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Related Experiment Videos

Assessing competency in the physically ill: guidelines for psychiatric consultants.

J Mahler1, S Perry

  • 1New York Hospital-Cornell Medical Center, New York 10021.

Hospital & Community Psychiatry
|August 1, 1988
PubMed
Summary

Psychiatric consultants can evaluate patient competency in medically ill individuals. A new model procedure guides consultants on clinical evaluation, legal principles, and documentation, clarifying their role in competency assessments.

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Area of Science:

  • Medical ethics
  • Forensic psychiatry
  • Clinical psychology

Background:

  • Psychiatric consultants frequently assess patient competency.
  • Lack of standardized guidelines complicates competency evaluations for medically ill patients.

Purpose of the Study:

  • To present a model procedure for psychiatric competency evaluations in medically ill patients.
  • To address challenges posed by legal gaps and the absence of accepted guidelines.

Main Methods:

  • Development of a model procedure for competency evaluation.
  • Emphasis on comprehensive clinical assessment.
  • Inclusion of interventions to define consultant roles for referring physicians.
  • Outline of governing medical and legal principles.
Keywords:
Mental Health TherapiesProfessional Patient Relationship

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  • Specification of requirements for consultant notes.

    • Main Results:

    • The model procedure stresses complete clinical evaluation.
    • It clarifies the consultant's role and outlines legal/medical principles.
    • Consulting psychiatrists offer opinions on apparent competency, not legal declarations.
    • Opinions can be deferred until treatable psychiatric conditions affecting competency are addressed.

    Conclusions:

    • A structured approach is crucial for psychiatric competency evaluations.
    • Consultants provide opinions on apparent competency, respecting legal definitions.
    • The model procedure aims to standardize and improve the quality of these evaluations.