Psychiatric Ethics in Late Life Patients Medicolegal and Forensic Aspects at the Interface of Mental Health Meera Balasubramaniam 3030151727 9783030151720

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Product details:

• ISBN 10: 3030151727
• ISBN 13: 9783030151720
• Author: Meera Balasubramaniam

The process of aging is frequently associated with changes in the physical and mental functioning of older adults, challenging their autonomy and rendering them vulnerable to exploitation. Certain illnesses that are more common in older adults can affect their capacity to function independently. These include the capacity to make medical decisions, live independently, manage finances, to name a few. Healthcare professionals, especially psychiatrists are often entrusted with the responsibility of assessing an older adult’s capacity to perform one or more functions. This makes it imperative for them to be cognizant of these issues, understand the need for these evaluations, and be able to conduct them in a comprehensive manner. Another way of protecting an older person’s rights and facilitating a life based on their own decisions even after they lose decision making capacity is Advanced Health Care Planning (AHCP). Health care professionals are required to initiate a discussion about AHCP with their patients and their families and review it periodically.  Lastly, the older adults incarcerated in prisons is a group that is growing in numbers. They have unique needs at the intersection of the geriatric and forensic services, but are often marginalized by both services. The combination of poor quality of life and increasing costs makes the care of older adults in the criminal justice system makes this topic an important public health concern. There is a pressing need for better training of prison staff in issues of geriatric psychiatry. Assessment of criminal responsibility and competence to stand trial in aging offenders are other complex but under-studied issues.

Table of contents:

Part I. Ethical Aspects of Geriatric Psychiatry

1. Aging: Balancing Autonomy and Beneficence

2. The Capacity to Make Medical Decisions

3. The Capacity to Live Independently

4. The Capacity to Manage Finances

5. Capacity to Manage Critical Domains of Living: Driving, Voting, and Sexual Expression

6. Ethical Challenges in Mild, Moderate, and Severe Stages of Dementia

7. Research Ethics in Geriatric Psychiatry

Part II. Medicolegal Aspects of Geriatric Psychiatry

8. Advance Healthcare Planning

9. Surrogate Decision-Making

10. Guardianship

11. Elder Abuse

Part III. Forensic Aspects of Geriatric Psychiatry

12. Social Determinants and Mental Health Among Older Adults in the Criminal Justice System

13. Capacity to Stand Trial Evaluations for Geriatric Defendants

14. Responding to Crisis of Aging People in Prison: Global Promising Practices and Initiatives

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