Competency and the capacity to make treatment decisions: A primer for primary care physicians

Primary Care Companion to the Journal of Clinical Psychiatry

Volumn 1, Issue 5, 1999, Pages 131-141

  Leo, Raphael J ^a  

^a UNIVERSITY AT BUFFALO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 33750796939     PISSN: 15235998     EISSN: None     Source Type: Journal    
DOI: 10.4088/pcc.v01n0501     Document Type: Article

References (70)

1. Roth LH, Meisel A, Lidz CW. Tests of competency to consent to treatment. Am J Psychiatry 1977;134:279-284
2. Black HC. Black's Law Dictionary. 5th ed. St. Paul, Minn: West Publishing Company; 1979:257
3. Bisbing SB. Competency and capacity: a primer. In: Sanbar SS, Gibofsky A, Firestone MH, et al, eds. Legal Medicine. 4th ed. American College of Legal Medicine. St. Louis, Mo: Mosby; 1998:32-43
4. Findings: orders of appointment. Unif Guardianship and Protective Proceeding Act §2-206(b), 8A(1993):491
5. Notice in guardianship proceedings. Unif Probate Code §5-304, 8 pt II ULA(1998):361
6. Grannum v Berard, 422 P 2d 812, 814 (Wash 1967)
7. Legal Counsel for the Elderly. Decision-Making Incapacity and the Elderly: A Protective Services Practice Manual. Washington, DC: American Association of Retired Persons; 1987
8. Findings: orders of appointment. Unif Guardianship and Protective Proceeding Act §1-101, 8A(1982):447
9. Facility of payment or delivery. Unif Probate Code §5-101, 8 pt II ULA (1998):325
10. President's Commission for the Study of Ethical Problems in Medicine and Biomedical Research and Behavioral Research: Making Health Care Decisions, vol 1. Washington, DC: US Government Printing Office; 1982
11. Mahler J, Perry S. Assessing competency in the physically ill: guidelines for psychiatric consultants. Hosp Community Psychiatry 1988;39:856-861
12. Jourdan JB, Glickman L. Reasons for requests for evaluation of competency in a municipal general hospital. Psychosomatics 1991;32:413-416
13. Farnsworth MG. Competency evaluations in a general hospital. Psychosomatics 1990;31:60-66
14. Golinger RC, Federoff JP. Characteristics of patients referred to psychiatrists for competency evaluations. Psychosomatics 1989;30:296-299
15. Myers BG, Barrett CL. Competency issues in referrals to a consultationliaison service. Psychosomatics 1986;27:782-789
16. Demers v Gerety, 515 P 2d 645 (NM 1973)
17. Steele v Woods, 327 SW 2d 187, 198 (Mo 1959)
18. Kern SR. Issues of competency in the aged. Psychiatr Ann 1987;17: 336-339
19. McCrary SV, Walman AT. Procedural paternalism in competency determination. Law Med Health Care 1990;18:108-113
20. Abernethy V. Compassion, control, and decisions about competency. Am J Psychiatry 1984;140:53-58
21. Appelbaum PS, Roth LH. Treatment refusals in the medical hospitals. In: Report of the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Washington, DC: US Government Printing Office; 1982
22. Appelbaum PS, Roth LH. Patients who refuse treatment in medical hospitals. JAMA 1983;250:1296-1301
23. Lippert GP, Stewart DE. The psychiatrist's role in determining competency to consent in the general hospital. Can J Psychiatry 1988;33:250-253
24. Drane JF. Competency to give informed consent: a model for making clinfcal assessments. JAMA 1984;252:925-927
25. Schwartz HI, Blank K. Shifting competency during hospitalization: a model for informed consent. Hosp Community Psychiatry 1986;37:1256-1260
26. Appelbaum PS, Grisso T. Assessing patients' capacities to consent to treatment. N Engl J Med 1988;319:1635-1638
27. Appelbaunt PS, Roth LH. Competency to consent to research. Arch Gen Psychiatry 1982;39:951-958
28. Mishkin B. Determining the capacity for making health care decisions. In: Billig N, Rabins PV, eds. Issues in Geriatric Psychiatry: Advances in Psychosomatic Medicine. Basel, Switzerland: Basel & Karger; 1989:151-166
29. Lane v Candura, 376 NE 2d 1232 (Mass 1978)
30. McNeil BJ, Pauker SG, Sox HC, et al. On the elicitation of preferences for alternative therapies. N Engl J Med 1982;306:1259-1262
31. Roth LH, Appelbaum PS, Sallee R, et al. The dilemma of denial in the assessment of competency to refuse treatment. Am J Psychiatry 1982;139:910-913
32. Folstein MF, Folstein SE, McHugh PR. Mini mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198
33. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975;23:433-441
34. Jacobs JW, Bernhard MR, Delgado A, et al. Screening for organic mental syndromes in the medically ill. Ann Intern Med 1977;86:40-46
35. Fitten LJ, Lusky R, Hamann C. Assessing treatment decision-making capacity in elderly nursing home residents. J Am Geriatr Soc 1990;38:1097-1104
36. High DM. Surrogate decision making: who will make decisions for me when I can't? Clin Geriatr Med 1994;10:445-462
37. Buchanan AE, Brock DW. Deciding for Others: The Ethics of Surrogate Decision Making. New York, NY: Cambridge University Press; 1989
38. Kaplan KH, Strang JP, Ahmed I. Dementia, mental retardation, and competency to make decisions. Gen Hosp Psychiatry 1988;19:385-388
39. Stanley B, Stanley M, Guido J, et al. The functional competency of elderly at risk. Gerontologist 1988;28:53-58
40. O'Dowd MA, Jaramillo J, Dubler N, et al. A noncompliant patient with fluctuating capacity. Gen Hosp Psychiatry 1998;20:317-324
41. Markson LJ, Kern DC, Annas GJ, et al. Physician assessment of patient competence. J Am Geriatr Soc 1994;42:1074-1080
42. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association; 1994
43. Bostwick JM, Masterson BJ. Psychopharmacologic treatment of delirium to restore mental capacity. Psychosomatics 1998;39:112-117
44. Bursztajn HJ, Harding HP, Gutheil TG, et al. Beyond cognition: the role of disordered affective states in impairing competence to consent to treatment. Bull Am Acad Psychiatry Law 1991;19:383-388
45. Pomerantz AS, de Nesnera A. Informed consent, competency, and the illusion of rationality. Gen Hosp Psychiatry 1991;13:138-142
46. Ganzini L, Lee MA, Heintz RT, et al. The effect of depression treatment on elderly patients' preferences for life-sustaining medical therapy. Am J Psychiatry 1994;151:1631-1636
47. Lee MA, Ganzini L. Depression in the elderly: effect on patient attitudes toward life-sustaining therapy. J Am Geriatr Soc 1992;40:983-988
48. Lee MA, Ganzini L. The effect of recovery from depression on preferences for life-sustaining therapy in older patients. J Gerontol 1994;4:M15-M21
49. Beck AT, Brown G, Berchick RJ, et al. Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. Am J Psychiatry 1990;147:190-195
50. Sullivan MD, Youngner SJ. Depression, competence and the right to refuse lifesaving medical treatment. Am J Psychiatry 1994;151:971-978
51. Bouvia v Superior Court, 179 Cal App 3d 1127, 225 Cal-Rptr 297 (1986)
52. Fogel BS, Mills MJ, Landen JE. Legal aspects of the treatment of delirium. Hosp Community Psychiatry 1986;37:154-158
53. Cruzan v Director, Missouri Department of Health 110 SCt 284 (1990)
54. Sachs GA, Siegler M. Guidelines for decision making when the patient is incompetent. J Crit Hin 1991;6:348-359
55. Kapp MB. Ethical aspects of guardianship. Clin Geriatr Med 1994;10:501-512
56. Kayser-Jones J, Kapp MB. Advocacy for the mentally impaired elderly a case study analysis. Am J Law Med 1989;14:353-376
57. Emanuel EJ, Emanuel LL. Proxy decision making for incompetent patients: an ethical and empirical analysis. JAMA 1992;267:2067-2071
58. Grant KD. The patient self-determination act: implications for physicians. Hosp Pract 1992;27:38-48
59. Griffith DB. The best interest standard: a comparison of the state's parens patriae authority and judicial oversight in best interests determinations for children and incompetent patients. Issues Law Med 1991;7:283-338
60. Hare J, Pratt C, Nelson C. Agreement between patients and their self-selected surrogates on difficult medical decisions. Arch Intern Med 1992;152:1049-1054
61. Ouslander JG, Tymchuk AJ, Rahbar B. Health care decisions among elderly long-term care residents and their potential proxies. Arch Intern Med 1989;149:1367-1372
62. Seckler AB, Meier DE, Mulvihill M, et al. Substituted judgment: how accurate are proxy predictions? Ann Intern Med 1991;115:92-98
63. Uhlmann RE, Pearlman RA, Cain KC. Physicians' and spouses' predictions of elderly patients' resuscitation preferences. J Geronotol 1988;43:M115-M121
64. Zweibel NR, Cassel CK. Treatment choices at the end of life: a comparison of decisions by older patients and their physician-selected proxies. Gerontologist 1989;29:615-621
65. Emanuel LL, Barry MJ, Stoeckle JD, et al. Advance directives for medical care: a case for greater use. N Engl J Med 1991;324:889-895
66. Gamble ER, McDonald PJ, Lichstein PR. Knowledge, attitudes, and behavior of elderly persons regarding living wills. Arch Intern Med 1991;151:277-280
67. Elpern EH, Silver MR, Burton LA. When families face life-support decisions: what should the medical team do? J Crit Illn 1991;6:1131-1140
68. Bean G. The assessment of competence to make a treatment decision: an empirical approach. Can J Psychiatry 1996;41:85-92
69. Grisso T, Appelbaum PS, Hill-Fotouhi C. The MacCAT-T: a clinical tool to assess patients' capacities to make treatment decisions. Psychiatr Serv 1997;48:1415-1419
70. Janofsky JS, McCarthy RJ, Folstein ME. The Hopkins Competency , Assessment Test: a brief method for evaluating patients' capacity to give '.A. informed consent. Hosp Community Psychiatry 1992;43:132-136