Skip to main content
Log in

Implementation of an Ethics Committee in a University Mental Health Clinic

  • Original Research
  • Published:
Journal of Bioethical Inquiry Aims and scope Submit manuscript

Abstract

Mental disorders in university students are very frequent, therefore higher education institutions have established in-campus mental healthcare centres. These clinics have particular characteristics that differ from other mental health centres, as they report to and represent an educational institution, while at the same time looking after the interests and well-being of patients requesting assistance, thus generating unique bioethical conflicts. Ethics Committees are useful tools to offer support to mental health professionals in making ethical decisions. In order to respond to these issues, it was decided that an Ethics Committee would be created in the mental health clinic of a private university in Mexico City. This article describes the implementation process for this Committee, its duties and scope, as well as the case work and review methodology. A list of the most frequent ethical conflicts is attached, jointly with the ethical analysis of the cases treated throughout the year and a half or work by the Committee.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data availability

The Document of Establishment of the Ethics Committee of the Clinical Psychology Unit can be requested to the author.

Code availability

Not applicable

References

  • Agyapong, V.I.O., R. Kirrane, and R. Bangaru. 2009. Medical confidentiality versus disclosure: Ethical and legal dilemmas. Journal of Forensic and Legal Medicine 16(2): 93–96.

    Article  CAS  PubMed  Google Scholar 

  • American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders. Washington: American Psychiatric Association.

    Book  Google Scholar 

  • American Psychological Association. 2023. Ethics committee code task force. Last modified January 2022. https://www.apa.org/ethics/task-force. Accessed March 3, 2023.

  • Auerbach, R.P., P. Mortier, R. Bruffaerts, et al. 2018. WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology 127(7): 623–638.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aulisio, M.P., R.M. Arnold, and S.J. Youngner. 2000. Health care ethics consultation: Nature, goals, and competencies. Annals of Internal Medicine 133(1): 59–69.

    Article  CAS  PubMed  Google Scholar 

  • Baón, B., A.C. Barba, D. Gracia, et al. 2014. Conflictos éticos en psiquiatría y psicoterapia [Ethical conflicts in psychiatry and psychology]. España: Fundación de Ciencias de la Salud.

  • Campo-Arias, A., and E. Herazo. 2015. The stigma-discrimination complex associated with mental disorder as a risk factor for suicide. Revista Colombiana de Psiquiatria 44(4): 243–250.

    Article  PubMed  Google Scholar 

  • Canadian Psychological Association. 2020. Interim ethical guidelines for psychologists providing psychological services via electronic media. Last modified April 2020. https://cpa.ca/interim-ethical-guidelines-for-psychological-services-via-electronic-media/. Accessed June 2, 2020.

  • Cardoso, C.N. 2013. Protocolo para la presentación y análisis de casos clínicos ante los comités de ética asistencial [Protocol for the presentation and analysis of clinical cases before the committees of healthcare ethics]. Revista de Bioética y Derecho 29: 24–34.

    Article  Google Scholar 

  • Chen, Y., and J.H. Huang. 2015. Precollege and in-college bullying experiences and health-related quality of life among college students. Pediatrics 135(1): 18–25.

    Article  PubMed  Google Scholar 

  • Comisión Nacional de Bioética. 2015. Guía nacional para la integración y el funcionamiento de los comités hospitalarios de bioética [National guide for integration and the functioning of the bioethical hospital committees]. Ciudad de México: Comisión Nacional de Bioética.

  • Comisión Nacional de Bioética. 2018. Guía nacional para la integración y el funcionamiento de los comités de ética en investigación [National guide for the integration and functioning of the committees of ethics in investigation]. Ciudad de México: Comisión Nacional de Bioética.

  • Eisenberg, D., M.F. Downs, E. Golberstein, and K. Zivin. 2009. Stigma and help seeking for mental health among college students. Medical Care Research and Review 66(5): 522–541.

    Article  PubMed  Google Scholar 

  • Eisenberg, D., J. Hunt, and N. Speer. 2012. Help seeking for mental health on college campuses: Review of evidence and next steps for research and practice. Harvard Review of Psychiatry 20(4): 222–232.

    Article  PubMed  Google Scholar 

  • Gracia, D., and J. Júdez. 2001. La deliberación moral: El método de la ética clínica [Moral deliberation: The method of clinical ethics. Medicina Clinica 117(1): 18–23.

    Article  CAS  PubMed  Google Scholar 

  • Hankir, A.K., A. Northall, and R. Zaman. 2014. Stigma and mental health challenges in medical students. BMJ Case Reports: bcr2014205226. https://doi.org/10.1136/bcr-2014-205226.

  • Hem, M.H., R. Pedersen, R. Norvoll, and B. Molewijk. 2015. Evaluating clinical ethics support in mental healthcare: A systematic literature review. Nursing Ethics 22(4): 452–466.

    Article  PubMed  Google Scholar 

  • Kessler, R.C., P. Berglund, O. Demler, et al. 2005. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry 62(6): 593–602.

    Article  PubMed  Google Scholar 

  • Lolas, F. 2006. Ethics in psychiatry: A framework. World Psychiatry 5(3): 185–187.

    PubMed  PubMed Central  Google Scholar 

  • Molewijk, B., and S. Reiter-Theil. 2016. The particular relevance of clinical ethics support in psychiatry: Concepts, research, and experiences. Clinical Ethics 11(2–3): 43–44.

    Article  Google Scholar 

  • Organizacion Mundial de la Salud. 2014. Respuesta a la violencia de pareja y a la violencia sexual contra las mujeres directrices de la OMS para la práctica clinica y las politicas [Response to intimate partner violence and sexual violence against women. WHO guidelines for clinical practice and policy]. Washington, DC: OPS.

  • U.K. Clinical Ethics Network. n.d. UKCEN: Ethical issues: Confidentiality. https://www.ukcen.net/ethical_issues/confidentiality/introduction. Accessed July 31, 2021.

  • UN Women. 2018. Guidance note on campus violence prevention and response. New York, NY. https://www.unwomen.org/en/digitallibrary/publications/2019/02/guidance-note-on-campus-violence-prevention-and-response.

  • Walker, L., D.M.M Nestler, T.A. Laack, et al. 2018. Clinical care review systems in healthcare: A systematic review. International Journal of Emergency Medicine 11(1): 6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Winkler, M.I., R. Villarroel, and D. Pasmanik. 2018. La promesa de confidencialidad: Nuevas luces para la investigación científica y la práctica profesional en salud mental [The promise of confidentiality: New lights for scientific investigation and professional mental health practice]. Acta Bioethica 24(1): 127–136.

    Article  Google Scholar 

  • Yepes Delgado, C.E., and A. Ocampo Montoya. 2018. Ethics committees and mental health. Revista Colombiana de Psiquiatria 47(2): 129–136.

    Article  Google Scholar 

Download references

Acknowledgments

We thank the members of the Ethics Committee of the Mental Health University Clinic.

Funding

This project did not require funding.

Author information

Authors and Affiliations

Authors

Contributions

The first draft of the manuscript was written by Mariana Azcárraga and Stephanie Derive commented on previous versions of the manuscript. The authors read and approved the final manuscript.

Corresponding author

Correspondence to M. Azcárraga.

Ethics declarations

Conflicts of interest

The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethics approval

Not applicable

Consent to participate

Not applicable

Consent for publication

Not applicable

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Azcárraga, M., Derive, S. Implementation of an Ethics Committee in a University Mental Health Clinic. Bioethical Inquiry 21, 177–184 (2024). https://doi.org/10.1007/s11673-023-10301-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11673-023-10301-3

Keywords

Navigation