Legal and Ethical Challenges in the Psychiatric Treatment of College Students

被引:6
作者
Conrad, Rachel [1 ]
机构
[1] Brigham & Womens Hosp, Dept Psychiat, 75 Francis St, Boston, MA 02115 USA
关键词
Medical ethics; Forensic psychiatry; Decision-making capacity; College mental health; Transitional age youth; Safety risk assessment; MENTAL-HEALTH; DUTY; TARASOFF; DEPRESSION; UNIVERSITY; CARE;
D O I
10.1007/s11920-020-01168-x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of ReviewThis article will examine issues of autonomy, privacy, decision-making, and voluntariness of the psychiatric treatment of college students. There is little consensus on balancing the individual student's rights with the university's duties. Conflicts between federal legislation, case law, and ethical recommendations will be explored.Recent FindingsLandmark legal cases assert that universities have a specific duty to protect their students from both violent peers and suicide.SummaryCollege students are vulnerable to a range of psychiatric symptoms but have low rates of adherence to psychiatric treatment. Many institutions require an urgent psychiatric evaluation when there is evidence that a student is at imminent risk of danger, and some may require psychiatric treatment as a condition of returning to either classes or dormitories. Legally, patients are entitled to privacy and autonomous medical decision-making at 18 years of age. Pragmatically, dependence on parents and university for basic resources limits both the privacy and the voluntariness of their treatment.
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页数:4
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共 29 条
  • [1] Adi A., 2018, American Journal of Psychiatry Residents' Journal, V13, P6, DOI [DOI 10.1176/APPI.AJPRJ.2018.130402, 10.1176/appi.ajp-rj.2018.130402, DOI 10.1176/APPI.AJP-RJ.2018.130402]
  • [2] Twenty years after Tarasoff: Reviewing the duty to protect
    Anfang, SA
    Appelbaum, PS
    [J]. HARVARD REVIEW OF PSYCHIATRY, 1996, 4 (02) : 67 - 76
  • [3] [Anonymous], 2019, PRINCIPLES BIOMEDICA
  • [4] APPELBAUM PS, 1990, AM J PSYCHIAT, V147, P127
  • [5] Mental Health of College Students and Their Non-College-Attending Peers Results From the National Epidemiologic Study on Alcohol and Related Conditions
    Blanco, Carlos
    Okuda, Mayumi
    Wright, Crystal
    Hasin, Deborah S.
    Grant, Bridget F.
    Liu, Shang-Min
    Olfson, Mark
    [J]. ARCHIVES OF GENERAL PSYCHIATRY, 2008, 65 (12) : 1429 - 1437
  • [6] Psychiatric Symptoms and Diagnoses Among US College Students: A Comparison by Race and Ethnicity
    Chen, Justin A.
    Stevens, Courtney
    Wong, Sylvia H. M.
    Liu, Cindy H.
    [J]. PSYCHIATRIC SERVICES, 2019, 70 (06) : 442 - 449
  • [7] Draper H, 2001, PRACTICAL DECISION M
  • [8] Help Seeking for Mental Health on College Campuses: Review of Evidence and Next Steps for Research and Practice
    Eisenberg, Daniel
    Hunt, Justin
    Speer, Nicole
    [J]. HARVARD REVIEW OF PSYCHIATRY, 2012, 20 (04) : 222 - 232
  • [9] Gallagher R., 2012, National survey of college counseling
  • [10] Depression, desperation, and suicidal ideation in college students: Results from the American Foundation for Suicide Prevention College Screening Project at Emory University
    Garlow, Steven J.
    Rosenberg, Jill
    Moore, J. David
    Haas, Ann P.
    Koestner, Bethany
    Hendin, Herbert
    Nemeroff, Charles B.
    [J]. DEPRESSION AND ANXIETY, 2008, 25 (06) : 482 - 488