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Related Experiment Videos

Competency in adolescent inpatients

K C Casimir1, S B Billick

  • 1Brown University/E.P. Bradley Hospital.

The Bulletin of the American Academy of Psychiatry and the Law
|January 1, 1994
PubMed
Summary
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A clinical study of competency in child psychiatric inpatients.

The journal of the American Academy of Psychiatry and the Law·1999

Adolescent psychiatric inpatients often struggle with understanding hospitalization reasons, impacting their competency to consent. Their performance on legal criteria suggests better abstract understanding than adults.

Area of Science:

  • Psychiatry
  • Psychology
  • Legal Medicine

Background:

  • Assessing competency to consent for hospitalization is crucial in adolescent psychiatry.
  • Adolescents' cognitive and developmental stages may influence their decision-making capacity.

Purpose of the Study:

  • To evaluate the competency to consent to hospitalization in adolescent psychiatric inpatients.
  • To compare adolescent competency assessment with adult inpatient data.

Main Methods:

  • A 15-item questionnaire was administered to 30 adolescent psychiatric inpatients.
  • Performance was assessed against minimal clinical, broad clinical, and legally oriented criteria.

Main Results:

  • Only 17-37% of adolescents met clinical and legal criteria for competency.
Keywords:
Empirical ApproachMental Health TherapiesNew York CityProfessional Patient Relationship

Related Experiment Videos

  • Adolescents performed worse on minimal clinical criteria but better on legal criteria compared to adults.
  • Adolescent data more closely resembled involuntarily admitted adults.

    • Conclusions:

    • Adolescents may have a limited understanding of hospitalization determinants.
    • Cognitive ability to grasp abstract legal concepts is higher in adolescents than adults.
    • Specific judgment and insight are key to evaluating adolescent competency for psychiatric hospitalization.