The Role of the Child and Adolescent Psychiatrist on Health Care Institutional Ethics Committees

Some health-care institutions have ethics committees. The experience of the Ethical Issues Committee at the Royal College of Physicians is described. Ethics committees in institutions may be reactive or creative, must determine an agenda and must deal with dissent.

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The Role, Responsibilities and Work of the Child and Adolescent Psychiatrist

Bulletin of the Royal College of Psychiatrists ◽

10.1192/s0140078900002959 ◽

1978 ◽

Vol 2 (7) ◽

pp. 127-131 ◽

Cited By ~ 1

Keyword(s):

Adolescent Psychiatry ◽

Child And Adolescent ◽

Child And Adolescent Psychiatry ◽

Child Psychiatrist ◽

Adolescent Psychiatrist ◽

Work Assessment ◽

Preventive Work ◽

Role Responsibilities ◽

Multidisciplinary Teamwork

This document, produced by the Child and Adolescent Psychiatry Section of the College, is aimed at administrators, trainees considering entering the specialty, and colleagues in other disciplines. Its purpose is to describe the role of child and adolescent psychiatrists today, who work largely as part of a multidisciplinary team and may be based in a hospital or in the community. There is increasing emphasis on community work: assessment, treatment and preventive work is carried out with children and their families in close liaison with mainly non-medical colleagues. Such multidisciplinary teamwork has many advantages, but presents delicate problems in ethics and organization. In what follows ‘child psychiatrist’ will be generally used to mean ‘child and adolescent psychiatrist’.

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Fetuses with Neural Tube Defects: ethical approaches and the role of health care professionals in Turkish health care institutions

Nursing Ethics ◽

10.1191/0969733005ne758oa ◽

2005 ◽

Vol 12 (1) ◽

pp. 59-78 ◽

Cited By ~ 6

Author(s):

Hanzade Doğan ◽

Serap Sahinoglu

Keyword(s):

Health Care ◽

Neural Tube ◽

Neural Tube Defects ◽

Health Care Professionals ◽

Ethics Education ◽

Ethical Decision Making ◽

Ethics Committees ◽

Ethical Frameworks ◽

Ethical Approaches

Neural tube defects (NTDs) are very serious malformations for the fetus, causing either low life expectancy or a chance of survival only with costly and difficult surgical interventions. In western countries the average prevalence is 1/1000-2000 and in Turkey it is 4/1000. The aim of the study was to characterize ethical approaches at institutional level to the fetus with an NTD and the mother, and the role of health care professionals in four major centers in Turkey. The authors chose perinatology units of four university hospitals and prepared questionnaires for the responsible professionals concerning their own and their institution’s ethical approaches to the fetus with an NTD and the mother. The investigation revealed that there were no institutional ethical frameworks or ethics committees available to professional teams in the units. The roles of the health care professionals and their individual decisions and approaches based on ethical principles are described. The ethical decision-making process concerning fetuses with NTDs, examples of institutional approaches to the topic and institutional frameworks, and the role of nurses and other health care professionals are all discussed, based on a literature review. The authors suggest that institutional ethical frameworks, ethics committees, professionals’ ethics education and multidisciplinary teamwork should be established for critical situations such as fetuses with an NTD.

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