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A Case for Psychiatric Leadership in Dispositional Capacity Assessment
Blake R Erickson1, Joseph Pereira1, Elizabeth Bromley1
1Department of Psychiatry, Columbia University, New York City (Erickson, Pereira, Pope, Wainberg); New York State Psychiatric Institute, New York City (Erickson, Pereira, Wainberg); Jane and Terry Semel Institute for Neuroscience and Human Behavior at University of California, Los Angeles (UCLA) (Bromley); Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, and Center for Health Services and Society, UCLA, Los Angeles (Bromley); Research Foundation for Mental Hygiene, Inc., New York City (Pope).
Abstract:
Dispositional capacity assessment, which evaluates a patient's ability for self-care after hospital discharge, is a novel concept with important implications for work in consultation-liaison, inpatient, and emergency psychiatric settings. In this Open Forum, the authors present an illustrative case, review literature relevant to dispositional capacity, and explore social theory that elucidates the concept. Psychiatrists are specifically positioned to provide leadership in this area. Psychiatrists should consider further developing and formalizing criteria for dispositional capacity assessment.
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