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Using multidisciplinary teams to address ethical dilemmas with older adults who hoard
Terry L Koenig1, Rosemary Chapin, Richard Spano
1School of Social Welfare, University of Kansas, Lawrence, Kansas, USA. tkoenig@ku.edu
Insights
Multidisciplinary teams address ethical dilemmas in elder hoarding cases. This study proposes a framework to guide hoarding task forces in balancing autonomy and safety.
Area of Science:
- Gerontology
- Ethics
- Social Work
Background:
- Older adults who hoard present complex ethical challenges.
- Balancing autonomy with safety is a key concern for multidisciplinary teams.
Purpose of the Study:
- Explore current hoarding team interventions for ethical dilemmas.
- Propose an ethical decision-making framework for hoarding cases.
- Discuss practice implications for hoarding teams.
Main Methods:
- Literature review on hoarding task forces.
- Development of an ethical decision-making framework.
- Analysis of practice implications.
Main Results:
- Current interventions are varied.
- A proposed framework offers structured ethical guidance.
- Implementation requires team training and support.
Conclusions:
- Hoarding task forces need structured ethical frameworks.
- Effective interventions require collaboration and clear decision-making processes.
- This framework supports ethical practice in elder hoarding cases.
Abstract:
Multidisciplinary teams, representing professionals from diverse disciplines, are often involved in addressing difficult ethical dilemmas as they work with older adults who hoard (e.g., resolving conflicts between the older adult's freedom to engage in hoarding behaviors versus individual or public safety). The purpose of this article is threefold: (a) to explore the current use of hoarding task force or team interventions to address ethical dilemmas that occur within hoarding cases; (b) to propose an ethical decision making framework for use by teams and others; and (c) to discuss practice implications for hoarding teams in implementing this ethical decision making framework.
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