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Ethical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Review

2024-02-09Journal article Open access
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dc.contributor.authorLaureano, Cláudio Domingos
dc.contributor.authorLaranjeira, Carlos
dc.contributor.authorQuerido, Ana
dc.contributor.authorDixe, Maria dos Anjos
dc.contributor.authorRego, Francisca
dc.date.accessioned2024-09-03T14:11:14Z
dc.date.available2024-09-03T14:11:14Z
dc.date.issued2024-02-09
dc.descriptionThis article belongs to the Special Issue Moving Away from Coercion in Mental Health Care.pt_PT
dc.descriptionFunding: This work was supported by FCT—Fundação para a Ciência e a Tecnologia, I.P. (UIDB/ 05704/2020 and UIDP/05704/2020) and by the Scientific Employment Stimulus—Institutional Call—[https://doi.org/10.54499/CEECINST/00051/2018/CP1566/CT0012, accessed on 30 December 2023].pt_PT
dc.description.abstractIn mental health and psychiatric care, the use of involuntary psychiatric treatment for people with mental disorders is still a central and contentious issue. The main objective of this scoping review was to map and systematize the literature on ethical issues in clinical decision-making about involuntary psychiatric treatment. Five databases (Embase, PsycINFO, CINAHL, Medline, and Scopus) were searched for articles on this topic. Out of a total of 342 articles found, 35 studies from 14 countries were included based on the selection criteria. The articles were analyzed using the inductive content analysis approach. The following main categories were identified: (1) ethical foundations that guide clinical decision-making; (2) criteria for involuntary psychiatric treatment; (3) gaps, barriers, and risks associated with involuntary psychiatric treatment; (4) strategies used to reduce, replace, and improve the negative impact of involuntary treatment; and (5) evidence-based recommendations. Most of the selected articles discuss the logic underlying involuntary treatment of the mentally ill, exploring ethical principles such as autonomy, beneficence, non-maleficence, or justice, as well as how these should be properly balanced. During the process of involuntary psychiatric admission, there was a notable absence of effective communication and a significant power imbalance that disenfranchised those seeking services. This disparity was further intensified by professionals who often use coercive measures without a clear decision-making rationale and by family members who strongly depend on hospital admission. Due to the pluralistic and polarized nature of opinions regarding legal capacity and the complexity and nuance of involuntary admission, further studies should be context-specific and based on co-production and participatory research.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLaureano, C.D.; Laranjeira, C.; Querido, A.; Dixe, M.A.; Rego, F. Ethical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Review. Healthcare 2024, 12, 445. https://doi.org/10.3390/ healthcare12040445pt_PT
dc.identifier.doihttps://doi.org/10.3390/healthcare12040445pt_PT
dc.identifier.eissn2227-9032
dc.identifier.urihttp://hdl.handle.net/10400.8/9987
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPI (Multidisciplinary Digital Publishing Institute)pt_PT
dc.relationCenter for Innovative Care and Health Technology
dc.relationCenter for Innovative Care and Health Technology
dc.relationNot Available
dc.relation.publisherversionhttps://www.mdpi.com/2227-9032/12/4/445pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectethicspt_PT
dc.subjectmoralpt_PT
dc.subjectinvoluntary psychiatric treatmentpt_PT
dc.subjectcoercive measurespt_PT
dc.subjectreviewpt_PT
dc.titleEthical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardTitleNot Available
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F05704%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F05704%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/CEEC INST 2018/CEECINST%2F00051%2F2018%2FCP1566%2FCT0012/PT
oaire.citation.issue4pt_PT
oaire.citation.startPage445pt_PT
oaire.citation.titleHealthcarept_PT
oaire.citation.volume12pt_PT
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStreamCEEC INST 2018
person.familyNameLaranjeira
person.familyNameQuerido
person.familyNameDixe
person.givenNameCarlos
person.givenNameAna
person.givenNameMaria dos Anjos
person.identifier794059
person.identifier.ciencia-idE311-0BBA-444F
person.identifier.ciencia-idDB15-BD76-2B75
person.identifier.orcid0000-0003-1080-9535
person.identifier.orcid0000-0002-5021-773X
person.identifier.orcid0000-0001-9035-8548
person.identifier.ridB-9257-2018
person.identifier.scopus-author-id22957802900
person.identifier.scopus-author-id55885797900
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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