Forensic Psychiatry in the Elderly-ethical Issues

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
N. Tataru
Keyword(s):  
Mental Health ◽  
Forensic Psychiatry ◽  
Ethical Issues ◽  
Well Being ◽  
The Elderly ◽  
Short Review ◽  
Involuntary Commitment ◽  
Ethical Aspect ◽  
Best Interest ◽  
Care Needs

We discuss about psychiatric and psychological expertise exams and about the assessment of competence in the elderly and ethical aspect of care and research in elderly demented or not demented people and about involuntary commitment of incompetent patients.We also refer to the complications and difficulties when trying to apply the civil commitments compulsive hospital admission measure, foreseen in the law for mental health, when the dementia diagnostic falls within this age group. Historically, involuntary commitment of incompetent patients took in the consideration the best interest of the patient, but also the well-being of the family and the potential risk for others.After a short review of legislation and of conditions of hospitalization concerning involuntary commitment of the mentally ill people during our history before and after 1989, we'll analyze the activity on involuntary commitment in a Forensic Psychiatry Hospital in district Bihor, in last five years from a 30 years experience working in the field. Standards and practice in our country regarding the involuntary commitment have been changed more that three times after the second War and has been improved in 2002, when there appeared the new Mental Health Law, emphasizing protection of patients’ rights. There are legal and ethical limits to involuntary hospitalisation, because involuntary treatment and hospitalisation restricts a person's liberty. There should be a lot of things to do to improve the quality standards: improvement of elementary care needs, improvement of their quality of life.

Geriatric Psychiatry and Human Rights in Romania - Involuntary Treatment

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
N. Tataru ◽  
A. Dicker
Keyword(s):  
Human Rights ◽  
Mental Disorders ◽  
Well Being ◽  
Mental Illnesses ◽  
World Health ◽  
Involuntary Commitment ◽  
Ethical Aspect ◽  
Best Interest ◽  
Adequate Treatment ◽  
Ambulatory Treatment

The protection of human rights and the dignity of persons with mental disorders has not a relatively short history in Romania. We have a short review of legislation and of conditions of hospitalization concerning involuntary commitment of the mentally ill people during our history before and after 1989, having more than 30 years experience in the field. Since 1989 it has been necessary to create committees to investigate abuse during involuntary commitment. On the other hand, before 1989 some persons with (or even without) mental disorders were committed to a psychiatry department to protect them. Generally, Romania's legislation is in keeping with principles set out by the World Health Organisation, United Nations and so on, concerning the protection of people with mental illnesses. The legislation calls for adequate treatment and respect for the human rights of the persons with mental disorders.Standards and practice regarding involuntary commitment in a psychiatric department and also involuntary ambulatory treatment of person with mental disorders have been improved since the introduction of the new mental health law in 2002. We discuss about the assessment of competence in the elderly and ethical aspect of care and research, and about involuntary commitment of incompetent elderly patients. We also refer to the complications and difficulties when trying to apply the civil commitments compulsive hospital admission measure. Involuntary commitment of incompetent patients took in the consideration the best interest of the patient, but also the well-being of the family and the potential risk for others.

Forensic Issues and Caregivers of the Elderly

2017 ◽  
Author(s):  
Gary Epstein-Lubow ◽  
Elizabeth Tobin-Tyler
Keyword(s):  
Mental Health ◽  
Family Caregivers ◽  
Mental Health Treatment ◽  
Ethical Issues ◽  
The Elderly ◽  
Patient Centered Care ◽  
Health Condition ◽  
Patient Centered ◽  
Centered Care ◽  
Laws And Policies

Providing patient-centered care for an elderly individual with a mental health condition requires clinicians and family caregivers to work together. This chapter provides a description of a mental health treatment model, the triadic model of caregiving, in which service delivery for a patient includes clinicians communicating with family members or caregivers. Description of the mental health workforce to support patient-centered care is provided along with laws and policies that support family caregivers in their aid of patients. The associated legal responsibilities and ethical issues related to working with patients who have impaired decision-making capacity due to a mental health or substance use condition are explained, including capacity, competence, informed consent, advance care planning, guardianship, fiduciary responsibilities, and ethical concerns.

Nursing care in mental health: Human rights and ethical issues

2020 ◽  
pp. 096973302095210
Author(s):  
Carla Aparecida Arena Ventura ◽  
Wendy Austin ◽  
Bruna Sordi Carrara ◽  
Emanuele Seicenti de Brito
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Nursing Care ◽  
Ethical Issues ◽  
Research Question ◽  
Well Being ◽  
Mental Illnesses ◽  
Empirical Literature ◽  
Mental Health Nursing ◽  
Mental Health Nurses

People with mental illness are subjected to stigma and discrimination and constantly face restrictions in the exercise of their political, civil and social rights. Considering this scenario, mental health, ethics and human rights are key approaches to advance the well-being of persons with mental illnesses. The study was conducted to review the scope of the empirical literature available to answer the research question: What evidence is available regarding human rights and ethical issues regarding nursing care to persons with mental illnesses? A scoping review methodology guided by Arksey and O’Malley was used. Studies were identified by conducting electronic searches on CINAHL, PubMed, SCOPUS and Hein databases. Of 312 citations, 26 articles matched the inclusion criteria. The central theme which emerged from the literature was “Ethics and Human Rights Boundaries to Mental Health Nursing practice”. Mental health nurses play a key and valuable role in ensuring that their interventions are based on ethical and human rights principles. Mental health nurses seem to have difficulty engaging with the ethical issues in mental health, and generally are dealing with acts of paternalism and with the common justification for those acts. It is important to open a debate regarding possible solutions for this ethical dilemma, with the purpose to enable nurses to function in a way that is morally acceptable to the profession, patients and members of the public. This review may serve as an instrument for healthcare professionals, especially nurses, to reflect about how to fulfil their ethical responsibilities towards persons with mental illnesses, protecting them from discrimination and safeguarding their human rights, respecting their autonomy, and as a value, keeping the individual at the centre of ethical discourse.

Mental Health of Community-Dwelling Older Adults and Related Factors: A Cross-Sectional Study

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Roohollah Farhadloo ◽  
Sarallah Shojaei ◽  
Hamid Torabian ◽  
Mostafa Vahedian ◽  
Masoumeh Zakerimoghadam ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Urban Areas ◽  
Good Condition ◽  
Well Being ◽  
The Elderly ◽  
Community Dwelling ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Distress Scale

Background: Improving lifestyle, increasing lifespan and life expectancy have led to the phenomenon of aging in societies. The increasing population of older adults is one of the most important economic, social, and health challenges in the current century. Objectives: This study was conducted to measure the mental health of older adults in Qom City and its relationship with socioeconomic factors. Methods: This is a cross-sectional descriptive-analytical study on 400 older adults over 60 years in the urban areas of Qom in 2018. A multi-stage sampling method was used for this study. The research tools were a demographic questionnaire, the Kessler Psychological Distress scale (K6), and a standard psychological well-being scale. Data were analyzed by Stata 12 software using the t-test. The significance level was considered less than 0.05. Results: Considering the mental health status, based on the K6, 55% of the elderly showed signs of low depression anxiety, 34% moderate, and 11% showed severe anxiety symptoms. Regarding the status of well-being, 49.50% were in good condition (11.3 ± 3.3), 27.75% were in moderate condition (13.8 ± 2.9), and 22.75% were in poor condition (7.3 ± 2.6). Anxiety and depression had significant relationships with gender, having an illness, marital status, having a caregiver, and income. Conclusions: The results showed that about half of the elderly in Qom had moderate anxiety and depression disorders, as well as moderate mental well-being, which indicates the moderate level of anxiety and mental disorders in the elderly in Qom.

Ensuring Ethical Practice: Guidelines for Mental Health Counselors in Private Practice

2013 ◽  
Vol 35 (3) ◽  
pp. 245-261 ◽  
Author(s):  
Cecile Brennan
Keyword(s):  
Mental Health ◽  
Private Practice ◽  
Ethical Issues ◽  
Well Being ◽  
Mental Health Counselors ◽  
Decision Making Process ◽  
Ethical Practice ◽  
Four Dimensions ◽  
Ethical Knowledge ◽  
Ethical Action

Since mental health counselors in private practice often work in relative isolation, it is especially important that they attend to ethical issues. This article reviews four dimensions of ethical knowledge: the foundation of ethical actions, counselors as agents of ethical action, the need to establish a decision-making process, and the importance of sustaining ethical practice by keeping current with clinical developments and attending to their own well-being.

Self-compassion, Well-being and Health in Elderly: Are there Related?

2017 ◽  
Vol 41 (S1) ◽  
pp. S648-S648 ◽  
Author(s):  
M. Cunha ◽  
L. Parente ◽  
A. Galhardo ◽  
M. Couto
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Physical Health ◽  
Old Age ◽  
Satisfaction With Life ◽  
Well Being ◽  
The Elderly ◽  
Major Advance ◽  
Subjective Well Being ◽  
Self Compassion

IntroductionThe increase in aging population is a major advance in society, but also a great challenge, imposing the need for actions that promote successful aging, with higher subjective well-being and better health.Objectives(1) analyse the possible influence of socio-demographic variables in self-compassion, satisfaction with life, affection, physical and mental health (study variables); (2) understand how is that the study variables are associated with each other in old age; and (3) explore which variables best predict satisfaction with life and health in the elderly.MethodThe study sample consists of 155 individuals, aged between 65 and 94 years old, institutionalised and non-institutionalised.Results(1) significant correlations were found between some demographic and the study variables. (2) Significant associations were also found between self-compassion, subjective well-being and health. (3) linear regression analysis revealed that physical health is best predicted by greater life satisfaction and lower age; mental health is best predicted by increased satisfaction with life, self-compassion and decreased negative affect; and, finally, life satisfaction is predicted by a higher physical health and self-compassion.ConclusionsThese results suggest the importance of developing psychological skills such as warmth, tolerance and the acceptance of suffering bearing in mind that the elderly may experience difficulties resulting from the developmental characteristics of old age. Our findings suggest the possible beneficial effect of compassion, focused therapies designed for this specific population, particularly contributing to the promotion of life satisfaction and mental health of the Portuguese elderly.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Prediction of Psychological Well-Being in the Elderly by Assessing their Spirituality, Gratitude to God, and Perceived Social Support

Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 144-159
Author(s):  
Majid Sadoughi ◽  
◽  
Fatemeh Hesampour ◽  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Regression Analysis ◽  
Standard Deviation ◽  
Stepwise Regression ◽  
Perceived Social Support ◽  
Family Members ◽  
Well Being ◽  
The Elderly ◽  
Psychological Well Being

Objectives: Today, psychological care for the elderly has received increasing attention due to potential threats posed by aging, loneliness, gradual decline in physical activity, increase of chronic diseases, social isolation, and physical and mental disabilities. The positive psychology approach to mental health seeks to promote the mental health of people by identifying and developing mental abilities and competences. The present study aimed to predict psychological well-being of the elderly based on the components of positive psychology including spirituality, gratitude to God, and perceived social support. Methods & Materials: This is a descriptive correlational study conducted on 211 elderly people aged 60-70 years (109 males and 102 females) who were selected randomly. Data collection tools were a demographic form (surveying age, gender, education, marital status, and socioeconomic status), and Paloutzian and Ellisons’ Spirituality Well-Being Scale, short form of Ryff’s Psychological Wellbeing Scale, Emmons and Crumpler’s Gratitude to God Questionnaire, and Zimet’s Multidimensional Scale of Perceived Social Support. Collected data were analyzed in SPSS software V. 22 by using descriptive (Mean and Standard Deviation), Pearson correlation test, and stepwise regression analysis. Results: Mean and Standard Deviation of different study variables were reported as follows: Psychological well-being =7.1±10.68; Spirituality =90.22±15.36; Gratitude to God =14.09±2.41; Social support from family members =21.6±4.2; Social support from friends =16.5±5.8; and Social support from significant others =20.23±5. The results of stepwise regression analysis indicated that spirituality (F1,209=62.02, P=0.001), social support from family members (F1,208=11.06, P=0.001), and gratitude to God (F1,207=4.80, P=0.001) could significantly explain 27% of the psychological well-being variance in the elderly.  Conclusion: Increased spirituality, gratitude to God, and perceived social support especially from family members can improve psychological well-being of the elderly. Hence, Strengthening and paying special attention to their spiritual needs and perceived social support as well as planning health care for them can help increase their psychological well-being. 

scholarly journals The Assessment of Fear of COVID-19 among the Elderly Population: A Cross-Sectional Study

2021 ◽  
Vol 10 (23) ◽  
pp. 5537
Author(s):  
Siddarth Agrawal ◽  
Mateusz Dróżdż ◽  
Sebastian Makuch ◽  
Alicja Pietraszek ◽  
Małgorzata Sobieszczańska ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Well Being ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Policy Makers ◽  
Related Information ◽  
Fear And Anxiety

The prevailing COVID-19 pandemic has dramatically affected the mental health and well-being of individuals. This cross-sectional study aimed to assess the perceived fear of COVID-19 among older adults in Poland and identify subpopulations with the highest risk of potential mental health disorders. The study was conducted in November–December 2020 on 500 people aged ≥60 years (mean M = 67.9, standard deviation SD = 4.2). In order to collect information on participants’ characteristics and COVID-19-related information, they were asked to complete a questionnaire based on recorded telephone calls. Perceived fear of COVID-19 was measured using our generated and validated seven-item tool: “Scale of fear of COVID-19 infection”, which ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with the perceived fear of COVID-19. Our results showed that the highest level of fear of COVID-19 infection was observed among women (p = 0.025) and patients taking anticoagulants (p = 0.004). Moreover, older adults with higher anxiety levels were more likely to be fearful of COVID-19 (according to the GAS-10 scale; p < 0.001). These findings may help policy makers and healthcare workers to adapt and implement better mental health strategies to help the elderly fight fear and anxiety during the prevailing pandemic.

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