nurses, psychologists, peer counselors, primary care physicians) who serve on the front line of community mental health clinical and social services find that they must deal, on a daily basis, with significant ethical dilemmas that involve personal, social, and policy matters: overstepping personal boundaries and coercive practices, dealing with violence in the home and in the workplace, breaching confidentiality, and ensuring the rights and welfare of vulnerable individuals. This book prompts and provokes readers to recognize, to analyze, to reflect upon, and to respond to the range of commonplace ethical concerns that arise in community mental health care practice with persons who have mental disorders that may impede their ability to protect their own interests.

Table of Contents

Introduction	xvii
Patricia Backlar
Part I. Commonplace Encounters with Consumer/Patients
Ethical Issues in Mental Health Services for Culturally Diverse Communities	3	(20)
Harriet P. Lefley
Ethical Dilemmas in Providing Supported Housing and Rehabilitation Services	23	(20)
Mary Alice Brown
Dee Wirak
Part II. Personal Boundaries
Roles, Relationships, and Rules: Boundary Concerns	43	(8)
Patricia Backlar
Responding to Boundary Conflicts in Community Settings	51	(14)
David Pollack
Part III. Violence and Mental Disorders
At Home with Threats and Violence	65	(14)
Patricia Backlar
At Work with Threats and Violence	79	(16)
Carl C. Bell
Morris A. Blount, Jr.
Tanya R. Anderson
Part IV Involuntary Interventions
Involuntary Interventions in Dual Disorders Programs	95	(22)
Douglas L. Noordsy
Carolyn C. Mercer
Robert E. Drake
Coercion in Mental Health Care	117	(20)
Virginia Aldige' Hiday
Marvin S. Swartz
Jeffrey W. Swanson
Randy Borum
H. Ryan Wagner
Why are Severely Mentally Ill Persons in Jail and Prison?	137	(20)
David L. Cutler
Douglas Bigelow
Valerie Collins
Courtney Jackson
Gary Field
Part V. Psychiatric Anticipatory Planning
``Can I Plan Now for the Mental Treatment I Would Want If I Were in Crisis?'' Oregon's Psychiatric Advance Directive	157	(16)
Patricia Backlar
Bentson H. McFarland
Jo Mahler
Psychiatric Health Care Proxies in Massachusetts: Much To Do About Nothing, So Far	173	(14)
Jeffrey Geller
Part VI. Research Ethics
Ethics in Neurobiological Research: One Consumer/Provider's Perspective	187	(22)
Frederick J. Frese
Part VII. Conflicting Interests
Pharmaceutical Industry Support of Psychiatric Research and Education: Ethical Issues and Proposed Remedies	209	(26)
Charles R. Goldman
David L. Cutler
Index	235