To properly improve Mental Health Care, first we must look toward mental health care and how Autonomy and Paternalism play a vital role when discussing the improvement of this health care service, especially for children and adolescents. Mental health care is often treated in a paternalistic type of care and often not with an autonomous viewpoint. This is primarily due to the mental state the patient is in and can result in the individual not being able to make the proper decisions to improve his or her well-being. A balance between both Paternalism and Autonomy must be regarded so that the patient receiving the care is given the best possible treatment that is equal and fair. When a patient is being treated for their mental health disorder, …show more content…
(Is paternalism always practiced with parents consent)The reasoning behind this is that the true information is basically too much for people to handle (how do you know this?) so the patient is often withheld from the true and more often, the real answers. Often mental health is treated with Paternalism because it is often assumed that the patient is incapable of handling certain situations or wouldn’t make the right choices regarding his or her welfare. (is there evidence for this?) Certain information can possibly be confusing to a patient but it should be the health care professionals job to relay the information in a clear way. Patients should have the right to hear the answer to the questions and be able to make the desions they want unless they are physically or mentally impaired to the point of the information being completely misunderstood. (Bioethics Briefing use the last names and year of …show more content…
In Chapter 21 case studies it discusses the right to medicine as a component of the right to health. The first paragraph states, “access to safe, effective, affordable, and quality medicines is a fundamental element of the right to health.” (Beracochea 2010). If a child is diagnosed to have a mental disorder and is medicated the parent should be able to access the medication. Access doesn’t just mean the ability to get the medication but the ability to purchase the medication granted that is affordable. This affordability is one of the challenges that people are faced with regarding mental health
Many factors go into the relationship between those directly affected and the patients receiving the mental health services
Fact: This class action involves a multi-faceted attack against certain medication and seclusion policies allegedly followed at the May and Austin Units of the Boston State Hospital (Hospital), a state institution for the mentally ill. The named plaintiffs, all either voluntary or involuntary patients at one time or another at these facilities, seek injunctive relief for the class,[1] and award of money damages for themselves. Plaintiffs' basic grievance is that the defendants, all of whom have served on the Hospital staff, maintained policies of forced medication and involuntary seclusion in non-emergency circumstances. Plaintiffs allege that these policies infringed on the constitutional rights of Hospital patients.
Throughout this assignment it is going to explain how legislations and social policies have changed the response to the needs of individuals who suffer from mental health conditions, it is also going analyse the impact of the recent changes within social policies. The history behind mental health has had a major impact on today’s society, how the legislations and policies have been reformed over the centuries. Treatment and social standards have also change dramatically; in 1247 the first Bethlem Royal Hospital was built in London. This hospital was originally built to collect money; food etc for the Crusader Church, this building was used as a church for a hundred years.
“Informed consent”, was not available years ago and as a matter of fact many patients have been a part
Upon first glance, the parent/child paradigm has the ability to be broken up into two similar (yet different) concepts – viewing the child as an infant or adolescent. In this metaphorical construct, the care-giver/physician is placed into the parental role, automatically assuming that they posses a ‘moral sovereignty’ in regard to decision making. On the other end of the spectrum, the patient is placed into the role of a developing child, one that relies upon the adult to a certain extent – the adolescent model provides the patient with more autonomy than the child model. By evaluating the parent/child paradigm prescriptively in connection to the physician-patient relationship, the physician ought to prescribe/inform the patient of the course of treatment (that which the physician believes to be the best for the patient); however, ultimately, the patient retains the ability to either accept or deny the physician’s suggested treatment course. As a result of the position one is placed in through the parent/child paradigm, the physician cannot force the patient into another decision; however, the physician has the ability to deny their ‘nonlogical’ requests/a patient’s choice that “does not make sense.”
There are only certain cases where mental health information can be released without consent from the patient. Such cases include when it related to “the public interest.” This
According to a survey conducted in 2011 by the Substance Abuse and Mental Health Services Administration (SAMHSA), almost five million individuals, who had a need for psychiatric services, did not receive mental health care. When questioned about the reasons for not receiving care, 50% of the population of adults eighteen and older stated that cost of care was the main barrier to treatment (Citation, 2011). The average cost of care for a pediatric inpatient stay for mental health exacerbations is approximately $15,500 (Bardach, et. al., 2014). Mental health and substance abuse services (MHSA), between 2010 and 2011, grew by 10% and cost of care increased by 7%.
Gress’s position is not morally legitimate, and the ethical principles of nonmaleficence, beneficence, and autonomy render it morally wrong. Paternalism is strongly present in this situation: the patients were not asked whether or not they would like to be informed of the new information that their doctor acquired. Furthermore, Dr. Gress stated that he had “an obligation not to notify them” (Munson 328); however, doctors have a duty to tell even the unfortunate truths to their patients. What Dr. Gress decided was, “on the basis of his own values, that he knows what is best for another person” (Week 2 Ppt Slide 2). Also, he was denying the patients’ autonomy.
In spite of the effective treatments for interventions for children in the foster care system who struggle with mental health issues. Barriers to care remain in the United States, and a lack of resources including human and financial along with stigma are just a few why some youth are not able to receive treatment. Though some progress has been made in developing effective treatments for children and adolescents with mental disorders. Priority is given to those who are not labeled with the association of mental illness.
as cited in Roberts 2004). Autonomy is described as an individual’s right to self-governance around their care and the requirement of healthcare professionals to respect these decisions (Kirby et al. 2004). However the patient and healthcare professional can sometimes have conflicting views regarding a person’s capacity for autonomy particularly persons who are acutely unwell. Despite JB expressing his dislike of being placed in seclusion, nursing and medical staff agreed JB’s capacity to make an informed autonomous decision was impaired due to his current mental distress. Roberts (2004) states that the paternalism in mental health is rationalized through the concept that mental illness can inhibit a persons’ competency and ability to act autonomously in the governance of their care and therefore principles of beneficence and non-maleficence must be introduced to ensure that person receives adequate care.
Critical Thinking #2 1. A 14-year-old accompanied by her mother presents with complaints of nausea and vomiting for two weeks. After her mother leaves the room, she admits to being sexually active and tells you that she has had unprotected intercourse recently with her boyfriend. Her parents do not know she is sexually active, and she does not want her mother to know that a pregnancy test is being done or the result of that test. Pregnancy test comes back positive.
Healthcare professionals must work on the assumption that every patient has the capacity to make decisions about their care, and to decide whether to agree to, or refuse, an examination or treatment. However, in the case that patients are deemed to be lacking capacity the Mental Capacity Act (2005), The Adults with Incapacity (Scotland) Act (2000) legislations must be followed (General Medical Council, 2008). Gaining consent before providing care or treatment to any patient is very important because patient requires
Directing people where to go to get help is essential for treating illnesses. Directing people to get help applies to mental health. Making mental health care free could affect millions and help those struggling get the help they need and deserve. Everyone should be able to get treatment for any type of illness, this could be physical and include mental
Being formed in 1948, the Universal Declaration of Human Rights helps recognize “the inherent dignity” and the “equal and unalienable rights of all members of the human family”. Based on this very concept of the person, and the fundamental dignity and equality of all human beings, that the notion of patient rights was developed. Patient rights involve those basic rules of conduct between patients and medical caregivers as well as the institutions and people that support them. A patient is anyone who has requested to be evaluated by or who is being evaluated by any healthcare professional.
Some methodological issues and challenges that are unique when it comes to medical issues in mental health are sometimes hard to understand or explain. The main issue is having funds to do the research. We see constant budget cost and smaller budget allocations in mental health and many federally funded programs are being completely changed or cut. Some are harshly reduced, and the relationship between government and private sector providers is being readjusted (Inouye, 1983; Klerman, 1974).