References. Other barriers that have been identified include: concerns about the ‘legal and ethical issues relating to the liability for implementing or overriding (PAD) statements’. Commenting on the moral standards which should be met when deciding whether to respect or override the expressed preferences of a patient deemed ‘incompetent’, Buchanan and Brock (1989) have classically argued in their foundational text that it is important to be clear about what statements of competence refer to. Whatever the faults, weaknesses and difficulties of such statements, they nevertheless achieve a number of important things; like bills and charters of patient rights generally, they help to remind mental health patients / consumers, service providers, caregivers and the general community that people with mental health problems (including mental illnesses and mental health problems) have special moral interests and entitlements that ought to be respected and protected, they help to inform stakeholders (patients / consumers, service providers, caregivers and the community) of what these special entitlements are and thereby provide a basis upon which respect for and protection of these can be required, they help to delineate the special responsibilities that stakeholders (patients / consumers, service providers, caregivers and the community) all have in ensuring the promotion and protection of people’s moral interests and entitlements in mental health care and in promoting mental health generally. Explore ways in which the nursing profession might improve its advocacy of people with mental health problems and severe mental illnesses. Therefore, understanding what ethical issues exist within the mental health counseling and their subsequent implications will better equip the counselors to excel while providing ... › Url: https://paperap.com/paper-on-ethical-principles-in-clinical-mental-health-counseling/ Go Now. However, in compliance with the provisions contained in the CRPD, there is now recognition that ‘persons with disabilities enjoy legal status on an equal basis with others in all aspects’ and that this requires recognition that competent persons, at least, have the right to refuse psychiatric treatment ( Maylea & Ryan 2017 : 88). › Url: https://pubmed.ncbi.nlm.nih.gov/18384118/ Go Now. oral or intramuscular psychotropic medication, or electroconvulsive therapy). the capacity to communicate the decision made (after Kerridge et al 2013 : 384–6). It teases out the ethical challenges that mental health nurses can face on a daily basis. It is important to acknowledge that, despite their envisaged benefits, PADs are not without risk. For many, the answer lies in the systematic development and formal adoption of psychiatric advance directives (PADs). › Url: https://nursekey.com/ethical-issues-in-mental-health-nursing-2/ Go Now. This chapter explores mental health nursing practice within an ethics context. 25, Issue. While drawing primarily on the Australian experience, this discussion nonetheless has relevance for nurses working in other countries. Not only is there the problem of how to determine accurately what a harm is and how a given harm should be weighted morally when evaluating whether a patient’s choices should be respected or overridden; there is the additional problem that attending health care professionals may disagree radically among themselves about how these things should be determined – to a point that may even cause rather than prevent harm to the patient, as happened in this case. First published in 1991, with a 2012 revised edition of the statement launched in early 2013, this document stands as an influential guide for other public policy initiatives and statements such as the National mental health policy (released in 2008 and committed to by all Australian governments), and successive national mental health plans (including the most recent Fifth national mental health and suicide prevention plan released in 2017 , the National standards for mental health services 2010 and the National carer strategy in 2011 ( Australian Government Department of Health 2010 , 2011 , 2017 ) and other documents (e.g. For example, if a patient claims the right to make an informed consent concerning prescribed psychotropic medication or electroconvulsive therapy (ECT), this imposes on an attending health care professional a corresponding duty to ensure that the patient is fully informed about the therapeutic effects and the adverse side effects of the treatments in question as well as to respect the patient’s decision to either accept or refuse the treatment, even where the health professional may not agree with the ultimate decision made. This means that it is the therapist's responsibility to avoid unethical interactions with clients. The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. Hasman, A., Mcintosh, E. and Hope, T. 2008: Journal of Medical Ethics, › Url: https://ukdiss.com/examples/medical-ethical-dilemma-case-study.php Go Now, Health Details: and mental health? Health Details: Purpose of review . Discussions of key ethical dilemmas in mental health care, including consent, trauma and violence, addiction, confidentiality, and therapeutic boundaries. Health Details: Mental health and addiction workers must often comply with a range of ethical codes and standards. Health Details: The main legal and ethical dilemmas that can be extracted from this case study are whether the Anita’s capacity to make decisions about her treatment should be overridden by use of the Mental Capacity Act (GB 2005) and whether Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards ... › Url: https://nursinganswers.net/essays/legal-and-ethical-issues-in-mental-health-nursing-nursing-essay.php Go Now. Here objections can be raised concerning just how sophisticated a patient’s understanding needs to be. This myth has been taken by PAD proponents as analogously justifying psychiatric patients abdicating their ‘freedom’ to substitute decision-makers during periods of incapacitation: although restrained during these periods, like Ulysses, their autonomy nonetheless remains intact. As Gibson (1976) pointed out in an early article on the subject, rationality cannot escape the influences of the social patterns and institutions around it and, for this reason, any value-neutral account of rationality is quite inadequate. during a moment of restored competency to decide) that the fiduciary nature of the professional–client relationship has been violated. Using case vignettes, their responses to ethical issues related to clinical situations were assessed. Mental Health Ethical Dilemmas Facing Mental Health Social Workers. For example, contrary to popular medical opinion, there is nothing to suggest that a person’s decision to suicide is always the product of mental disease or depression. Patients and clinicians often dif-fer in the meaning they attach to psychiatric diagnoses, for example, and in their beliefs about the utility of psychotropic medication and/or psychotherapy. 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