How should paediatricians assess Gillick competence?

Archives of Disease in Childhood

Volumn 95, Issue 4, 2010, Pages 307-311

  Larcher, Vic ^a   Hutchinson, Anna ^a  

^a Great Ormond Street Hospital NHS Trust ^*  (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; CHILD; CLINICAL COMPETENCE; COGNITION; COGNITIVE DEVELOPMENT; CONFLICT; COURT; EDUCATION; EMOTION; HUMAN; INFORMED CONSENT; LEGAL ASPECT; MEDICAL DECISION MAKING; PEDIATRICIAN; PRIORITY JOURNAL; PSYCHOLOGIST; REVIEW; RISK BENEFIT ANALYSIS; SOCIAL ASPECT;

ADOLESCENT; AGE FACTORS; CHILD; CHILD, PRESCHOOL; CHOICE BEHAVIOR; COMPREHENSION; ETHICS, MEDICAL; GREAT BRITAIN; HUMANS; INFORMED CONSENT; MENTAL COMPETENCY; PEDIATRICS;

EID: 77950304139     PISSN: 00039888     EISSN: 14682044     Source Type: Journal    
DOI: 10.1136/adc.2008.148676     Document Type: Review

References (23)

1. Mental Capacity Act 2005. . Part 1, Sections 1-3. http://www.opsi.gov.uk/ acts/acts2005/ukpga-20050009-en-1. (accessed Oct 2009).
2. Beauchamp TL, Childress JF. Principles of biomedical ethics. 2nd Edn. New York: Oxford University Press, 1983:72.
3. British Medical Association. Consent, rights and choices in health care for children and young people. London: BMJ Books, 2001:92-94
4. Gillick versus West Norfolk and Wisbech A.H.A. 1986 A.C. 112 at 189 per Lord Scarman.
5. Re T. Adult refusal of medical treatment. 1992. 3 WLR 782.
6. Roth LH, Meisel A, Lidz CW. Tests of competence to consent to treatment. Am J Psychiatry 1977;134:279-284
7. Re C Adult refusal of treatment. 1994. 1 FLR 31.
8. Rushforth H. Practioner Review: communicating with hospitalised children: review and application of research pertaining to children's understanding of health and ilness. J Child Psychiatry Psychol 1999;40:683-691
9. Alderson P, Sutcliffe K, Curtis K. Children as partners with adults in their medical care. Arch Dis Child 2006;91:300-303
10. Piaget J. The child's concept of the world. London: Routledge & Keegan Paul, 1929.
11. Bruner JS. Vykosky: a historical and conceptual perspective. In Wertsch JW, ed. Culture, communication and cognition. Cambridge: Cambridge University Press, 1985.
12. Kuther TL, Posada M. Children and adolescents' capacity to provide informed consent for participation in research. Adv Psychol Res 2004;32:163-173
13. Weithorn LA, Campbell SB. The competence of children and adolescents to make informed treatment decisions. Child Dev 1982;53:1589-1599
14. Alderson P. Children's consent to surgery. Buckingham: Open University Press, 1993.
15. Rylance G, Bowen C, Rylance I. Measles and rubella immunisation: information and consent to treatment BMJ 1995;311:923-924
16. Montgomery S. Consent to health care for children. J Child Law 1993:5:117-124
17. United Nations. United Nations convention on the rights of the child. 20.xi.1989; TS44 Cm 76.
18. McCabe MA. Involving children and adolescents in medical decision making: developmental and clinical considerations. J Pediatr Psychol 1996;21:505-516
19. Margalith I, Shapiro A. Anxiety and patient participation in clinical decision-making: the case of patients with ureteral calculi. Soc Sci Med 1997;45:419-427
20. Reder P, Fitzpatrick G. What is sufficient understanding? Clin Child Psychol Psychiatry 1998:3:1359-1445
21. Fuggle P, Douglas J, Powell R. Practice guidance on consent for clinical psychologists working with children. Position paper of division of Clinical Psychology: faculty for children and young people. Leicester: Division of Clinical Psychology, British Psychological Society, 2001.
22. Roberts M. Handbook of pediatric psychology. 3rd Edn. New York: Guilford Publications, 2003.
23. Pearce J. Consent to treatment during childhood: the assessment of competence and avoidance of conflict. Br J Psychiatry 1994;165:713-716