Ethical issues in mobile psychiatric treatment with homebound elderly patients: The psychogeriatric assessment and treatment in city housing experience

David M. Blass, Rebecca M. Rye, Beatrice M. Robbins, Mary M. Miner, Sharon Handel, John L. Carroll, Peter V. Rabins

Research output: Contribution to journalArticlepeer-review

Abstract

Unique and challenging ethical difficulties arise during mobile psychiatric treatment of elderly patients. This article outlines and analyzes five of these challenges that have been encountered during nearly 20 years of experience with the Psychogeriatric Assessment and Treatment in City Housing Program in Baltimore, Maryland. The ethical challenges reviewed are: establishing the treatment contract versus the right to refuse treatment, protecting confidentiality versus patient protection, protecting autonomy versus asserting beneficence, treatment termination versus open-ended treatment, and cost versus benefit of care. Ethical challenges with homebound elderly patients are unique because of patient characteristics as well as features of the treatment environment.

Original languageEnglish (US)
Pages (from-to)843-848
Number of pages6
JournalJournal of the American Geriatrics Society
Volume54
Issue number5
DOIs
StatePublished - May 2006

Keywords

  • Ethics
  • Geriatric psychiatry
  • Mobile treatment
  • Psychiatric home care

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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