ADDRESSING ETHICAL DILEMMAS AND LEGAL ISSUES IN THE TREATMENT OF TRANSITIONAL-AGE YOUTH (TAY) SUFFERING FROM CHRONIC MEDICAL ILLNESSES AND PSYCHIATRIC COMORBIDITIES

2019 ◽  
Vol 58 (10) ◽  
pp. S76
Author(s):  
Timothy C. Van Deusen ◽  
Maryland Pao
Keyword(s):  
Ethical Dilemmas ◽  
Legal Issues ◽  
Transitional Age Youth ◽  
Psychiatric Comorbidities ◽  
Transitional Age

scholarly journals Autonomy and Capacity in Transitional Age Youth (TAY) with Serious Mental Illness: Challenges in Mental Health - A Case Report

2019 ◽  
Vol 6 (4) ◽  
pp. 1-5
Author(s):  
Timothy Van Deusen ◽  
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Psychiatric Inpatient ◽  
Care Patient ◽  
Legal Issues ◽  
Ethical Challenges ◽  
Involuntary Hospitalization ◽  
Transitional Age Youth ◽  
Difficult Time ◽  
Transitional Age

Objective: An admission to a medical or psychiatric inpatient unit is a difficult time during a Transitional Age Youth (TAY)’s life. While some patients recognize the need for their admission, severely ill patients lack insight into their illnessand require involuntary hospitalization, which may impactthe patient’s quality of care, patient-doctor relationship and raise legal and ethical questions to patient’s autonomy, capacity, and their wishes. Methods: Describe the legal and ethical challenges of TAY with serious mental illness and multiple physical illnesses; illustrated by a clinical case. Results: TAYis affected by legal issues involved with treatment in this population, including a patient’s right to refuse treatment, involuntary commitment versus court-ordered treatment, advance directives, health care proxies, and confidentiality. Conclusions: It is critical to recognize the ethical and legal issues encountered by TAY with serious mental illness. Understanding these matters will improvethe provider’s care and enhance their ability to advocate for patients’ rights.

Child and adolescent psychiatry

2021 ◽  
pp. 469-498
Author(s):  
Adrian Sondheimer ◽  
Niranjan Karnik ◽  
Peter Jensen
Keyword(s):  
Adolescent Psychiatry ◽  
Ethical Dilemmas ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Developmental Differences ◽  
Ethical Considerations ◽  
Child Patients ◽  
Transitional Age ◽  
And Gender ◽  
Marijuana Decriminalization

Ethical dilemmas unique to child and adolescent psychiatry are consequences of the child psychiatrist’s duty to serve as advocate for child patients while simultaneously having professional responsibilities to the parents and guardians of the children, as well as to child-related institutions inclusive of schools, juvenile justice systems, and childcare agencies. In addition, awareness of developmental differences is paramount, as continuous maturation occurs from ages zero through eighteen years and beyond. With this in mind, the chapter first reviews ethical principles and reasoning and the influence of context on such ever-present matters as assent/consent/dissent, agency, assessment, treatments, and confidentiality, and then hones in on current and future dilemmas posed by the needs of transitional age youth and the impacts of social media, marijuana decriminalization, alternative sexual and gender expressions, minority vulnerabilities, and casualties of global conflicts. A separate section focuses on ethical considerations relevant to research performed with child subjects.

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