FIDELITY
VERACITY
JUSTICE
Autonomy
4 components of capacity:
Communicating a stable choice
Understanding relevant information
SPECTRUM
Reasoning through the proposed treatment in
relation to alternatives
Appreciating the situation and consequences
Autonomy - Capacity
Prevent exploitation
Deinstitutionalization
92% who would have been in state
hospitals in 1955 were not living there by
1994
Current issues:
inadequate mental health coverage from insurance
few community resources
homelessness, vulnerability to violence
disproportionately imprisoned
millions untreated
revolving door: many go from streets to emergency to
streets and back again
Out of the Shadows by F. Torrey
Take an Ethical Look
Ethically,
what are some problematic features of
how patients with psychiatric disabilities have
been treated at different stages of U.S. history?