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Threats and offers in community mental health care

Threats and offers in community mental health care
Threats and offers in community mental health care
Making threats and offers to patients is a strategy used in community mental healthcare to increase treatment adherence. In this paper, an ethical analysis of these types of proposal is presented. It is argued (1) that the primary ethical consideration is to identify the professional duties of care held by those working in community mental health because the nature of these duties will enable a threat to be differentiated from an offer, (2) that threatening to act in a way that would equate with a failure to uphold the requirements of these duties is wrong, irrespective of the benefit accrued through treatment adherence and (3) that making offers to patients raises a number of secondary ethical considerations that need to be judged on their own merit in the context of individual patient care. The paper concludes by considering the implications of these arguments, setting out a pathway designed to assist community mental healthcare practitioners to determine whether making a specific proposal to a patient is right or wrong.
1473-4257
204-209
Dunn, M.
48f33319-c8c6-4fa5-86f9-712bf6a1f6ff
Maughan, D.
1f415d1f-79e9-4687-ae52-1799ee44e9b3
Hope, T.
745b94a5-2676-4668-8273-413fb7250f29
Canvin, K.
b972afd2-1dd9-4fb4-ac79-2e39eb393237
Rugkåsa, J.
aba777de-90dd-4474-a810-152e447bc8c3
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Burns, T.
f570817b-410b-491a-a4d1-ed943149ef6b
Dunn, M.
48f33319-c8c6-4fa5-86f9-712bf6a1f6ff
Maughan, D.
1f415d1f-79e9-4687-ae52-1799ee44e9b3
Hope, T.
745b94a5-2676-4668-8273-413fb7250f29
Canvin, K.
b972afd2-1dd9-4fb4-ac79-2e39eb393237
Rugkåsa, J.
aba777de-90dd-4474-a810-152e447bc8c3
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Burns, T.
f570817b-410b-491a-a4d1-ed943149ef6b

Dunn, M., Maughan, D., Hope, T., Canvin, K., Rugkåsa, J., Sinclair, Julia and Burns, T. (2011) Threats and offers in community mental health care. Journal of Medical Ethics, 38 (4), 204-209. (doi:10.1136/medethics-2011-100158). (PMID:22138728)

Record type: Article

Abstract

Making threats and offers to patients is a strategy used in community mental healthcare to increase treatment adherence. In this paper, an ethical analysis of these types of proposal is presented. It is argued (1) that the primary ethical consideration is to identify the professional duties of care held by those working in community mental health because the nature of these duties will enable a threat to be differentiated from an offer, (2) that threatening to act in a way that would equate with a failure to uphold the requirements of these duties is wrong, irrespective of the benefit accrued through treatment adherence and (3) that making offers to patients raises a number of secondary ethical considerations that need to be judged on their own merit in the context of individual patient care. The paper concludes by considering the implications of these arguments, setting out a pathway designed to assist community mental healthcare practitioners to determine whether making a specific proposal to a patient is right or wrong.

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e-pub ahead of print date: 2 December 2011
Organisations: Faculty of Medicine

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Local EPrints ID: 346383
URI: http://eprints.soton.ac.uk/id/eprint/346383
ISSN: 1473-4257
PURE UUID: 7d220fc1-ad06-4bde-8f72-46dd34c1aa0e
ORCID for Julia Sinclair: ORCID iD orcid.org/0000-0002-1905-2025

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Date deposited: 28 Feb 2013 11:54
Last modified: 10 Dec 2019 01:53

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Contributors

Author: M. Dunn
Author: D. Maughan
Author: T. Hope
Author: K. Canvin
Author: J. Rugkåsa
Author: Julia Sinclair ORCID iD
Author: T. Burns

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