Mental Competency: The ability to understand the nature and effect of the act in which the individual is engaged. (From Black's Law Dictionary, 6th ed).Competency-Based Education: Educational programs designed to ensure that students attain prespecified levels of competence in a given field or training activity. Emphasis is on achievement or specified objectives.Cultural Competency: Cultural and linguistic competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations. Competence implies the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities.Professional Competence: The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Curriculum: A course of study offered by an educational institution.Educational Measurement: The assessing of academic or educational achievement. It includes all aspects of testing and test construction.Education, Medical, Graduate: Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.Models, Educational: Theoretical models which propose methods of learning or teaching as a basis or adjunct to changes in attitude or behavior. These educational interventions are usually applied in the fields of health and patient education but are not restricted to patient care.Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Education, Pharmacy: Formal instruction, learning, or training in the preparation, dispensing, and proper utilization of drugs in the field of medicine.Accreditation: Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.Education, Public Health Professional: Education and training in PUBLIC HEALTH for the practice of the profession.Education, Nursing: Use for general articles concerning nursing education.Education, Dental: Use for articles concerning dental education in general.Education, Medical: Use for general articles concerning medical education.Schools, Public Health: Educational institutions for individuals specializing in the field of public health.Students, Pharmacy: Individuals enrolled in a school of pharmacy or a formal educational program leading to a degree in pharmacy.Cultural Diversity: Coexistence of numerous distinct ethnic, racial, religious, or cultural groups within one social unit, organization, or population. (From American Heritage Dictionary, 2d college ed., 1982, p955)Education, Medical, Undergraduate: The period of medical education in a medical school. In the United States it follows the baccalaureate degree and precedes the granting of the M.D.Societies: Organizations composed of members with common interests and whose professions may be similar.Teaching: The educational process of instructing.Leadership: The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers.Delphi Technique: An iterative questionnaire designed to measure consensus among individual responses. In the classic Delphi approach, there is no interaction between responder and interviewer.Credentialing: The recognition of professional or technical competence through registration, certification, licensure, admission to association membership, the award of a diploma or degree, etc.Epidemiology: Field of medicine concerned with the determination of causes, incidence, and characteristic behavior of disease outbreaks affecting human populations. It includes the interrelationships of host, agent, and environment as related to the distribution and control of disease.Students, Medical: Individuals enrolled in a school of medicine or a formal educational program in medicine.Education, Graduate: Studies beyond the bachelor's degree at an institution having graduate programs for the purpose of preparing for entrance into a specific field, and obtaining a higher degree.Consensus: General agreement or collective opinion; the judgment arrived at by most of those concerned.Education, Nursing, Graduate: Those educational activities engaged in by holders of a bachelor's degree in nursing, which are primarily designed to prepare them for entrance into a specific field of nursing, and may lead to board certification or a more advanced degree.Problem-Based Learning: Instructional use of examples or cases to teach using problem-solving skills and critical thinking.Health Educators: Professionals who plan, organize and direct health education programs for the individual, groups and the community.Professional Role: The expected function of a member of a particular profession.Specialty Boards: Organizations which certify physicians and dentists as specialists in various fields of medical and dental practice.Self-Assessment: Appraisal of one's own personal qualities or traits.Education, Continuing: Educational programs designed to inform individuals of recent advances in their particular field of interest. They do not lead to any formal advanced standing.Nurse Administrators: Nurses professionally qualified in administration.Faculty, Medical: The teaching staff and members of the administrative staff having academic rank in a medical school.Schools, Medical: Educational institutions for individuals specializing in the field of medicine.Staff Development: The process by which the employer promotes staff performance and efficiency consistent with management goals and objectives.Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Job Description: Statement of the position requirements, qualifications for the position, wage range, and any special conditions expected of the employee.Schools, Dental: Educational institutions for individuals specializing in the field of dentistry.Licensure, Dental: The granting of a license to practice dentistry.Dentistry, Operative: That phase of clinical dentistry concerned with the restoration of parts of existing teeth that are defective through disease, trauma, or abnormal development, to the state of normal function, health, and esthetics, including preventive, diagnostic, biological, mechanical, and therapeutic techniques, as well as material and instrument science and application. (Jablonski's Dictionary of Dentistry, 2d ed, p237)Employee Performance Appraisal: The assessment of the functioning of an employee in relation to work.Osteopathic Medicine: A medical discipline that is based on the philosophy that all body systems are interrelated and dependent upon one another for good health. This philosophy, developed in 1874 by Dr. Andrew Taylor Still, recognizes the concept of "wellness" and the importance of treating illness within the context of the whole body. Special attention is placed on the MUSCULOSKELETAL SYSTEM.Internal Medicine: A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.Knowledge: The body of truths or facts accumulated in the course of time, the cumulated sum of information, its volume and nature, in any civilization, period, or country.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Inservice Training: On the job training programs for personnel carried out within an institution or agency. It includes orientation programs.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Faculty, Dental: The teaching staff and members of the administrative staff having academic rank in a dental school.Osteopathic Physicians: Licensed physicians trained in OSTEOPATHIC MEDICINE. An osteopathic physician, also known as D.O. (Doctor of Osteopathy), is able to perform surgery and prescribe medications.Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Physarida: An order of protozoa characterized by a peridium and capillitium that are calcareous and a spore mass that is usually dark-colored.Clinical Clerkship: Undergraduate education programs for second- , third- , and fourth-year students in health sciences in which the students receive clinical training and experience in teaching hospitals or affiliated health centers.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.United StatesEducation, Professional: Formal education and training in preparation for the practice of a profession.Education, Pharmacy, Continuing: Educational programs designed to inform graduate pharmacists of recent advances in their particular field.Students, Dental: Individuals enrolled a school of dentistry or a formal educational program in leading to a degree in dentistry.Schools, Pharmacy: Educational institutions for individuals specializing in the field of pharmacy.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Certification: Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.International Educational Exchange: The exchange of students or professional personnel between countries done under the auspices of an organization for the purpose of further education.Physician Executives: Physicians who serve in a medical and administrative capacity as head of an organized medical staff and who also may serve as liaison for the medical staff with the administration and governing board.Education: Acquisition of knowledge as a result of instruction in a formal course of study.Preceptorship: Practical experience in medical and health-related services that occurs as part of an educational program wherein the professionally-trained student works outside the academic environment under the supervision of an established professional in the particular field.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Dentist-Patient Relations: The psychological relations between the dentist and patient.NebraskaInstitute of Medicine (U.S.): Identifies, for study and analysis, important issues and problems that relate to health and medicine. The Institute initiates and conducts studies of national policy and planning for health care and health-related education and research; it also responds to requests from the federal government and other agencies for studies and advice.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.Patient Care: The services rendered by members of the health profession and non-professionals under their supervision.Mentors: Senior professionals who provide guidance, direction and support to those persons desirous of improvement in academic positions, administrative positions or other career development situations.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Plagiarism: Passing off as one's own the work of another without credit.Education, Medical, Continuing: Educational programs designed to inform physicians of recent advances in their field.Organizational Objectives: The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.
Mental competency exam ordered in 4 Michigan slayings - Washington Times... of killing his two children and two older stepchildren last month at his suburban Detroit home will undergo a mental competency ... of killing his two children and two older stepchildren last month at his suburban Detroit home will undergo a mental competency ...
Susan Burns to undergo mental competency exam | WJLA... was ordered on Monday to undergo a mental competency exam. ... Elizabeth's mental health institution until her next hearing in ... accused of attacking a Gauguin painting at the National Gallery of Art was ordered on Monday to undergo a mental competency ...
635. Insanity-Mental Competency to Stand Trial Distinguished | USAM | Department of JusticeInsanity-Mental Competency to Stand Trial Distinguished. Mental competency of an accused to stand trial is discussed at USAM 9- ... The Supreme Court decisions on competency to stand trial, Pate v. Robinson, 383 U.S. 375 (1966), and Drope v. Missouri, 420 U.S ... Hospitalization of a Person Due for Release But Suffering from Mental Disease/Defect-18 U.S.C. § 4246 ... Hospitalization of a Convicted Person Suffering from a Mental Disease or Defect-18 U.S.C. § 4244 ...
University of Michigan student to undergo mental competency hearing in fatal crash... By Juliana Keeping ... This the mental illness claim has nothing to do with the accident, whether it contributed to it, or the driver's ability to ... Mental illness has nothing to do with one's ability to operate a vehicle. It's ignorant comments like yours that keep people ... Why didn't he seek treatment before? I know mental illness can be a sticky situation but it just seems like somebody looking ...
Mental competency to be weighed in killing of Centennial man's motherMental competency to be weighed in killing of… Share this:. *Click to share on Facebook (Opens in new window) ... "It's the way the system is failing a lot of young adult males who have some kind of mental health issues going on," said Ron ... Liggett's father did not want to talk about specifics of his son's case, but did say Ari has a history of mental illness. He ... Liggett would be sent to the state mental hospital, said Recht, who is not involved in the Liggett case. When - and if - he " ...
Judge orders mental competency exam for Ohio school shooting suspect - New Haven RegisterA judge has ordered a mental competency exam for a teenager accused of killing three students in an Ohio high school shooting ... CHARDON, Ohio -- A judge has ordered a mental competency exam for a teenager accused of killing three students in an Ohio high ... Judge orders mental competency exam for Ohio school shooting suspect. The Associated Press ... www.nhregister.com/news/article/Judge-orders-mental-competency-exam-for-Ohio-11445189.php ...
Court Orders New Mental Competency Hearing in Death Penalty Case | The Texas TribuneCourt Orders New Mental Competency Hearing in Death Penalty Case. UPDATED: The Court of Criminal Appeals has ordered a new ... At Tuesday's hearing, Druery's lawyers will ask the judge to appoint two independent experts to evaluate his mental competency ... In addition to requesting psychiatric evaluation of Druery's mental competency, Black said, his lawyers have also asked the ... Druery's mental illness comes from the State's own mental health professionals, who have repeatedly diagnosed Mr. Druery as ...
San Diego Community News Group - Suspected Loma Portal rapist to undergo mental competency examinationIf the judge finds Tesfa is mentally incompetent, the defendant would likely be committed to a state mental hospital for treat ... Suspected Loma Portal rapist to undergo mental competency examination - Criminal proceedings were suspended for a man suspected ... If the judge finds Tesfa is mentally incompetent, the defendant would likely be committed to a state mental hospital for ...
sdnews.com/pages/full_story/push?article-Suspected Loma Portal rapist to undergo mental competency examination &id=22880432
Oregon Gerontological Association - Understanding the Challenges of Determining Mental CompetencyUnderstanding the Challenges of Determining Mental Competency. 1:30 pm to 3:30 pm at Milwaukie Center. ... Determining competency is one of the most sensitive issues in aging services--please join us to discuss this important issue ...
PPT - CULTURAL COMPETENCY & MENTAL HEALTH PowerPoint Presentation - ID:254295MENTAL HEALTH. Joan (Nyala) Cooper, Ph.D. Charles R. Drew University of Medicine & Science Adjunct Assistant Professor, ... No Health without Mental Health: Ohio s Public Mental Health System and Adults with Severe Mental Illnesses -Goals for this ... Mental Health Nursing I NURS 1300 Unit I Basic Concepts of Mental Health -Objective 1 define mental health. dynamic process in ... ROLE OF THE MENTAL HEALTH PROFESSIONAL. The role of the front line mental health professional treating persons with mental ...
The Future of Pediatrics: Mental Health Competencies for Pediatric Primary Care | FROM THE AMERICAN ACADEMY OF PEDIATRICS |...... clinicians may feel a sense of urgency to achieve and apply the full set of mental health competencies. Where mental health ... RATIONALE FOR COMPETENCIES. Uniqueness of the PCC's Role. PCCs have a role in mental health care that differs substantively ... Attainment of the mental health competencies proposed in this report is a future goal, not a current expectation. It will ... This set of competencies focuses on applying current science to the mental health screening and assessment process and to ...
Mental Health and Competency Restoration in Washington | Bipolar: Crazy Mermaid's BlogMental Hospitals mental illness Mental Illness and Bankrupcy Mental Illness and Murder Mental Illness and Voting Rights Mental ... Mental Health and Competency Restoration in Washington January 29, 2013 Posted by Crazy Mermaid in Involuntary Committment, ... Mental Hospital. Tags: Involuntary Committment, Mental Hospitals. trackback Imagine having a mental health crisis and finding ... Mental Illness. Anxiety Bipolar Disorder Bipolar Mermaid Cortisone Shots and Mental Illness Delusions Depression Disability ...
'A Heartbreaking Memory': Community Reacts to Oikos University Shooter's No Contest Plea - NBC Bay...Criminal proceedings against Goh were suspended after his lawyers doubted his mental competency to stand trial, but he was ... Goh's attorney said his client suffers from a mental illness and is deeply sorry for the pain he caused. ... recently deemed by court-appointed doctors to be restored to competency.. Williams expressed relief that Goh had finally been ...
Police say Marysville man, wife advertised 6-year-old online | Q13 FOX NewsEmery brothers in court: Attorneys ask for mental competency evaluation. * * Crime. Monroe man sentenced for using paddle on ...
Youngstown news, Mental exam OK'd for suspect in Youngstown boy's murderThe mental competency of a city man facing the death penalty in connection with the murder of an 8-year-old boy will be checked ... Prosecutors and defense attorneys say they are ready to proceed in January pending the outcome of the mental competency ... Attorney Ronald Yarwood, representing Wilson, requested the mental competency evaluation. The request was granted with the use ...
Another Headache for Terror TrialsBut WSJ's Jess Bravin says two of KSM's co-accused have mental competency issues that may jeopardize a trial. ... But WSJ's Jess Bravin says two of KSM's co-accused have mental competency issues that may jeopardize a trial.. ...
The use of the MacCAT-CA with adolescents: an item response theory investigation of age-related measurement bias.Mental Competency / legislation & jurisprudence*. Questionnaires / standards*. From MEDLINE®/PubMed®, a database of the U.S. ...
By the numbers - Page 2 - Dimensions ForumsProof of mental competency. *A copy of their latest bank statement. Do I honestly require these things? Of course not but to ME ... I'm not talking to someone so they can get a better mental image of my size to fap to and I'm not holding their hand when they ...
Newport News man ruled competent, will stand trial in homicide - tribunedigital-dailypressNewport News homicide suspect's mental competency to be.... February 10, 2014. *Newport News murder suspect discusses case in ... In February, Williams was sent to Central State Hospital for a mental evaluation. As a result of the examination Williams was ...
Mods of 2005 feature - Point of Existence mod for Battlefield Vietnam - Mod DBMental competency is required so I guess that rules me out. Good concept, well executed - give this mod a shot if you want to ...
New student, 14, is charged in killing of popular, young Danvers High teacher - The Boston GlobeA judge approved funds to have Chism evaluated for mental competency. In court records, Chism's lawyer, Denise Regan, said the ...
483 F2d 1031 Bruce v. W J Estelle | OpenJurist... his mental competency to stand trial in 1965; third, his mental competency during the pending hearing. Thus the jury's ... 1970); Oliver, Remarks, Panel on Recognizing and Determining Mental Competency to Stand Trial-Insanity as a Defense, 37 F. R.D ... a history of mental illness, substantial evidence of mental incompetence at or near the time of trial supported by the opinions ... Both criminal responsibility and mental competency to stand trial involve issues of one's perception of his surrounding ...
Alaska Psychiatric Institute recognized for high quality care in 2012 - Alaska Business Monthly - November 2013 - Anchorage, AKServices include crisis stabilization; evaluation of mental competency to stand trial for alleged criminals; and intensive, ...
Legal Schnauzer: "Freaky Becky" Mason and "Dr. Love" Bentley look bad in Alabama's sex scandal, but another GOP insider--no...Wasn't your mental competency hearing scheduled for yesterday (March 30)? How did it go? Did you win? ...
Learning and Using Acupuncture Back-Shu PointsIn the few minutes we spoke, I went through my mental list of all the different angles for treatment to see what stone was yet ... ChiroTouch's CTAcademy to Host "11 Core Competencies Every Wellness Practice Must Master" Webinar with Dr. Dane Donohue ...
Business Model of Intercultural Analysis: The Business Model of Intercultural Analysis (BMIA) is a tool developed to address cross-cultural problems. The BMIA framework uses six comprehension lenses to analyze cross-cultural interaction in the business environment.Upsilon Phi Delta: Upsilon Phi Delta (ΥΦΔ) is the national academic honor society for students in healthcare administration in the United States. The organization was formed in 1965 to further the profession of health administration and the professional competence and dedication of its members.Syllabus: A syllabus (pl. syllabi) is an outline and summary of topics to be covered in an education or training course.National Accreditation Board for Testing and Calibration Laboratories: National Accreditation Board for Testing and Calibration Laboratories (NABL).DJ College of Dental Sciences and Research: Divya Jyoti (DJ) College of Dental Sciences and Research is a dental college located in Modinagar in the nagar panchayat of Niwari in Ghaziabad district in the Indian state of Uttar Pradesh. The founder and chairman is Ajit Singh Jassar.Jiann-Ping Hsu College of Public Health: The Jiann-Ping Hsu College of Public Health is one of the eight colleges of Georgia Southern University, located in Statesboro, Georgia, in the United States.Manganin: Manganin is a trademarked name for an alloy of typically 86% copper, 12% manganese, and 2% nickel. It was first developed by Edward Weston in 1892, improving upon his Constantan (1887).Cross-cultural leadership: Cross-cultural psychology attempts to understand how individuals of different cultures interact with each other (Abbe et al., 2007).Delphi Greenlaw: Delphine "Delphi" Greenlaw is a fictional character on the New Zealand soap opera Shortland Street, who was portrayed by Anna Hutchison between 2002 and 2004.Yisrael Mordecai Safeek: (BS) (MD)ESCAIDELeiden International Medical Student ConferenceNihon UniversityGraphic facilitation: Graphic Facilitation is the use of large scale imagery to lead groups and individuals towards a goal. The method is used in various processes such as meetings, seminars, workshops and conferences.American Board of Anesthesiology: The American Board of Anesthesiology sets standards and exams for the accreditation of Board certified anesthesiologists coming to the end of their residency. It is one of the 24 medical specialty boards that constitutes the American Board of Medical Specialties.Nurse-managed health center: A nurse-managed health center provides health care services in medically underserved rural and urban areas in the United States where there is limited access to health care.S.General Medicine Faculty of RostGMU (Rostov State Medical University): Rostov State Medical University, Faculty of General Medicine - Located in Rostov city center with 20 departments, each departments has its own clinics with numbers of beds.List of medical schools in the United KingdomMillwrightDental Schools Council: The Dental Schools Council represents the interests of UK dental schools as it relates to national health, wealth, knowledge acquisition through teaching, research, and the profession of dentistry.Universities UK http://www.University of the East College of Dentistry: The University of the East College of Dentistry was first established as a unit of the Philippine College of Commerce and Business Administration in 1948. The college is one of the pioneers of dental education and labeled as one of the top dental schools in the Philippines.Mexican ironwood carvings: Mexican ironwood carvings is a handcraft that began with the Seri indigenous people of the state of Sonora. The wood comes from Olneya tesota, a Sonora Desert tree commonly called ironwood (palo fierro in Spanish).American Osteopathic Board of Neurology and Psychiatry: United StatesAmerican Osteopathic Board of Internal MedicineStandard evaluation frameworkVirtual trainingCalifornia Society of Addiction Medicine: California Society of Addiction Medicine (CSAM) is the California organization of physicians who specialize in treating addiction. Addiction medicine is the medical specialty that provides care and treatment for people with substance use disorder.Public Health Act: Public Health Act is a stock short title used in the United Kingdom for legislation relating to public health.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Oncology Nursing Certification Corporation: The Oncology Nursing Certification Corporation (ONCC) was established for the development, administration, and evaluation of a program for certification in oncology nursing. Incorporated in 1984 and governed by a board of directors, ONCC is the certifying body for oncology nursing and meets standards established by the Accreditation Board for Specialty Nursing Certification and the National Commission for Certifying Agencies.History of communication studies: Various aspects of communication have been the subject of study since ancient times, and the approach eventually developed into the academic discipline known today as communication studies.University of Nebraska Medical Center College of Dentistry: The University of Nebraska Medical Center College of Dentistry is located on the East Campus of the University of Nebraska at Lincoln. The College offers degrees in Doctor of Dental Surgery (DDS) and Registered Dental Hygienist (RDH).British Pediatric Association Classification of Diseases: The British Pediatric Association Classification of Diseases is a system of diagnostic codes used for pediatrics.VII Photo Agency: VII is an international photo agency wholly owned and governed by its membership.A Tomb for Boris Davidovich: A Tomb for Boris Davidovich (Serbo-Croatian: Grobnica za Borisa Davidoviča / Гробница за Бориса Давидовича) is a collection of seven short stories by Danilo Kiš written in 1976 (translated into English by Duska Mikic-Mitchell in 1978). The stories are based on historical events and deal with themes of political deception, betrayal, and murder in Eastern Europe during the first half of the 20th century (except for "Dogs and Books" which takes place in 14th century France).
(1/399) Assessment of competence to complete advance directives: validation of a patient centred approach.
OBJECTIVE: To develop a patient centred approach for the assessment of competence to complete advance directives ("living wills") of elderly people with cognitive impairment. DESIGN: Semistructured interviews. SETTING: Oxfordshire. SUBJECTS: 50 elderly volunteers living in the community, and 50 patients with dementia on first referral from primary care. MAIN OUTCOME MEASURES: Psychometric properties of competence assessment. RESULTS: This patient centred approach for assessing competence to complete advance directives can discriminate between elderly persons living in the community and elderly patients with dementia. The procedure has good interrater (r=0.95) and test-retest (r=0.97) reliability. Validity was examined by relating this approach with a global assessment of competence to complete an advance directive made by two of us (both specialising in old age psychiatry). The data were also used to determine the best threshold score for discriminating between those competent and those incompetent to complete an advance directive. CONCLUSION: A patient centred approach to assess competence to complete advance directives can be reliably and validly used in routine clinical practice. (+info)
(2/399) Informed consent for antipsychotic medication.
OBJECTIVE: To determine family physicians' attitudes and practices regarding documentation of informed consent for antipsychotic medication. DESIGN: Pilot cross-sectional study. SETTING: Teaching and non-teaching hospitals in Toronto, Ont. PARTICIPANTS: Thirty family physicians were selected in equal numbers from teaching and non-teaching hospitals with no more than five physicians from a given hospital. Participants were treating at least 10 patients with antipsychotic medication. Participants' mean age was 44.3 years; 83% were men. MAIN OUTCOME MEASURES: Documentation of consent and of disclosure of consent for antipsychotic medication in patients' charts. RESULTS: Documentation was found in only 13% of charts. Whether it was there or not did not correlate with information disclosed, score on an attitude scale, or demographics. Physicians who found documentation time-consuming were less likely to document. Most physicians disclosed reasons for antipsychotic medication, but less than half described tardive dyskinesia, a potentially irreversible movement disorder that affects about 25% of patients on long-term treatment. CONCLUSIONS: The low rate of documentation observed in this sample was consistent with reports of similar samples and might indicate that family physicians are unaware of recommendations for documentation or simply do not have time to keep abreast of current recommendations. Many physicians thought signed consent forms unnecessary for psychotic patients, and even more believed seeking consent for antipsychotic medications would increase patient anxiety. (+info)
(3/399) Sterilisation of incompetent mentally handicapped persons: a model for decision making.
Doctors are regularly confronted with requests for sterilisation of mentally handicapped people who cannot give consent for themselves. They ought to act in a medical vacuum because there doesn't exist a consensus about a model for decision making on this matter. In this article a model for decision making is proposed, based on a review of the literature and our own research data. We have attempted to select and classify certain factors which could enable us to arrive at an ethically justifiable method of making a medical decision. In doing so we distinguish two major criteria: heredity and parenting competence, and six minor criteria: conception risk, IQ, age, personality, medical aspects and prognosis and finally support and guidance for the mentally handicapped person. The major criteria give rise to a "situation of necessity". In this situation the physician is confronted with a conflict of values and interests. The minor criteria are of an entirely different ethical order. They can only be considered once the major criteria have created a "situation of necessity". Ultimately it comes down to deciding whether the benefits of sterilisation outweigh the drawbacks and whether the means are appropriate to the end, where efficient contraception is the end and irreversible sterilisation is the means. (+info)
(4/399) A problem for the idea of voluntary euthanasia.
I question whether, in those cases where physician-assisted suicide is invoked to alleviate unbearable pain and suffering, there can be such a thing as voluntary euthanasia. The problem is that when a patient asks to die under such conditions there is good reason to think that the decision to die is compelled by the pain, and hence not freely chosen. Since the choice to die was not made freely it is inadvisable for physicians to act in accordance with it, for this may be contrary to the patient's genuine wishes. Thus, what were thought to be cases of voluntary euthanasia might actually be instances of involuntary euthanasia. (+info)
(5/399) Advance directives are the solution to Dr Campbell's problem for voluntary euthanasia.
Dr Neil Campbell suggests that when patients suffering extremes of protracted pain ask for help to end their lives, their requests should be discounted as made under compulsion. I contend that the doctors concerned should be referred to and then act upon advance directives made by those patients when of sound and calm mind and afflicted by no such intolerable compulsion. (+info)
(6/399) Adversity and psychosocial competence of South African children.
Black children in South Africa commonly experience low socioeconomic status and community violence. Parents (N = 625) in a longitudinal study of urbanization responded to structured questionnaires related to resilience, affability, maturity, and school readiness of their six-year olds. SES was found to have an inverse and linear relation to competence at age six; the relationship to violence was curvilinear, with children from moderately safe communities achieving better outcomes than those from very safe or very unsafe ones. (+info)
(7/399) Consent to treatment and the mentally incapacitated adult.
Doctors are sometimes faced with adult patients who lack the mental capacity to consent to treatment. In a questionnaire, 120 doctors in a district general hospital were asked what action they would take if such a patient had a clear need for elective treatment. Of the 89 who replied, 57 said they would seek consent from relatives or others; 11 of these, nevertheless, stated that treatment could proceed without such consent. These results, and inquiries about other options, pointed to widespread misunderstanding of the law. In English law, no one can give legally valid consent on behalf of another adult. When an individual is unable to give consent, common law allows a doctor to protect a patient's best interests by treating him or her in accordance with a responsible body of medical opinion. (+info)
(8/399) The public's view of the competence, dangerousness, and need for legal coercion of persons with mental health problems.
OBJECTIVES: The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment. METHODS: The 1996 General Social Survey provided interview data with a nationally representative sample (n = 1444). Respondents were given a vignette based on diagnostic criteria for schizophrenia, major depression, alcohol dependence, or drug dependence, or a "control" case. RESULTS: The specific nature of the problem was the most important factor shaping public reaction. Respondents viewed those with "troubles," alcohol dependence, or depression as able to make treatment decisions. Most reported that persons with alcohol or drug problems or schizophrenia cannot manage money and are likely to be violent toward others. Respondents indicated a willingness to coerce individuals into treatment. Respondent and other case characteristics rarely affected opinions. CONCLUSIONS: Americans report greater concern with individuals who have drug or alcohol problems than with persons who have other mental health problems. Evaluations of dangerousness and coercion indicate a continuing need for public education. (+info)
- The woman accused of attacking a Gauguin painting at the National Gallery of Art was ordered on Monday to undergo a mental competency exam. (wjla.com)
- DEARBORN HEIGHTS, Mich. (AP) - An ex-convict accused of killing his two children and two older stepchildren last month at his suburban Detroit home will undergo a mental competency evaluation. (washingtontimes.com)
- CHARDON, Ohio -- A judge has ordered a mental competency exam for a teenager accused of killing three students in an Ohio high school shooting last month. (nhregister.com)
- Ari Liggett appeared in Arapahoe County District Court Friday where his lawyer, Jennifer Ahnstedt, said she had not received a report of the evaluation, which is needed before a competency hearing can be held. (denverpost.com)
- Over the last few years, people with mental illness, intellectual disabilities, and traumatic brain injuries have had to wait for several weeks or even months to get an evaluation to see whether or not they are competent to stand trial. (wordpress.com)
- Attorney Ronald Yarwood, representing Wilson, requested the mental competency evaluation. (vindy.com)
- Prosecutors and defense attorneys say they are ready to proceed in January pending the outcome of the mental competency evaluation. (vindy.com)
- In February, Williams was sent to Central State Hospital for a mental evaluation. (dailypress.com)
- Andrew Abood, Kelly's lawyer, said Kelly was admitted to the hospital and treated for mental illness for almost two months following the crash. (annarbor.com)
- There is a system in place to help parents manage kids with mental illness. (denverpost.com)
- But as children grow older, state health laws allow them to keep their parents out of the loop, leaving it up to the person struggling with mental illness to follow through with treatment. (denverpost.com)
- Liggett's father did not want to talk about specifics of his son's case, but did say Ari has a history of mental illness. (denverpost.com)
- Much of the evidence of Mr. Druery's mental illness comes from the State's own mental health professionals, who have repeatedly diagnosed Mr. Druery as schizophrenic, paranoid and delusional," Kate Black, a lawyer at the Texas Defender Service who represents the inmate, said in a statement. (texastribune.org)
- Druery's lawyers argue that his severe mental illness has rendered him incompetent to be executed. (texastribune.org)
- The severity of his mental illness, Dr. Mosnik wrote, prevents Druery from having a understanding that he is going to be executed Aug. 1. (texastribune.org)
- Imagine having a mental health crisis and finding yourself in a county jail, with little or no mental health treatment, isolated with no direct human contact, in a cell with no toilet or furniture for 23-24 hours a day, wearing only a smock, as days become weeks, then months, all while the symptoms of your mental illness get worse. (wordpress.com)
- Jail is the worst possible place for people struggling with serious mental illness. (wordpress.com)
- As a society, we need to stop the pattern of unnecessary incarceration of people with mental illness," said Gordon Bopp, President of the Washington Chapter of the National Alliance on Mental Illness (NAMI). (wordpress.com)
- Nobody chooses to have a mental illness, and therefore nobody should be jailed for having one. (wordpress.com)
- Goh's attorney said his client suffers from a mental illness and is deeply sorry for the pain he caused. (nbcbayarea.com)
examined mental health and substance abuse
- 2001) HCSUS study that examined mental health and substance abuse in a large, nationally-represented probability sample of adults receiving care for HIV in the U.S. Nearly half of the sample screened positive for a mental health disorder. (slideserve.com)
- This session is intended to assist participants with cultural competency skill building in the area of HIV Mental Health. (slideserve.com)
- Mental competency of an accused to stand trial is discussed at USAM 9-9.000 . (justice.gov)
- The Supreme Court decisions on competency to stand trial, Pate v. Robinson , 383 U.S. 375 (1966), and Drope v. Missouri , 420 U.S. 162 (1975), have little to do with the insanity defense, since the standards are quite different. (justice.gov)
- After the arrest, Ari Liggett was assessed at the state mental hospital in Pueblo and his public defender may yet argue that he is not competent to stand trial. (denverpost.com)
- If they are found incompetent to stand trial, they often wait additional weeks or months to get services at the state hospital where there is mental health treatment designed to restore competency to stand trial. (wordpress.com)
- Criminal proceedings against Goh were suspended after his lawyers doubted his mental competency to stand trial, but he was recently deemed by court-appointed doctors to be restored to competency. (nbcbayarea.com)
- When - and if - he "regains competency" by treatment and medication, the trial could resume. (denverpost.com)
- In their unanimous decision to send the case back to the trial court, the nine judges on the appeals court panel wrote that Druery had made a "s ubstantial showing of incompetency to be executed" and that he is entitled to both a hearing and the appointment of at least two mental health experts to determine his competency. (texastribune.org)
- The mental competency of a city man facing the death penalty in connection with the murder of an 8-year-old boy will be checked before he reaches his trial date. (vindy.com)
- But WSJ's Jess Bravin says two of KSM's co-accused have mental competency issues that may jeopardize a trial. (wsj.com)
- While they wait in jail, they are held with little or no mental or behavioral health treatment, often under severe punitive conditions for disability-related behavior. (wordpress.com)
- This is not to suggest that the full range or severity of all mental health problems falls within the scope of pediatric primary care practice but, rather, that children and adolescents may suffer from the full range and severity of mental health conditions and psychosocial stressors. (aappublications.org)
- It's the way the system is failing a lot of young adult males who have some kind of mental health issues going on," said Ron Liggett, whose 24-year-old son is accused of murdering his own mother. (denverpost.com)
- Determining competency is one of the most sensitive issues in aging services--please join us to discuss this important issue with a panel of experts. (oregongero.org)
- John Anderson, Ph.D. (2005) states that a solid working knowledge of mental health and substance abuse issues is essential for understanding how to help people protect themselves from HIV infection, how to help those who are already infected from transmitting the virus to others, and how to reduce adverse health consequences among those living with HIV. (slideserve.com)
- The term also encompasses somatic manifestations of mental health issues, such as eating disorders and functional gastrointestinal symptoms. (aappublications.org)
- While Anderson states that mental health and substance use disorders are highly treatable, they must first be identified and referred to appropriate services. (slideserve.com)
- 2001). Additionally, prevention workers and prevention case managers typically receive few guidelines and minimal training in the systematic assessment of mental health and substance use disorders. (slideserve.com)
- Liggett would be sent to the state mental hospital, said Recht, who is not involved in the Liggett case. (denverpost.com)
- If the judge finds Tesfa is mentally incompetent, the defendant would likely be committed to a state mental hospital for treatment. (sdnews.com)
- Posted by Crazy Mermaid in Involuntary Committment , Mental Hospital . (wordpress.com)
- Last year, the Legislature adopted an aspirational, seven-day performance target for the completion of competency evaluations and state hospital admission for restoration services. (wordpress.com)
- System enhancements, such as collaborative relationships with mental health specialists and changes in the financing of mental health care, must precede enhancements in clinical practice. (aappublications.org)
- apply principles of cultural competency to case studies involving HIV and mental health. (slideserve.com)
- The results also indicate the high proportion of people receiving HIV-related care who also have mental health and substance abuse problems. (slideserve.com)
- It is unacceptable that people end up in jail facing criminal charges simply because they cannot obtain the mental health services they need in the community. (wordpress.com)
- For this reason, the proposed competencies begin with knowledge and skills for systems-based practice. (aappublications.org)
- The purposes of this policy statement are to articulate competencies-skills, knowledge, and attitudes-needed by primary care clinicians (PCCs) to address the mental heath problems prevalent among children and adolescents in the United States and to promote use of the competencies in guiding residency education and continuing education of PCCs. (aappublications.org)
- Susan Burns, 53, will also continue to be held at St. Elizabeth's mental health institution until her next hearing in June. (wjla.com)
- This includes being held in isolation, where their mental health often deteriorates. (wordpress.com)
- Individuals may be held for low-level infractions, like trespassing or vagrancy, often because mental health services were unavailable. (wordpress.com)
- I'm not talking to someone so they can get a better mental image of my size to fap to and I'm not holding their hand when they claim I misunderstood them (my favorite: I'm a very visual guy) or because they're socially awkward. (dimensionsmagazine.com)
- Pediatric primary care clinicians have unique opportunities and a growing sense of responsibility to prevent and address mental health and substance abuse problems in the medical home. (aappublications.org)
- In this report, the American Academy of Pediatrics proposes competencies requisite for providing mental health and substance abuse services in pediatric primary care settings and recommends steps toward achieving them. (aappublications.org)
- Proposed interpersonal and communication skills reflect the primary care clinician's critical role in overcoming barriers (perceived and/or experienced by children and families) to seeking help for mental health and substance abuse concerns. (aappublications.org)
- In Colorado, a person at age 14 can seek health services confidentially, said Dr. Carl Clark , chief executive officer of The Mental Health Center of Denver. (denverpost.com)
- Newport News homicide suspect's mental competency to be. (dailypress.com)
- He is on a number of prescribed drugs to treat his mental condition, Abood said. (annarbor.com)
- The longer a person with a mental health crisis spends in jail, the more devastating and long-lasting the consequence," said David Lord, DRW Director of Public Policy. (wordpress.com)
- and partnering with families, schools, agencies, and mental health specialists to plan assessment and care. (aappublications.org)
- Achievement of the competencies proposed in this statement is a goal, not a current expectation. (aappublications.org)
- The problem of client under-recognition of mental health problems is compounded when HIV providers lack the experience to adequately assess mental health needs. (slideserve.com)
- Marilyn Martin, psychiatrist, psychoanalyst and author of Saving Our Last Nerve: The Black Women\'s Path to Mental Health, speaks on depression and how mental health is innately connected to physical health. (slideserve.com)
- As such, children with mental health needs, similar to children with special physical and developmental needs, are children for whom pediatricians, family physicians, pediatric nurse practitioners, and physician assistants provide a medical home. (aappublications.org)