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Related Experiment Videos

Competency to consent to treatment.

M E Pollack1, S B Billick

  • 1St. Vincent's Hospital, New York, NY, USA.

The Psychiatric Quarterly
|December 10, 1999
PubMed
Summary

Determining a psychiatric patient's capacity to consent to treatment is crucial. While no standard method exists, several promising assessment tools show good reliability and validity for evaluating competency.

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Area of Science:

  • Psychiatry
  • Medical Ethics
  • Clinical Psychology

Background:

  • Assessing competency to consent to treatment is vital in psychiatry.
  • Patient's illness characteristics, like psychosis or organic brain disease, can impact competency.
  • Auditory hallucinations or delusions do not automatically indicate incompetency.

Purpose of the Study:

  • To review existing instruments designed to standardize competency assessments.
  • To identify reliable and valid methods for determining treatment consent capacity.

Main Methods:

  • Systematic review of various assessment instruments for patient competency.
  • Analysis of inter-rater reliability and validity of selected tools.

Main Results:

  • Currently, no universally standardized method for establishing competency exists for psychiatric or medical patients.
  • Several reviewed questionnaires demonstrate promising inter-rater reliability and validity.
  • The review highlights potential tools for more consistent competency evaluations.

Conclusions:

  • Standardized assessment tools are needed to reliably determine patient competency to consent.
  • Promising instruments exist that warrant further investigation and potential clinical adoption.
  • Accurate competency assessments uphold patient autonomy and ethical medical practice.

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