INTRODUCTION Ethical, legal and economic decisions profoundly influence mental health practice, and bring about changes in the understanding and practice of mental health intervention. These changes challenge the psychiatric– mental health nurse to examine such central issues as the following:
■ How does one balance the common ‘good’ and the individual ‘good’ in health care?
■ What are the rights and accountabilities of nurses and people with mental illness?
An examination of these issues generally improves care, but it often confuses the boundaries of ethical behaviour, mental health practice and the law. This confusion entraps mental health care professionals, people with a mental illness, families, lawyers and the public in a muddle of conflicting policies and procedures. In addition, a person’s right to privacy, and to receive and refuse treatment, pivots on society’s values. This chapter will bring some clarity to the everchanging relationship between ethics, the law and mental health services, so that you can practise ethically and with confidence, and also exercise your power as citizens, professionals and advocates to influence the direction of mental health care.
|Title of host publication||Contemporary psychiatric-mental health nursing |
|Subtitle of host publication||Partnerships in Care|
|Editors||Lorna Moxham, Michael Hazelton, Eimear Muir-Cochrane, Tim Heffernan, Carol Ren Kneisl, Eileen Trigoboff|
|Place of Publication||Melbourne, Victoria|
|Number of pages||16|
|Edition||1st adapted Australian ed.|
|Publication status||Published - 2018|
- expert witness
- informed consent
- fitness to plead
- involuntary admission
- least restrictive setting
- mental impairment/ illness/ incompetence or insanity defence
- Tarasoff decision
- voluntary admission