End-of-life care and mental illness: a model for community psychiatry and beyond
Department of Psychiatry
Bioethics; Chronic Disease; *Community Psychiatry; Decision Making; Health Services Research; Humans; Mental Competency; *Mental Disorders; Models, Theoretical; Risk Assessment; Stereotyping; Suicide; *Terminal Care; United States
Bioethics and Medical Ethics | Mental and Social Health | Psychiatry | Psychiatry and Psychology
End-of-life care is often influenced by the stereotyping of patients by age, diagnosis, or cultural identity. Two common stereotypes arise from the presumed incompetence of many patients to contribute to end-of-life decisions, and the fear that the discussions themselves will be de-stabilizing. We present a model for end-of-life discussions that combines competence assessment with healthcare preferences in a psychiatric population that faces identical stereotypes. The model, which draws on clinical research in competence and suicide risk assessment, has important implications for all patients in the community who are marginalized or stereotyped during discussions of end-of-life treatment.
Community Ment Health J. 2004 Feb;40(1):3-16.
Community mental health journal
Candilis, Philip J.; Foti, Mary Ellen G.; and Holzer, Jacob C., "End-of-life care and mental illness: a model for community psychiatry and beyond" (2004). Implementation Science and Practice Advances Research Center Publications. 405.