The use of leverage in community mental health: Ethical guidance for practitioners
The use of leverage in community mental health: Ethical guidance for practitioners
Bckground: leverage is a particular type of treatment pressure that is used within community mental health services to increase patients' adherence to treatment. Because leverage involves practitioners making proposals that attempt to influence patients' behaviours and choices, the use of leverage raises ethical issues.
Aim: to provide guidance that can assist practitioners in making judgements about whether it is ethically acceptable to use leverage in a particular clinical context.
Methods: methods of ethical analysis.
Results: four ethical duties relevant to making such judgements are outlined. These four duties are (1) benefitting the individual patient, (2) benefitting other individuals, (3) treating patients fairly and (4) respecting patients' autonomy. The practical requirements that follow from each of these duties are considered in detail. It is argued that practitioners should determine whether the use of leverage will mean that care is provided in ways that are consistent with the requirements of these four duties, regardless of whether the patient accepts or rejects the terms of the proposal made.
Conclusion: particular attention must be paid to determine how the requirements of the four duties should be applied in each specific treatment scenario, and in making careful judgements when these duties pull in opposing directions.
759-765
Dunn, M
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Sinclair, J.
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Canvin, K.
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Rugkåsa, J.
aba777de-90dd-4474-a810-152e447bc8c3
Burns, T.
f570817b-410b-491a-a4d1-ed943149ef6b
December 2014
Dunn, M
ab0d9496-de22-4cc0-aff0-6bc808eb02ea
Sinclair, J.
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Canvin, K.
b972afd2-1dd9-4fb4-ac79-2e39eb393237
Rugkåsa, J.
aba777de-90dd-4474-a810-152e447bc8c3
Burns, T.
f570817b-410b-491a-a4d1-ed943149ef6b
Dunn, M, Sinclair, J., Canvin, K., Rugkåsa, J. and Burns, T.
(2014)
The use of leverage in community mental health: Ethical guidance for practitioners.
International Journal of Social Psychiatry, 60 (18), .
(doi:10.1177/0020764013519083).
(PMID:24496210)
Abstract
Bckground: leverage is a particular type of treatment pressure that is used within community mental health services to increase patients' adherence to treatment. Because leverage involves practitioners making proposals that attempt to influence patients' behaviours and choices, the use of leverage raises ethical issues.
Aim: to provide guidance that can assist practitioners in making judgements about whether it is ethically acceptable to use leverage in a particular clinical context.
Methods: methods of ethical analysis.
Results: four ethical duties relevant to making such judgements are outlined. These four duties are (1) benefitting the individual patient, (2) benefitting other individuals, (3) treating patients fairly and (4) respecting patients' autonomy. The practical requirements that follow from each of these duties are considered in detail. It is argued that practitioners should determine whether the use of leverage will mean that care is provided in ways that are consistent with the requirements of these four duties, regardless of whether the patient accepts or rejects the terms of the proposal made.
Conclusion: particular attention must be paid to determine how the requirements of the four duties should be applied in each specific treatment scenario, and in making careful judgements when these duties pull in opposing directions.
Text
Dunn et al - The use of leverage - ethical guidance - SUBMITTED
- Author's Original
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e-pub ahead of print date: 4 February 2014
Published date: December 2014
Organisations:
Faculty of Medicine
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Local EPrints ID: 372255
URI: http://eprints.soton.ac.uk/id/eprint/372255
ISSN: 0020-7640
PURE UUID: ff326248-e9c9-4683-831b-79c26d03db3e
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Date deposited: 04 Dec 2014 13:17
Last modified: 15 Mar 2024 02:54
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Author:
M Dunn
Author:
K. Canvin
Author:
J. Rugkåsa
Author:
T. Burns
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