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  1. Patricia Backlar & Bentson H. McFarland (1993). A National Survey of Ethics Committees in State Mental Hospitals. HEC Forum 5 (5):272-288.
    In June 1992, a national mail survey was directed to 204 state inpatient psychiatric institutions. This study was implemented following the 1992 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement that hospitals put in place some means with which to address ethical issues. The goals of the study were: 1. to examine state mental hospital characteristics and their response to the JCAHO requirements; 2. to describe healthcare ethics committee (HEC) composition, function, and role; 3. to study patient and family (...)
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  2. Patricia Backlar & Bentson H. McFarland (1993). Clozapine Rationing in a State Mental Hospital: Reviewing a Hec's Case Consultation. [REVIEW] HEC Forum 5 (5):302-318.
    Clozapine (Clozaril) is a new, powerful, costly anti-psychotic medicine, with a possible serious side effect (agranulocytosis) that entails weekly blood monitoring. In a three hundred bed state mental hospital that is allotted thirty clozapine slots (high costs effectively rationing this drug), a woman with schizophrenia responds minimally to this medication. Her attending physician wishes to withdraw the medicine and give it to another patient with schizophrenia on the ward who might have a better response. The woman's family threatens to make (...)
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  3. Patricia Backlar & Bentson H. McFarland (1993). Guest Editors' Introduction. HEC Forum 5 (5):270-271.
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  4. David A. Pollack, Bentson H. McFarland, Robert A. George & Richard H. Angell (1993). Ethics and Value Strategies Used in Prioritizing Mental Health Services in Oregon. HEC Forum 5 (5):322-339.
    The authors describe the ethical considerations underlying the inclusion of mental health services into a prioritizedhealth care system. The Oregon Health Plan is a process for defining and delivering basic health services to an entire state. As the plan was developed, the mental health community needed to decide whether or not to participate in the process and, if so, how. Lengthy discussions among mental health consumers, family members, and providers led to a strategy that emphasized the integration of mental health (...)
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