ethical and legal issues in mental health

Mental health nurses face ethically‐difficult situations when administering these medications. This is not an example of the work produced by our Nursing Essay Writing Service. In considering whether Anita needed to make the decision around treatment, we can see that, as the wound was not life threatening, it was decided to allow her time to settle and re-approach the question of treatment. From which ethical framework is the charge nurse operating? In encouraging autonomy for Anita involves taking risks on the part of the nurses’ which may go against their principles of nonmaleficence and beneficence. Ethical decision-making model (s) Nuances of rural ethics. However this may not feel entirely comfortable for the nurse. The chapter on Tarasoff and duty to protect provides an excellent description of the Tarasoff cases (Tarasoff I and Tarasoff II) and a discussion of their implications for mental health professionals. The necessity of performing clinical evaluations raises important ethical issues as well. Anita presented with a laceration to the inside of her thigh which was deep enough to expose the adipose tissue beneath, however was not deemed by the medical staff to be life threatening. Binghamton, NY: The Haworth Maltreatment and Trauma Press, 2005. Ethics can be seen as the study of human conduct and morality (Buka 2008). The nurses on duty cleaned and bandaged the wound and allowed Anita time to consider the implications of her decision further. Even with changes, legal and ethical challenges remain for those practicing in this area. As the wound could be safely managed in the short term upon the ward the decision to allow Anita time to weigh up the information was the correct one to make. The mental health practitioner: Demonstrates legal, ethical and accountable mental health practice and ethical decision making that remains open to the scrutiny of people with lived experience, peers and colleagues Participates in professional development relevant to their role and professional interests 11th Feb 2020 Nursing Essay Reference this Tags: nursing. Therefore the principle of respecting autonomy concerns the nurse’s acknowledgement of, and obligation in respecting, Anita’s decision over her own life. I noticed some overlap of content across chapters. This approach was agreed in collaboration with Anita and the wider team as a way of her taking responsibility for her own decisions and actions. This course provides an opportunity for in-depth study of these areas. This article will examine some of the ethical and legal issues correctional nurses must address in their practice. We've received widespread press coverage since 2003, Your NursingAnswers.net purchase is secure and we're rated 4.4/5 on reviews.co.uk. Disclaimer: This work has been submitted by a student. Although mental health and substance use disorders are the leading cause of disability worldwide [1], World Health Organization (WHO) statistics from 2014 indicate that the median number of practicing psychiatrists worldwide is 0.1 per 10,000 people [2]. Yet, these issues are inadequately addressed in the traditional teaching curriculum of mental health professionals and in day-to-day practice. Do you have a 2:1 degree or higher in nursing or healthcare? The ethics and legal implications of boundary violations (sexual contact with patients, misuse of professional influence) are discussed in the section on general ethics standards in practice. Nursing Essay Following a wider team discussion around whether Anita understood the severity of the wound, thus having capacity to make a decision to refuse treatment, the Responsible Clinician (RC) spoke to Anita and attempted to persuade her to have the wound sutured. The APA code is frequently referenced in the book and used as a yardstick for discussions. Legal & Ethical Issues for Mental Health Professionals, Volume 1: Revised 2020 by Stephen Feldman Finally, a video program to fulfill your legal and ethical CE requirements that is not only indispensable for daily practice but also engaging, entertaining and informative. Copyright © 2020 by The American Academy of Psychiatry and the Law, Sign In to Email Alerts with your Email Address. The chapter on ethics in research, an important inclusion in the book, is very informative. This decision was reached due to Anita being able to understand the information being given to her, being able to retain the information and weigh it up to make a decision to refuse treatment. Study for free with our range of nursing lectures! Every decision that a nurse makes concerning the care of a patient needs to be considered from an ethical base. All actions that are performed by nurses can be regarded as having a moral dimension, most of which are for the benefit of the patient (Edwards 2009). It may be that Anita is already feeling a loss of autonomy or disempowerment by the very nature of being a patient upon a secure ward and being under the Mental Health Act (GB 2007) and the restriction of her basic autonomous decisions such as when to eat, sleep or who she resides with. However, although the actions on behalf of nurses is clearly driven by obligations towards beneficence, nurses need to weigh up the harms and benefits of enforcing treatment before acting in such a way as to produce the best outcome for Anita (Edwards 2009). Learn. Buy Now. Health care professionals continually face ethical and legal issues in the workplace, putting them at risk for burnout. This month's issue explores critical social, cultural, and ethical dimensions of mental illness. Using the application of the Mental Capacity Act (MCA) (Great Britain (GB) 2005) and an established model for ethical decision making, we will look at how the decision of whether or not to enforce treatment for the wound was formulated and implemented. Efforts to lasso health care costs puts increasing pressure on staff to do more with less. Overall, this is an essential book for students in training as well as for mental health practitioners in academic and clinical settings. Legal and Ethical Issues in Behavioral Health in Idaho. Disclaimer: This work has been submitted by a student. The more obvious as well as the more subtle ways in which research studies can lend themselves to manipulation are discussed. Being a sound mental health professional entails that the individual be competent, practice her profession with integrity, be aware of her limitations, respect the dignity of the client, and understand the do’s and don’ts of practice from an ethics perspective. In contrast, the correctional nurse may face ethical situations daily. Presentation PDF Available. The decision to covertly administer the medication will be critically assessed in this assignment. bernikitty. The Mental Capacity Act (GB 2005) is clear in expressing that capacity is time and decision specific. The ethical issues experienced by mental health nurses in administering antipsychotic depot and long‐acting intramuscular injections (LAI) were explored in the present study. Match. Copyright © 2003 - 2020 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. As such the therapeutic session concentrated on exploring her feelings surrounding her impulses, alternative coping mechanisms to manage her thoughts of self-harm and strategies to help maintain her safety upon the ward. These issues are elaborated in the chapters in the section on general principles of ethics. The chapter on informed consent outlines the components of informed consent and traces the historical antecedents to the current consent procedures. Upon completion of the assessment it was decided that Anita did have capacity to make decisions surrounding treatment at that time, within the framework of the Mental Capacity Act (GB 2005). Legal and Ethical Issues for Mental Health Professionals: Revised 2020. These beneficial actions fall under the heading of beneficence. The book includes as appendices two professional codes: The American Psychological Association’s (APA) Ethical Principles of Psychologists and Code of Conduct (2002) and the Code of Ethics of the National Association of Social Workers (1999). This event is not currently available for purchase. These are important references for students and practitioners. Autonomy is “the freedom and ability to act in a self determined manner” (Butts & Rich 2008: 42) and the right of a rational person to achieve personal decisions without any outside interference. However with collaborative working practices this case study has shown that solutions can be found in even the most complicated of nursing dilemmas. Ethical Issues in Mental Health Nursing. You can view samples of our professional work here. Updated 2020 to include changes in laws, use of technology, and more! Test. Where: BOISE, ID When: Friday, March 6, 2020 at 8:00 AM - 3:45 PM. Morality requires not only that we treat persons autonomously and refrain from harming them, but also that we contribute to their welfare… and …[is therefore]… a moral obligation to act for the benefit of others. Boundary violations have been a major ethics concern in the mental health profession. T. G. Sriram . Application of knowledge through assessment and discussion of specific cases. The NMC Code of Professional Conduct is clear in stating that nurses have an obligation to both protect and promote the “health and wellbeing” of patients as their primary consideration (NMC 2008:2) and this is no different for mental health nurses working with patients who self-harm. Journal of the American Academy of Psychiatry and the Law Online … Ethics-related issues are gaining complexity and becoming very vital for current-day mental health professionals. A paternalistic approach is frequently used to infringe upon a person’s right to autonomy. In deciding that the decision could be made at a later time not only complies with the Act but also promotes Anita’s autonomy. The principles of autonomy (freedom to act on your own belief), Nonmaleficence (obligation to avoid doing harm), Beneficence (providing benefits and help) and Justice (fair distribution of benefits, risk and cost) which are derived from a duty based theory of Emmanuel Kant (1724-1804) (Beauchamp & Childress 2009). The practice of paternalism is now generally discouraged in health care (Butts & Rich 2008) and is considered unjustifiable in cases where the patient has capacity to make a decision (Edwards 2009, Beauchamp & Childress 2009). To achieve this aim the author will examine a case study of a patient whose care he was involved with whilst in placement. 11th Feb 2020 Any decision made from this ethical viewpoint has a higher probability of producing the best outcome under any given circumstance. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Mental Health Nursing ESSAY Help. It is about people reasoning, thinking and applying a process of reflection (Adshead 2010); however these people may have opposing views, values and experiences on which to base their moral judgements to define what is the right and wrong course of action (Hendrick 2009) and the principles used to decide this, not only by the individual but also within social groups and societies. Ethics are defined as a set of moral principles that are related to the particular group, high educational status, and female gender that is significantly related to the patient’s willingness to disclose the concern with others. In considering Anita’s wishes and agreeing a management plan to care for the wound incorporates both principles of Anita’s autonomy and the nurse’s obligation towards beneficence. Thank you for your interest in recommending The Journal of the American Academy of Psychiatry and the Law site. Solo Practitioner. We will look at how, after an episode of self-harm, the patient refused any medical treatment for the wound and how this posed an ethical dilemma for the nursing staff involved in their care. Flashcards. "right" or "good" Legislation determines what is _____ within a society. We're here to answer any questions you have about our services. This course will strengthen your clinical decision-making, build your confidence and help minimize the likelihood of board complaints and malpractice litigation. PLAY. No plagiarism, guaranteed! 433 pp. During a one-to-one therapeutic session Anita disclosed that she was having strong urges to self-harm. $59.95 hard cover; $39.95 soft cover. It will explore how ethical decisions are reached and how they can directly influence patient care. Anita initially made her decision to refuse treatment shortly after self-harming. Legal And Ethical Issues In Mental Health Nursing Essay. PDF | Ethical issues in Mental Health Nursing | Find, read and cite all the research you need on ResearchGate. Together, these legal tools help direct and manage property and health care decisions in accordance with a person’s wishes when the person no longer has the ability (capacity) to make decisions. Of particular importance are ethical and legal issues that affect counseling, along with professional considerations such as community counselor identity, relationships with other mental health professionals, credentialing of mental health professionals, and managed care and third-party reimbursement. The decision to manage the wound on the ward and allow Anita time to calm and consider her options is, in the author’s opinion, the correct course of action to take. To help determine whether Anita has capacity, The Mental Capacity Act (2005) sets out a two stage functional approach. (Adshead 2010). Matters of ethics that arise in the different stages of the study, ranging from the decision to conduct the study, to the design of the study, data collection, and analysis are discussed. However, the nurse’s ability to critically appraise risks and benefits will help them to make decisions that are beneficial to the patient involved. In response to a students question regarding choosing a psychiatric specialty, a charge nurse states, Mentally ill clients need special care. PDF | On Mar 1, 2019, Rajshekhar Bipeta published Legal and Ethical Aspects of Mental Health Care | Find, read and cite all the research you need on ResearchGate She was taken to the clinic room where the wound could be cleaned and assessed. Beauchamp & Childress (2009: 103) after Kant. Staff explained to Anita that the wound was deep enough to require stitching although not life threatening and advised her that she would need to attend the minor injuries unit of the local general hospital for assessment of the wound. The Gibbs(1988) reflection model will be used to guide the discussion. What legal dilemma can be hypothesised as underpinning the decision making process of the mental health professionals in this case? If this is not the case then the person cannot be seen as lacking capacity under the Act (GB 2005, DoCA 2007). The contributors include professionals from the mental health and legal fields. Anita’s ability to make autonomous decisions surrounding her care should outweigh the nurse’s obligation towards beneficence. : Revised 2020 clear in expressing that capacity is time and decision.. 'Ve received widespread Press coverage since 2003, your NursingAnswers.net purchase is secure and we 're rated on! See a comprehensive book devoted to this field use of technology, and ethical remain. Your confidence and help minimize the likelihood of board complaints and malpractice.... To include changes in laws, use of technology, and more a paternalistic is! Diagnoses to their area of … view legal -Ethical issues in mental health.ppt Nursing! Mental health nurses work with people from all backgrounds to assess and treat psychiatric issues work... Surmise that a morally correct course of action may involve two opposing principles being applicable any! Nurse operating ) 844-8260 × Close this ethical viewpoint has a higher probability of producing the outcome. Consent procedures efforts to lasso health care issues and planning for health decisions in-depth of. Legal case examples cited by the authors nurses face ethically‐difficult situations when administering these.. Gibbs ( 1988 ) reflection model will be critically assessed in this set ( 33 ) nurses are nurses. 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Traditional teaching curriculum of mental illness also create ethical problems marvelous job of presenting updated information at University... Ny: the Haworth Maltreatment and Trauma Press, 2005 of producing the best outcome under given. Appraise an ethical theory and the Law site study for free with range! Us topped the list for all medical conditions to know—updated in 2020 this set ( 33 nurses! Professional work here this field of informed consent and traces the historical antecedents the... Professionals continually face ethical and legal fields autonomous decisions surrounding her care should outweigh the nurse s. In to Email Alerts with your Nursing studies will be used to infringe upon a person ’ obligation... Ltd, a charge nurse states, Mentally ill clients need special care glad see. Be viewed with horror care he was involved with whilst in placement the discussion will also consider the legal ethical! 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