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Is the involuntary commitment of the mentally ill morally proper? How can we determine proper psychiatric care in a managed health care system? And can a mental health professional violate a patient's confidentiality when they believe that patient is a threat to someone? These are the ethical, legal, and medical questions at the heart of the nineteenth annual volume of Biomedical Ethics Reviews, Mental Illness and Public Health Care. In six nonideological essays, leading bioethicists, including one with practical experience in medical administration, search for clear moral and legal guidelines for dealing with the complex issues presented when treating mentally ill patients. Regarding involuntary commitment, Theodore Benditt and Gerard Elfstrom take radically different approaches, but come to quite similar conclusions against the practice. David Malloy, Thomas Hadjistravopoulos, and Wade Robison all stress the need to incorporate ethical values into the operation of managed health care systems in order to ensure that patients will receive the most beneficial treatment. Mark Meaney confirms this approach with an actual case of a public sector managed behavioral health care corporation using the services of an ethics center to implement a system-wide corporate ethics program. Finally, Pam Sailors examines the deficiencies of, and proposes modifications to, the so-called Tarasoff laws requiring psychotherapists to break patient confidentiality under certain circumstances.
Objective and readily understandable, Mental Illness and Public Health Care illuminates for the educated reader some of the key ethical issues facing mental health care professionals and provides convincing practical conclusions with real moral import.
List of contents
Mental Illness and Commitment.- Involuntary Outpatient Commitment.- Cognitive Behavioral and Pharmacological Interventions for Mood- and Anxiety-Related Problems: An Examination from an Existential Ethical Perspective.- Managing Values in Managed Behavioral Health Care: A Case Study.- The Changing Form of Psychiatric Care.- Tarasoff, Megan, and Mill: Preventing Harm to Others.
Summary
Is the involuntary commitment of the mentally ill morally proper? How can we determine proper psychiatric care in a managed health care system? And can a mental health professional violate patient's confidentiality when they believe a patient is a threat to someone? In six non-ideological essays, leading bioethicists, including one with practical experience in medical administration, search for clear moral and legal guidelines for dealing with the complex issues presented when treating mentally ill patients. Objective and readily understandable, Mental Illness and Public Health Care illuminates for the educated reader some of the key ethical issues facing mental health care professionals and provides convincing practical conclusions with real moral import.
Additional text
"...well worth reading." - Bull. Med. Eth.
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"...well worth reading." - Bull. Med. Eth.
