The Power of One: Clinical Practice in Neurogenics: Public Policy and You: Consumers and Associations as Partners

PurposeWhen patients refuse medical or rehabilitation procedures, waivers of liability have been used to bar future lawsuits. The purpose of this tutorial is to review the myriad issues surrounding consent, refusal, and waivers. The larger goal is to invigorate clinical practice by providing clinicians with knowledge of ethics and law. This tutorial is for educational purposes only and does not constitute legal advice.MethodThe authors use a hypothetical case of a “noncompliant” individual under the care of an interdisciplinary neurorehabilitation team to illuminate the ethical and legal features of the patient–practitioner relationship; the elements of clinical decision-making capacity; the duty of disclosure and the right of informed consent or informed refusal; and the relationship among noncompliance, defensive practices, and iatrogenic harm. We explore the legal question of whether waivers of liability in the medical context are enforceable or unenforceable as a matter of public policy.ConclusionsSpeech-language pathologists, among other health care providers, have fiduciary and other ethical and legal obligations to patients. Because waivers try to shift liability for substandard care from health care providers to patients, courts usually find waivers of liability in the medical context unenforceable as a matter of public policy.

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From personal experience to clinical practice to research: A career path leading to public policy changes in integrating spirituality into mental health.

Spirituality in Clinical Practice ◽

10.1037/scp0000016 ◽

2014 ◽

Vol 1 (2) ◽

pp. 145-152 ◽

Cited By ~ 1

Author(s):

David Lukoff

Keyword(s):

Mental Health ◽

Public Policy ◽

Clinical Practice ◽

Personal Experience ◽

Career Path ◽

Policy Changes

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Commentary on The complicated worlds of adolescent fathers: Implications for clinical practice, public policy, and research.

Psychology of Men & Masculinity ◽

10.1037/a0037341 ◽

2014 ◽

Vol 15 (3) ◽

pp. 275-277

Author(s):

Annie Devault

Keyword(s):

Public Policy ◽

Clinical Practice ◽

Adolescent Fathers

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A Reassessment of the Link between Mental Disorder and Violent Behaviour, and its Implications for Clinical Practice

Australian & New Zealand Journal of Psychiatry ◽

10.3109/00048679709073793 ◽

1997 ◽

Vol 31 (1) ◽

pp. 3-11 ◽

Cited By ~ 44

Author(s):

Paul E. Mullen

Keyword(s):

Public Policy ◽

Mental Illness ◽

Clinical Practice ◽

Mentally Ill ◽

Policy Implications ◽

Violent Behaviour ◽

Effective Response ◽

Increased Risk ◽

Care Support

Objective and Method: This review examines the central studies which, over the last decade, have investigated the association between mental illness and rates of violent behaviours. The clinical and public policy implications of such research is then examined. Results:Recent research appears to have established a modest association between having a mental illness and an increased propensity to violence. Conclusions:The increased risk of violence is mediated, in part at least, by the active symptoms of illness. The most effective response to the risks of dangerous behaviour in the mentally ill is not to return to policies of greater control and containment but to improve the care, support and treatment delivered to patients in the community. Those at high risk need to be targeted for priority follow-up and intensive support. We need, as a profession, to become as aware of the risks in our patients of violence towards others as we currently are of the risks of suicidal behaviour. We also need to develop responses which effectively manage such patients, to their benefit and ultimately to the benefit of potential victims.

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Clinical Practice and Public Policy for Influenza and Pneumococcal Vaccination of the Elderly

Clinics in Geriatric Medicine ◽

10.1016/s0749-0690(18)30506-8 ◽

1992 ◽

Vol 8 (1) ◽

pp. 183-200 ◽

Cited By ~ 38

Author(s):

David S. Fedson

Keyword(s):

Public Policy ◽

Clinical Practice ◽

Pneumococcal Vaccination ◽

The Elderly

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Artificial intelligence and counseling: Four levels of implementation

Theory & Psychology ◽

10.1177/0959354319853045 ◽

2019 ◽

Vol 29 (6) ◽

pp. 807-819 ◽

Cited By ~ 3

Author(s):

Russell Fulmer

Keyword(s):

Artificial Intelligence ◽

Public Policy ◽

Clinical Practice ◽

Time Orientation ◽

Counseling Profession ◽

History Of ◽

Four Levels

Artificial Intelligence (AI) is increasingly prominent in public, academic, and clinical provinces. A widening research base is expanding AI’s reach, including to that of the counseling profession. This article defines AI and its relevant subfields, provides a brief history of psychological AI, and suggests four levels of implementation to counseling, corresponding to time orientation and influence. Implications of AI are applicable to counseling ethics, existentialism, clinical practice, and public policy.

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