Ethical and Legal Considerations

Author(s):  
Michael I. Fingerhood

Providing care to individuals with substance use disorders raises legal and ethical issues. The two major legal issues are regulation of scheduled drugs and patient confidentiality. Many patients make poor choices; nevertheless, all deserve medical care incorporating the principles of ethical care. General ethical principles apply to the treatment of substance use disorders. These include autonomy, beneficence, nonmaleficence, justice, fidelity, and futility. Treatment of individuals with substance use disorders may create situations in which there is conflict or disagreement with clinicians. Effective strategies can help avoid or mitigate dilemmas. Drug testing, employment, and pregnancy raise specific legal and ethical issues.

Author(s):  
Edwin A. Salsitz

Competent treatment of both pain and addiction requires an understanding of applicable federal, state, and local laws and regulations. Key requirements of federal laws and regulations are outlined in this chapter; the authors emphasize the need for an understanding of local and regional laws and precedents, which goes beyond the scope of the chapter, and a separate text box is provided with resources. Also provided is a text box analyzing 2017 changes to the federal Rule 42, CFR, relating to confidentiality and re-disclosure of information specific to treatment of substance use disorders. Areas of chapter focus include: HIPAA, confidentiality, general medical recordkeeping principles and obligations, federal audits (DATA 2000 and buprenorphine), medication storage, reporting requirements and the duty to warn, reports to employers, and the management of an office closure.


2021 ◽  
pp. 169-178
Author(s):  
Angelina Ivanova ◽  

The use of telehealth is an increasingly common avenue for providing clinical care, performing research and conducting public health interventions. However, with the growth of telecommunication technologies, healthcare professionals have encountered an emerging new set of ethical and legal issues relating to the doctor-patient relationship, standarts, privacy, cost and liability. This article explores the main benefits and challenges that come with growth of telehealth.


2010 ◽  
Vol 31 (Abstracts) ◽  
pp. E17-E18
Author(s):  
Sharon Levy ◽  
Shari Van Hook ◽  
Carolyn Bridgemohan ◽  
Zohar Weinstein ◽  
Susan Kiley

2009 ◽  
Vol 2 (3) ◽  
Author(s):  
Anna Vartapetiance Salmasi ◽  
Lee Gillam

Abstract— Online gambling produces a substantial turnover. Unfortunately for potential virtual world gamblers and gambling organizations alike, US law had forced the closure of gambling in the Second Life virtual world. However, an Open Grid Protocol could lead to the provision of off-shore gambling in this virtual world. Aside from legal issues, online gambling generally gives rise to ethical issues relating to prevention of harm. We considered the combined legal and ethical issues, and have proposed and begun to construct and evaluate a system with computational oversight: an ethical advisor. The system is grounded in recent research into Machine Ethics, which may offer insights into other legal and ethical matters, and provides a framework for responsible gambling in our EthiCasino (ethical virtual casino) in Second Life.


2017 ◽  
Vol 5 (3) ◽  
pp. 10
Author(s):  
Mohammed Hamdan Alshammari ◽  
Rizal Angelo Natoza Grande ◽  
Ghedeir M. Alshammari

Psychiatric commitment has been a central subject in mental health care. It has been surrounded with ethical and legal issues basically focusing on individual’s autonomy and legal rights. This review aimed to explore the outcomes of psychiatric commitment on the lives of the individuals subject to this intervention despite these legal and ethical issues. Outcomes of involuntary commitment were leaning more towards its risks on individuals but poses benefits on health system and society. Therefore, more qualitative and quantitative studies focusing on benefits of psychiatric commitment are needed.


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