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

doi:10.1111/j.1532-5415.2006.00706.x

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

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 language	English (US)
Pages (from-to)	843-848
Number of pages	6
Journal	Journal of the American Geriatrics Society
Volume	54
Issue number	5
DOIs	https://doi.org/10.1111/j.1532-5415.2006.00706.x
State	Published - May 2006

Keywords

Ethics
Geriatric psychiatry
Mobile treatment
Psychiatric home care

ASJC Scopus subject areas

Geriatrics and Gerontology

Access to Document

10.1111/j.1532-5415.2006.00706.x

Cite this

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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.",

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AB - 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.

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

Abstract

Keywords

ASJC Scopus subject areas

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