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Chapter 23 - Psychiatric Ethics

from Section 2 - Consultation

Published online by Cambridge University Press:  17 February 2022

D. Micah Hester
Affiliation:
University of Arkansas for Medical Sciences, College of Medicine
Toby L. Schonfeld
Affiliation:
National Center for Ethics in Health Care, US Department of Veterans Affairs
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Summary

There are three important reasons that HEC members, especially those who do ethics consultation, need to know about psychiatric ethics. The first is that psychiatric or mental health ethics is a neglected topic in bioethics education, healthcare ethics textbooks, and the training of HECs. When it is taught it is usually peripheral to other issues like confidentiality or a contributing factor to case presentations focused on concerns such as difficult discharges. The second reason this gap in knowledge needs to be addressed is that patients with psychiatric and addictive disorders are commonly encountered in every healthcare environment from outpatient clinics to ICUs. As of 2016 almost 10 million patients on inpatient medical and surgical units suffered from a principal or secondary mental or substance use disorder. Depression, alcohol use disorder, and schizophrenia were the three most frequent diagnoses and often were co-occurring with other chronic medical conditions like diabetes and cardiac disease (Owens et al., 2019).

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Publisher: Cambridge University Press
Print publication year: 2022

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References

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