End-of-life care and mental illness: A model for community psychiatry and beyond
End-of-life care is often influenced by the stereotyping of patients by age, diagnosis, or cultural identity. Two common stereotypes arise from the presumed incompetence of many patients to contribute to end-of-life decisions, and the fear that the discussions themselves will be de-stabilizing. We p...
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| Veröffentlicht in: | Community mental health journal 2004-02, Vol.40 (1), p.3-16 |
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| container_title | Community mental health journal |
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| creator | CANDILIS, Philip J FOTI, Mary Ellen G HOLZER, Jacob C |
| description | End-of-life care is often influenced by the stereotyping of patients by age, diagnosis, or cultural identity. Two common stereotypes arise from the presumed incompetence of many patients to contribute to end-of-life decisions, and the fear that the discussions themselves will be de-stabilizing. We present a model for end-of-life discussions that combines competence assessment with healthcare preferences in a psychiatric population that faces identical stereotypes. The model, which draws on clinical research in competence and suicide risk assessment, has important implications for all patients in the community who are marginalized or stereotyped during discussions of end-of-life treatment. |
| doi_str_mv | 10.1023/B:COMH.0000015214.24404.cc |
| format | Article |
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Two common stereotypes arise from the presumed incompetence of many patients to contribute to end-of-life decisions, and the fear that the discussions themselves will be de-stabilizing. We present a model for end-of-life discussions that combines competence assessment with healthcare preferences in a psychiatric population that faces identical stereotypes. The model, which draws on clinical research in competence and suicide risk assessment, has important implications for all patients in the community who are marginalized or stereotyped during discussions of end-of-life treatment.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1023/B:COMH.0000015214.24404.cc</identifier><identifier>PMID: 15077725</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Bioethics ; Biological and medical sciences ; Capacity ; Chronic Disease ; Chronic illnesses ; Community mental health services ; Community Psychiatry ; Decision Making ; End of life decisions ; Endorsements ; Health care ; Health Services Research ; Hospitals ; Humans ; Informed consent ; Medical sciences ; Mental Competency ; Mental Disorders ; Mental health ; Mental health care ; Mentally ill people ; Models, Theoretical ; Organization of mental health. Health systems ; Palliative care ; Patients ; Preferences ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Assessment ; Social psychiatry. Ethnopsychiatry ; Stereotypes ; Stereotyping ; Suicide ; Terminal Care ; United States ; USA</subject><ispartof>Community mental health journal, 2004-02, Vol.40 (1), p.3-16</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright (c) 2004 Human Sciences Press, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-4efe780819214b86a9ae5d5c9af25abed04e82a3a0e098ff1425f47d2f6e757c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,12845,27343,27923,27924,30998,30999,33773</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15636353$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15077725$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CANDILIS, Philip J</creatorcontrib><creatorcontrib>FOTI, Mary Ellen G</creatorcontrib><creatorcontrib>HOLZER, Jacob C</creatorcontrib><title>End-of-life care and mental illness: A model for community psychiatry and beyond</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><description>End-of-life care is often influenced by the stereotyping of patients by age, diagnosis, or cultural identity. Two common stereotypes arise from the presumed incompetence of many patients to contribute to end-of-life decisions, and the fear that the discussions themselves will be de-stabilizing. We present a model for end-of-life discussions that combines competence assessment with healthcare preferences in a psychiatric population that faces identical stereotypes. The model, which draws on clinical research in competence and suicide risk assessment, has important implications for all patients in the community who are marginalized or stereotyped during discussions of end-of-life treatment.</description><subject>Bioethics</subject><subject>Biological and medical sciences</subject><subject>Capacity</subject><subject>Chronic Disease</subject><subject>Chronic illnesses</subject><subject>Community mental health services</subject><subject>Community Psychiatry</subject><subject>Decision Making</subject><subject>End of life decisions</subject><subject>Endorsements</subject><subject>Health care</subject><subject>Health Services Research</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Informed consent</subject><subject>Medical sciences</subject><subject>Mental Competency</subject><subject>Mental Disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mentally ill people</subject><subject>Models, Theoretical</subject><subject>Organization of mental health. Health systems</subject><subject>Palliative care</subject><subject>Patients</subject><subject>Preferences</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Assessment</subject><subject>Social psychiatry. 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Health systems</topic><topic>Palliative care</topic><topic>Patients</topic><topic>Preferences</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Assessment</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Stereotypes</topic><topic>Stereotyping</topic><topic>Suicide</topic><topic>Terminal Care</topic><topic>United States</topic><topic>USA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CANDILIS, Philip J</creatorcontrib><creatorcontrib>FOTI, Mary Ellen G</creatorcontrib><creatorcontrib>HOLZER, Jacob C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Social Services Abstracts</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CANDILIS, Philip J</au><au>FOTI, Mary Ellen G</au><au>HOLZER, Jacob C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>End-of-life care and mental illness: A model for community psychiatry and beyond</atitle><jtitle>Community mental health journal</jtitle><addtitle>Community Ment Health J</addtitle><date>2004-02-01</date><risdate>2004</risdate><volume>40</volume><issue>1</issue><spage>3</spage><epage>16</epage><pages>3-16</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><abstract>End-of-life care is often influenced by the stereotyping of patients by age, diagnosis, or cultural identity. Two common stereotypes arise from the presumed incompetence of many patients to contribute to end-of-life decisions, and the fear that the discussions themselves will be de-stabilizing. We present a model for end-of-life discussions that combines competence assessment with healthcare preferences in a psychiatric population that faces identical stereotypes. The model, which draws on clinical research in competence and suicide risk assessment, has important implications for all patients in the community who are marginalized or stereotyped during discussions of end-of-life treatment.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>15077725</pmid><doi>10.1023/B:COMH.0000015214.24404.cc</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Community mental health journal, 2004-02, Vol.40 (1), p.3-16 |
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| language | eng |
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| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); SpringerLink Journals - AutoHoldings |
| subjects | Bioethics Biological and medical sciences Capacity Chronic Disease Chronic illnesses Community mental health services Community Psychiatry Decision Making End of life decisions Endorsements Health care Health Services Research Hospitals Humans Informed consent Medical sciences Mental Competency Mental Disorders Mental health Mental health care Mentally ill people Models, Theoretical Organization of mental health. Health systems Palliative care Patients Preferences Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Assessment Social psychiatry. Ethnopsychiatry Stereotypes Stereotyping Suicide Terminal Care United States USA |
| title | End-of-life care and mental illness: A model for community psychiatry and beyond |
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