Discussant: Ethical challenges

2016 ◽  
Vol 33 (S1) ◽  
pp. S36-S36
Author(s):  
M. Kastrup
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Adverse Effects ◽  
Ethical Issues ◽  
Health Sector ◽  
Economic Policies ◽  
Ethical Challenges ◽  
Health Security ◽  
Economic Changes ◽  
The Impact

Europe has undergone considerable economic changes that have an impact on mental health of its citizens; have consequences for the organization of mental health services; and raise ethical issues, such as the distribution of wealth, and equity in access to care. Furthermore, Europe is current undergoing serious economic problems that will produce adverse effects on the mental health of its citizens, among them increase in substance abuse related disorders as well as an increase in suicide.The consequences that economic changes have on mental health relate to the conditions of the particular country, as countries with better health security nets would be less likely to experience adverse effects. Different policy measures may reduce the impact on mental health not only within the health sector, but other sectors of society have to be engaged in the process.The symposium will consider these problems from different selected perspectives.An overview of the impact of economic policies on health services will be followed by a presentation of the important role of international organizations like EPA in outlining the problem and finally a presentation of the initiative Choosing Wisely that focuses on communication between health professionals and patients with recommendations of decisions about the most appropriate care based on the patient's individual situation.Disclosure of interestThe author has not supplied his declaration of competing interest.

Text Messaging and Private Practice: Ethical Challenges and Guidelines for Developing Personal Best Practices

2013 ◽  
Vol 35 (3) ◽  
pp. 211-227 ◽  
Author(s):  
Michael Sude
Keyword(s):  
Mental Health ◽  
Best Practices ◽  
Private Practice ◽  
Text Messaging ◽  
Ethical Issues ◽  
Ethical Challenges ◽  
Ethical Concerns ◽  
Message Service ◽  
Impact Of Technology ◽  
The Impact

The impact of technology on mental health practice is currently a concern in the counseling literature, and several articles have discussed using different types of technology in practice. In particular, many private practitioners use a cell phone for business. However, no article has discussed ethical concerns and best practices for the use of short message service (SMS), better known as text messaging (TM). Ethical issues that arise with TM relate to confidentiality, documentation, counselor competence, appropriateness of use, and misinterpretation. There are also such boundary issues to consider as multiple relationships, counselor availability, and billing. This article addresses ethical concerns for mental health counselors who use TM in private practice. It reviews the literature and discusses benefits, ethical concerns, and guidelines for office policies and personal best practices.

scholarly journals Threats to epistemic agency in young people with unusual experiences and beliefs

Synthese ◽  
2021 ◽  
Author(s):  
Joseph W. Houlders ◽  
Lisa Bortolotti ◽  
Matthew R. Broome
Keyword(s):  
Mental Health ◽  
Young People ◽  
Health Services ◽  
Therapeutic Relationship ◽  
Ethical Issues ◽  
Sense Of Self ◽  
Clinical Encounter ◽  
Epistemic Agency ◽  
The Impact

AbstractA good therapeutic relationship in mental health services is a predictor of positive clinical outcomes for people who seek help for distressing experiences, such as voice hearing and paranoia. One factor that may affect the quality of the therapeutic relationship and raises further ethical issues is the impact of the clinical encounter on users’ sense of self, and in particular on their sense of agency. In the paper, we discuss some of the reasons why the sense of epistemic agency may be especially fragile in young people with unusual experiences and beliefs. We argue that it is important to identify and avoid behaviours that can undermine young people’s contributions as epistemic agents in the clinical encounter.

Rural Ethics and Mental Health: An Overview for Rehabilitation Counselors

2015 ◽  
Vol 46 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Wendy A. Coduti ◽  
Melissa Manninen Luse
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas ◽  
Urban Areas ◽  
Ethical Issues ◽  
Service Providers ◽  
Rehabilitation Counselors ◽  
Ethical Challenges ◽  
Health Service Providers

Individuals living in rural areas have similar prevalence rates of mental health conditions as individuals living in urban areas, yet face a number of challenges in accessing and receiving proper mental health services. For mental health service providers there are unique ethical challenges when working in rural areas. This paper will examine aspects of rural living, and ethical issues surrounding provision of mental health services. Implications for practice and research are assessed for rehabilitation counselors working in these settings.

scholarly journals Balancing autonomy and risk: the Scottish approach

2014 ◽  
pp. 78
Author(s):  
Jacqueline M Atkinson ◽  
Hilary J Patrick
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Mental Disorders ◽  
Health Services ◽  
Mental Disorder ◽  
General Framework ◽  
Ethical Issues ◽  
Health Law ◽  
Draft Bill ◽  
The Impact

<p>The impact of compulsory measures of medical treatment for mental disorders have for some time interested medical and legal commentators, possibly because of the complex ethical issues these raise. In a context where stigma and discrimination are realities for many of those who use mental health services some people argue that holistic legislation, which places treatment for mental disorder within amore general framework of incapacity law, could reduce the stigma of mental ill health. Szmukler, Daw and Dawson have made an interesting attempt to show how such a law might look inpractice. They have built on and reflected the work of the Bamford Committee in Northern Ireland, which, while recommending a single legislative basis for mental health and incapacity law, fell short ofproducing a draft bill.</p><p>In looking at these proposals from a Scottish perspective, we have resisted the temptation to focus on points of detail and have attempted to discuss certain themes. In particular, we have looked at how Scotland has introduced a capacity-based threshold for mental health law and how this compares with Szmukler et al’s proposed approach.</p>

scholarly journals Social work practice implications of upcoming mental health reforms

2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Genevieve Smith ◽  
Joanna Appleby
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Social Workers ◽  
Health Sector ◽  
Health Agency ◽  
Work Practice ◽  
Social Work Practice ◽  
System Reform ◽  
District Health ◽  
The Impact

The Labour-led Government has recently announced new healthcare reforms in Aotearoa New Zealand. The four changes are:The current 20 District Health Boards (DHBs) across the country will be replaced by one national organisation, Health New Zealand.A new Māori Health Authority will have the power to commission health services, monitor the state of Māori health and develop policyNew Public Health Agency will be createdStrengthened Ministry of Health will monitor performance and advise governmentAs a teaser before the announcement, the country was informed that the reforms would be about equity and access. We, thewriters, are both Pākehā mental health social workers and we were eagerly awaiting news of the reforms. We have reflected on the current problems facing the mental health sector, speculated on how these may be addressed through system reform, and discussed our hopes for a better system.Based on our experience working within and alongside different DHB mental health services in the country we identified four major sector problems. These are the increasing demand and severity of presenting problems, the associated shifting goalposts of accessibility to manage demand, service variability between regions and issues of staff workload, and training and retention. As social workers, we have seen the impact of these issues upon multi-stressed families seeking support and we hope for reforms to address these equity issues.

Mental health in context. Impact of economic policies on health services

2016 ◽  
Vol 33 (S1) ◽  
pp. S36-S36
Author(s):  
N. Sartorius
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Care Services ◽  
Current Trend ◽  
Economic Policies ◽  
Competing Interest ◽  
The Government ◽  
The Impact

The impact of economic policies on mental health services – and with some differences also on general health services – will be exemplified by an analysis of the current trend of governments’ withdrawal from funding the mental health services it provided until now and the replacement of the government funded services by privately owned services. The analysis will be made on the background of the current worldwide tendency of commoditification, which posits that health care should be considered a commodity and judged using indicators, which have proven their value in commerce and handling of commodities. The analysis leads to the conclusion that the both tendencies – of commoditification and of increasing involvement of private capital in running health care services are likely to lead to a deterioration of care for people with mental illness.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Implementing a digital health model of care in Australian youth mental health services: protocol for impact evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Piper ◽  
Tracey A. Davenport ◽  
Haley LaMonica ◽  
Antonia Ottavio ◽  
Frank Iorfino ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Impact Evaluation ◽  
Digital Health ◽  
Youth Mental Health ◽  
Model Of Care ◽  
Health Service Provision ◽  
Industrial Grade ◽  
The Impact

Abstract Background The World Economic Forum has recently highlighted substantial problems in mental health service provision and called for the rapid deployment of smarter, digitally-enhanced health services as a means to facilitate effective care coordination and address issues of demand. In mental health, the biggest enabler of digital solutions is the implementation of an effective model of care that is facilitated by integrated health information technologies (HITs); the latter ensuring the solution is easily accessible, scalable and sustainable. The University of Sydney’s Brain and Mind Centre (BMC) has developed an innovative digital health solution – delivered through the Youth Mental Health and Technology Program – which incorporates two components: 1) a highly personalised and measurement-based (data-driven) model of youth mental health care; and 2) an industrial grade HIT registered on the Australian Register of Therapeutic Goods. This paper describes a research protocol to evaluate the impact of implementing the BMC’s digital health solution into youth mental health services (i.e. headspace - a highly accessible, youth-friendly integrated service that responds to the mental health, physical health, alcohol or other substance use, and vocational concerns of young people aged 12 to 25 years) within urban and regional areas of Australia. Methods The digital health solution will be implemented into participating headspace centres using a naturalistic research design. Quantitative and qualitative data will be collected from headspace health professionals, service managers and administrators, as well as from lead agency and local Primary Health Network (PHN) staff, via service audits, Implementation Officer logs, online surveys, and semi-structured interviews, at baseline and then three-monthly intervals over the course of 12 months. Discussion At the time of publication, six headspace centres had been recruited to this study and had commenced implementation and impact evaluation. The first results are expected to be submitted for publication in 2021. This study will focus on the impact of implementing a digital health solution at both a service and staff level, and will evaluate digital readiness of service and staff adoption; quality, usability and acceptability of the solution by staff; staff self-reported clinical competency; overall impact on headspace centres as well as their lead agencies and local PHNs; and social return on investment.

scholarly journals Ethics of Corporeal, Co-present Robots as Agents of Influence: a Review

2021 ◽  
Author(s):  
AJung Moon ◽  
Shalaleh Rismani ◽  
H. F. Machiel Van der Loos
Keyword(s):  
Artificial Intelligence ◽  
Physical Environment ◽  
Ethical Issues ◽  
Human Robot Interaction ◽  
Physical Interaction ◽  
Ethical Challenges ◽  
Natural Tendency ◽  
Ai Ethics ◽  
Recent Trends ◽  
The Impact

Abstract Purpose of Review To summarize the set of roboethics issues that uniquely arise due to the corporeality and physical interaction modalities afforded by robots, irrespective of the degree of artificial intelligence present in the system. Recent Findings One of the recent trends in the discussion of ethics of emerging technologies has been the treatment of roboethics issues as those of “embodied AI,” a subset of AI ethics. In contrast to AI, however, robots leverage human’s natural tendency to be influenced by our physical environment. Recent work in human-robot interaction highlights the impact a robot’s presence, capacity to touch, and move in our physical environment has on people, and helping to articulate the ethical issues particular to the design of interactive robotic systems. Summary The corporeality of interactive robots poses unique sets of ethical challenges. These issues should be considered in the design irrespective of and in addition to the ethics of artificial intelligence implemented in them.

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