Mental Competency

31.

Enrolling decisionally impaired adults in clinical research.

Progress in diagnosing, treating, and preventing medical conditions that impair decision-making abilities depends on clinical research involving individuals who may be either unable to or have diminished ability to give informed consent. Such research, ...
Donna T Chen, Franklin G Miller, Donald L Rosenstein (Med Care, 200209)
enrolling-decisionally-impaired-adults-clinical-research.asp

32.

Advanced prescribing of nurses emergency holding powers under New Zealand mental health legislation.

Since the mid-19th century doctors have exercised almost exclusive control in health professionals decisions concerning compulsory assessment and treatment of the mentally ill. This control has the potential to compromise the legitimate professional ...
Tony L Farrow, Brian G McKenna, Anthony J OBrien (Int J Ment Health Nurs, 200209)
advanced-prescribing-nurses-emergency-holding-powers-under-new.asp

33.

Living with dementia: caregiver perspectives.

About four million Americans currently live with Alzheimers disease (AD) or related forms of dementia. Because the disease process impairs language, insight, and judgment, family members become "caregivers." These caregivers, either in part or in full, ...
Jason H T Karlawish (LDI Issue Brief, 200206)
living-dementia-caregiver-perspectives.asp

34.

Informed consent and the capacity for voluntarism.

OBJECTIVE: Informed consent is built upon the elements of information, decisional capacity, and volunteerism. Of these elements, voluntarism in clinical and research consent is the least well understood. This has interfered with the ability to resolve ...
Laura Weiss Roberts (Am J Psychiatry, 200205)
informed-consent-capacity-voluntarism.asp

35.

Impaired decision-making ability in subjects with Alzheimers disease and willingness to participate in research.

OBJECTIVE: Ethical concerns persist over research participation of decisionally impaired persons, such as those suffering from Alzheimers disease. Such persons may be poor judges of the burdens and risks of specific research protocols. Since even ...
Scott Y H Kim, Christopher Cox, Eric D Caine (Am J Psychiatry, 200205)
impaired-decision-making-ability-subjects-alzheimer-s-disease.asp

36.

Views of potential subjects toward proposed regulations for clinical research with adults unable to consent.

OBJECTIVE: The authors goal was to assess healthy individuals attitudes toward five of the most prominent proposed safeguards regarding the consent process for research with adults unable to consent. METHOD: Telephone interviews were conducted with 246 ...
Dave Wendler, Rick A Martinez, Diane Fairclough, Trey Sunderland, Ezekiel Emanuel (Am J Psychiatry, 200204)
views-potential-subjects-toward-proposed-regulations-clinical.asp

37.

Patient and psychiatrist ratings of hypothetical schizophrenia research protocols: assessment of harm potential and factors influencing participation decisions.

OBJECTIVE: A central ethical issue in schizophrenia research is whether participants are able to provide informed consent, particularly for protocols entailing medication washouts or placebo treatments. Few data show how patients with schizophrenia and ...
Laura Weiss Roberts, Teddy D Warner, Janet L Brody, Brian Roberts, John Lauriello, Constantine Lyketsos (Am J Psychiatry, 200204)
patient-psychiatrist-ratings-hypothetical-schizophrenia-research.asp

38.

Advance care planning by proxy for residents of long-term care facilities who lack decision-making capacity.

This report examines whether long-term care facilities should implement policies and procedures to support advance care planning by proxy for residents who lack decision-making capacity. The report focuses on advance care planning in the Department of ...
Ladislav Volicer, Michael D Cantor, Arthur R Derse, Denise Murray Edwards, Angela M Prudhomme, Dorothy C Rasinski Gregory, James E Reagan, James A Tulsky, Ellen Fox, (J Am Geriatr Soc, 200204)
advance-care-planning-proxy-residents-long-term-care-facilities-who.asp

39.

Current state of research on decision-making competence of cognitively impaired elderly persons.

As the number of cognitively impaired elderly persons increases, the need for evidence-based assessments of their capacity to consent to medical treatment and research participation will grow. The authors conducted an electronic and manual literature ...
Scott Y H Kim, Jason H T Karlawish, Eric D Caine (Am J Geriatr Psychiatry, 200203-04)
current-state-research-decision-making-competence-cognitively.asp

40.

Treatment-related decision-making capacity in middle-aged and older patients with psychosis: a preliminary study using the MacCAT-T and HCAT.

The authors conducted a preliminary examination of treatment-related decision-making capacity (DMC) in middle-aged and older psychosis patients. The MacArthur Competency Assessment Tool for Treatment (MacCAT-T) was administered to measure DMC among 16 ...
Barton W Palmer, Gauri V Nayak, Laura B Dunn, Paul S Appelbaum, Dilip V Jeste (Am J Geriatr Psychiatry, 200203-04)
treatment-related-decision-making-capacity-middle-aged-older-patients.asp