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Patient Capacity in Mental Health Care: Legal Overview

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Abstract

The discriminatory effects of categorizing psychiatric patients into competent and incompetent, have urged lawyers, philosophers and health care professionals to seek a functional approach to capacity assessment. Dutch and English law have produced some guidelines concerning this issue. So far, most legal systems under investigation have concentrated on alternatives for informed consent by the patient in case of mental incapacity, notably substitute decision-making, intervention of a judge and advance directives. It is hard to judge the way in which the law may further adapt to a more functional assessment of capacity, because the nature of law shows that legal reforms usually take place only when new methods have been accepted by the field. This is not yet the case today.

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REFERENCES

  • Bauduin, P., McCulloch, A., and Liégeois, A. (2002) Good Care in the Community: Ethical Aspects of Deinstitutionalization in Mental Health Care. Utrecht: Netherlands Institute of Mental Health and Addiction-Trimbos Instituut.

    Google Scholar 

  • Berghmans, R. (2000) Bekwaam Genoeg? Wils(on)bekwaamheid in Geneeskunde, Gezondheidsrecht en Gezondheidsethiek. [Enough Capacity? Mental (In)capacity in Medicine, Health Law and Health Ethics] Utrecht: Nederlandse Vereniging voor Bio-Ethiek.

    Google Scholar 

  • Berghmans, R.L.P. (2001) Capacity and Consent. Current Opinion in Psychiatry 14, 491–499.

    Google Scholar 

  • Bloch, S., and Chodoff, P. (1981) Psychiatric Ethics. New York/Melbourne: Oxford University Press.

    Google Scholar 

  • British Geriatrics Society (1997). Compendium Document G3.

  • British Medical Association & Law Society (1995) Assessment of Mental Capacity. London: BMA.

  • Buchanan, A. E., and Brock, D. W. (1989) Deciding for Others: The Ethics of Surrogate Decision Making. Cambridge: Cambridge University Press.

    Google Scholar 

  • Calzone, C. (2002) Mental Capacity in Italy. Country Report EPICC.

  • Dickenson, D., and Shah, A. (1999). Letter, ‘Bournewood—An Indefensible Gap in Mental Health Law'. British Medical Journal, 12 January 1999.

  • Dickenson, D. (2001) Decision-making Competence in Adults: A Philosopher's Viewpoint. Advances in Psychiatric Treatment7, 381–387.

    Google Scholar 

  • Dickenson, D., and McLaren, A. (2002) UK Country Report EPICC.

  • Fennell, Phil. (2002) “Overview and Context of the Reform of the Mental Health Act,”paper presented at “Make Up Your Mind” Conference of the Law Society and the Royal College of Psychiatrists, London 21–22 June 2002.

  • Garanis-Papadatos, T., and Ploumpidis, D. (2002) Mental Capacity: Greece. Country Report EPICC.

  • Griffiths, J., Bood, A., and Weyers, H. (1998) Euthanasia and Law in the Netherlands. Amsterdam: Amsterdam University Press.

    Google Scholar 

  • Grisso, T., and Appelbaum, P.S. (1998) Assessing Competence to Consent to Treatment: A Guide for Physicians and other Health Professionals.New York: Oxford University Press.

    Google Scholar 

  • Kennedy, I., and Grubb, A. (Eds.) (1994) Medical Law: Texts with Materials,2nd Edition. London, Butterworths.

    Google Scholar 

  • Law Commission (1995) Mental Incapacity: Report No. 231. London: HMSO.

  • Mattiasson, A.-C. (2002) Sweden. Country Report EPICC.

  • Ministerie van Justitie/Ministerie van Welzijn, Volksgezondheid en Cultuur (1994) Handreiking voor de Beoordeling van Wilsbekwaamheid [Guidance for the Assessment of Mental Capacity].

  • Richardson, G. (2002) “One Problem, Two Solutions,”Third Lydia Sinclair Memorial Lecture, presented at “Make Up Your Mind” Conference of the Law Society and the Royal College of Psy-chiatrists, London 21-22 June 2002.

  • Roth, L. H., Meisel, A., and Lidz, C. W. (1977) Tests of Competency to Consent to Treatment. American Journal of Psychiatry 134, 279-284.

    Google Scholar 

  • Vollmann, J. (2002) Country Report: Germany. Country Report EPICC.

  • Vollmann, J., Bauer, A., Danker-Hopfe, D., and Helmchen, H. (2003) Competence of Mentally Ill Patients: A Comparative Empirical Study. Psychological Medicine 33, 1463-1471.

    Google Scholar 

  • Welie, S., and Berghmans, R. (2002) Mental Capacity in the Netherlands. Country Report EPICC.

OTHER REFERENCES

  • Convention for the Protection of Human Rights and Dignity of the Human Beings with regard to the Application of Biology and Medicine (1997). Convention on human rights and biomedicine. Oviedo 4.IV.1997. European Treaty Series No. 164.

  • Grafenecker Erklaerung zur Bioethik (1996). Mabuse 102:40–43.

    Google Scholar 

  • Communications Forum: http://www.communicationsforum.org.uk/legal/legal5.shtml

  • R v Bournewood Community and Mental Health NHS Trust, ex parte L [1998] 3 All ER 289.

  • House of Lords Judgment R v Secretary of State for Scotland (HL) House of Lords, 3 December 1998 SC (HL) 17.

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Nys, H., Welie, S., Garanis-Papadatos, T. et al. Patient Capacity in Mental Health Care: Legal Overview. Health Care Analysis 12, 329–337 (2004). https://doi.org/10.1007/s10728-004-6640-0

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  • DOI: https://doi.org/10.1007/s10728-004-6640-0

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