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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
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Navigating Care From Afar: Ethical Considerations for Police Welfare Checks.

Evan Vitiello1, Daniel D Moseley1

  • 1Yale University School of Medicine, New Haven, Connecticut (Vitiello); University of North Carolina School of Medicine, Chapel Hill (Moseley).

Psychiatric Services (Washington, D.C.)
|April 23, 2021
PubMed
Summary
This summary is machine-generated.

Contacting law enforcement for psychiatric appointment no-shows poses risks, particularly for minority patients. Alternative communication strategies may be safer and more ethical.

Keywords:
Advance directives/proxiesEthicsPoliceWelfare/wellness checks

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Area of Science:

  • Clinical Psychiatry
  • Medical Ethics
  • Public Health Policy

Background:

  • Law enforcement welfare checks are common for missed psychiatry appointments.
  • These interventions are often perceived as harmless but may pose risks.

Purpose of the Study:

  • To examine the ethical considerations of using law enforcement for welfare checks in non-emergency psychiatric care.
  • To explore alternative, potentially safer interventions.

Main Methods:

  • Case analysis of ethical considerations in welfare checks.
  • Review of clinical and ethical literature.

Main Results:

  • Non-emergency welfare checks by law enforcement can carry significant risks, especially for racial-ethnic minority individuals.
  • Evidence on the safety and effectiveness of these interventions is limited.

Conclusions:

  • Clinically and ethically preferable alternatives to law enforcement welfare checks exist.
  • Crisis intervention teams and repeated communication attempts are recommended over police contact.