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Resource Allocation and Forensic Ethics.

Jacob M Appel1

  • 1Dr. Appel is Associate Professor of Psychiatry and Medical Education, Director of Ethics Education in Psychiatry, and Assistant Director at Academy for Medicine & the Humanities, Icahn School of Medicine at Mount Sinai, and Attending Physician at Mount Sinai Health System. jacob.appel@mssm.edu.

The Journal of the American Academy of Psychiatry and the Law
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Summary
This summary is machine-generated.

Forensic ethics theories have focused on evaluator-subject relations. A comprehensive approach must also address the ethical allocation of scarce forensic psychiatric resources.

Keywords:
ethicsresource allocationscarcity

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Area of Science:

  • Forensic Psychiatry
  • Medical Ethics

Background:

  • Developing a comprehensive theory of forensic ethics has been challenging since 1982.
  • Two main schools of thought exist: principlist (Appelbaum) and narrative/contextual (Griffith).
  • Current theories primarily focus on the forensic evaluator, subject, and legal system relationship.

Purpose of the Study:

  • To propose a more comprehensive theory of forensic ethics.
  • To incorporate the ethical considerations of resource allocation into forensic psychiatry.

Main Methods:

  • This study is primarily theoretical, analyzing existing ethical frameworks in forensic psychiatry.
  • It critiques the current focus on evaluator-subject dynamics.

Main Results:

  • The scarcity of forensic psychiatrists presents significant ethical challenges.
  • Self-driven allocation of these limited resources has ethical implications.
  • Existing theories inadequately address resource allocation ethics.

Conclusions:

  • A comprehensive theory of forensic ethics must extend beyond evaluator-subject relations.
  • Prioritizing the ethical allocation of forensic psychiatric resources is crucial for the profession.