Mental capacity and consent to treatment in psychiatric patients: The state of the research

Current Opinion in Psychiatry

Volumn 24, Issue 5, 2011, Pages 442-446

  Candia, Paola C ^a   Barba, Alfredo C ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

capacity assessment; informed consent; mental competency

Indexed keywords

ACUTE DISEASE; ADJUSTMENT DISORDER; ANOREXIA NERVOSA; ATTITUDE TO HEALTH; BIPOLAR DISORDER; CHRONIC DISEASE; CLINICAL DECISION MAKING; COGNITIVE DEFECT; DELUSION; DEMENTIA; DEPRESSION; DISEASE SEVERITY; DISORIENTATION; HALLUCINATION; HOSPITAL ADMISSION; HUMAN; INFORMED CONSENT; MANIA; MENTAL CAPACITY; MENTAL DEFICIENCY; MENTAL HEALTH SERVICE; MENTAL PATIENT; NEUROLOGIC EXAMINATION; PERSONALITY DISORDER; PSYCHOSIS; REVIEW; RISK FACTOR; SCHIZOAFFECTIVE PSYCHOSIS; SCHIZOPHRENIA; SELF CARE; SUBSTANCE ABUSE; TREATMENT REFUSAL;

HUMANS; INFORMED CONSENT; MENTAL COMPETENCY; MENTAL DISORDERS; RESEARCH;

EID: 80051799879     PISSN: 09517367     EISSN: 14736578     Source Type: Journal    
DOI: 10.1097/YCO.0b013e328349bba5     Document Type: Review

References (43)

1. Simon R, Shuman D. Clinical manual of psychiatry and law. Arlington, USA: American Psychiatric Publishing, Inc; 2007.
2. Stiles PG, Poythress NG, Hall A, et al. Improving understanding of research consent disclosures among persons with mental illness. Psychiatr Serv 2001;52:780-785. (Pubitemid 32577436)
3. Moye J, Gurrera RJ, Karel MJ, et al. Empirical advances in the assessment of the capacity to consent to medical treatment: clinical implications and research needs. Clin Psychol Rev 2006;26:1054-1077. (Pubitemid 46107213)
4. Billick SB, Naylor PW, Majeske MF, et al. A clinical study of competency in psychiatric inpatients. Bull Am Acad Psychiatry Law 1996;24:505-511.
5. Kim SY, Caine ED, Currier GW, et al. Assessing the competence of persons with Alzheimer's disease in providing informed consent for participation in research. Am J Psychiatry 2001;158:712-717. (Pubitemid 32429837)
6. Cohen BJ, McGarvey EL, Pinkerton RC, Kryzhanivska L. Willingness and competence of depressed and schizophrenic inpatients to consent to research. J Am Acad Psychiatry Law 2004;32:134-143. (Pubitemid 38781432)
7. Fazel S, Hope T, Jacoby R. Assessment of competence to complete advance directives: validation of a patient centred approach. BMJ 1999;318:493-497. (Pubitemid 29188989)
8. Fisher CB, Cea CD, Davidson PW, Fried AL. Capacity of persons with mental retardation to consent to participate in randomized clinical trials. Am J Psychiatry 2006;163:1813-1820. (Pubitemid 44522492)
9. Dunn LB, Nowrangi MA, Palmer BW, et al. Assessing decisional capacity for clinical research or treatment: a review of instruments. Am J Psychiatry 2006;163:1323-1334. (Pubitemid 44464400)
10. Kim SY, Karlawish JH, Caine ED. Current state of research on decisionmaking competence of cognitively impaired elderly persons. Am J Geriatr Psychiatry 2002;10:151-165. (Pubitemid 34685627)
11. Palmer BW, Savla GN. The association of specific neuropsychological deficits with capacity to consent to research or treatment. J Int Neuropsychol Soc 2007;13:1047-1059. (Pubitemid 47617555)
12. Sturman ED. The capacity to consent to treatment and research: a review of standardized assessment tools. Clin Psychol Rev 2005;25:954-974. (Pubitemid 41338781)
13. Kim S. Evaluation of capacity to consent to treatment and research. Oxford University Press; 2010. Excellent book, summarizes the published studies using the MacCAT-T and MacCAT-CR.
14. Raymont V, Bingley W, Buchanan A, et al. Prevalence of mental incapacity in medical inpatients and associated risk factors: cross-sectional study. Lancet 2004;364:1421-1427. (Pubitemid 39370717)
15. Etchells E, Darzins P, Silberfeld M, et al. Assessment of patient capacity to consent to treatment. J Gen Intern Med 1999;14:27-34. (Pubitemid 29056698)
16. Appelbaum PS, Grisso T. Capacities of hospitalized, medically ill patients to consent to treatment. Psychosomatics 1997;38:119-125. (Pubitemid 27108105)
17. Ranjith G, Hotopf M. 'Refusing treatment: please see': an analysis of capacity assessments carried out by a liaison psychiatry service. J R Soc Med 2004;97:480-482. (Pubitemid 39424605)
18. Lambert M, Conus P, Cotton S, et al. Prevalence, predictors, and consequences of long-term refusal of antipsychotic treatment in first-episode psychosis. J Clin Psychopharmacol 2010;30:565-572.
19. Katz M, Abbey S, Rydall A, Lowy F. Psychiatric consultation for competency to refuse medical treatment. A retrospective study of patient characteristics and outcome. Psychosomatics 1995;36:33-41.
20. Okai D, Owen G, McGuire H, et al. Mental capacity in psychiatric patients: systematic review. Br J Psychiatry 2007;191:291-297. (Pubitemid 47555977)
21. Owen GS, Richardson G, David AS, et al. Mental capacity to make decisions on treatment in people admitted to psychiatric hospitals: cross sectional study. BMJ 2008;337:a448.
22. Appelbaum PS, Grisso T. The MacArthur Treatment Competence Study. I: mental illness and competence to consent to treatment. Law Hum Behav 1995;19:105-126.
23. Grisso T, Appelbaum PS, Mulvey EP, Fletcher K. The MacArthur Treatment Competence Study. II: measures of abilities related to competence to consent to treatment. Law Hum Behav 1995;19:127-148.
24. Appelbaum PS, Redlich A. Impact of decisional capacity on the use of leverage to encourage treatment adherence. Commun Ment Health J 2006;42:121-130. (Pubitemid 43806878)
25. Palmer BW, Dunn LB, Appelbaum PS, Jeste DV. Correlates of treatmentrelated decision-making capacity among middle-aged and older patients with schizophrenia. Arch Gen Psychiatry 2004;61:230-236. (Pubitemid 38295824)
26. Howe V, Foister K, Jenkins K, et al. Competence to give informed consent in acute psychosis is associated with symptoms rather than diagnosis. Schizophr Res 2005;77:211-214. (Pubitemid 41112214)
27. Carpenter WT Jr, Gold JM, Lahti AC, et al. Decisional capacity for informed consent in schizophrenia research. Arch Gen Psychiatry 2000;57:533-538. (Pubitemid 30349432)
28. Saks ER, Dunn LB, Marshall BJ, et al. The California Scale of Appreciation: a new instrument to measure the appreciation component of capacity to consent to research. Am J Geriatr Psychiatry 2002;10:166-174. (Pubitemid 34685628)
29. Rutledge E, Kennedy M, O'Neill H, Kennedy HG. Functional mental capacity is not independent of the severity of psychosis. Int J Law Psychiatry 2008;31:9-18.
30. Jacobs MS, Ryba NL, Zapf PA. Competence-related abilities and psychiatric symptoms: an analysis of the underlying structure and correlates of the MacCAT-CA and the BPRS. Law Hum Behav 2008;32:64-77.
31. Viljoen JL, Roesch R, Zapf PA. An examination of the relationship between competency to stand trial, competency to waive interrogation rights, and psychopathology. Law Hum Behav 2002;26:481-506. (Pubitemid 38420791)
32. Misra S, Socherman R, Park BS, et al. Influence of mood state on capacity to consent to research in patients with bipolar disorder. Bipolar Disord 2008;10:303-309. (Pubitemid 351637695)
33. 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. (Pubitemid 27465168)
34. Vollmann J, Bauer A, Danker-Hopfe H, Helmchen H. Competence of mentally ill patients: a comparative empirical study. Psychol Med 2003;33:1463-1471. (Pubitemid 37483469)
35. Cea CD, Fisher CB. Healthcare decision-making by adults with mental retardation. Ment Retard 2003;41:78-87. (Pubitemid 37500067)
36. Wong JG, Clare CH, Holland AJ, et al. The capacity of people with a 'mental disability' to make a healthcare decision. Psychol Med 2000;30:295-306. (Pubitemid 30245793)
37. Charland LC. Cynthia's dilemma: consenting to heroin prescription. Am J Bioeth 2002;2:37-47.
38. Cohen PJ. Untreated addiction imposes an ethical bar to recruiting addicts for nontherapeutic studies of addictive drugs. J Law Med Ethics 2002;30:73-81. (Pubitemid 39277860)
39. Hazelton LD, Sterns GL, Chisholm T. Decision-making capacity and alcohol abuse: clinical and ethical considerations in personal care choices. Gen Hosp Psychiatry 2003;25:130-135. (Pubitemid 36379225)
40. Walker R, Logan TK, Clark JJ, Leukefeld C. Informed consent to undergo treatment for substance abuse: a recommended approach. J Subst Abuse Treat 2005;29:241-251. (Pubitemid 41711935)
41. Carney T, Tait D, Wakefield A, et al. Coercion in the treatment of anorexia nervosa: clinical, ethical and legal implications. Med Law 2005;24:21-40. (Pubitemid 40584944)
42. Melamed Y, Mester R, Margolin J, Kalian M. Involuntary treatment of anorexia nervosa. Int J Law Psychiatry 2003;26:617-626. (Pubitemid 37443577)
43. Tan DJ, Hope PT, Stewart DA, Fitzpatrick PR. Competence to make treatment decisions in anorexia nervosa: thinking processes and values. Philos Psychiatr Psychol 2006;13:267-282.