The Ontario experience of involuntary treatment of pediatric patients with eating disorders

被引：5
作者：
Bryden, Pier [1 ]
Steinegger, Cathleen [2 ]
Jarvis, Daphne [3 ]
机构：
[1] Hosp Sick Children, Dept Psychiat, Toronto, ON M5G 1X8, Canada
[2] Hosp Sick Children, Div Adolescent Med, Toronto, ON M5G 1X8, Canada
[3] Gervais LLP, Ladner, Borden, Toronto, ON, Canada
来源：
INTERNATIONAL JOURNAL OF LAW AND PSYCHIATRY | 2010年 / 33卷 / 03期
关键词：
Eating disorders; Pediatric patients; Ontario Involuntary treatment; Consent and capacity; Consent and capacity board; ANOREXIA-NERVOSA; COMPULSORY TREATMENT; COERCION; COMPETENCE;
D O I：
10.1016/j.ijlp.2010.03.002
中图分类号：
D9 [法律]; DF [法律];
学科分类号：
0301 ;
摘要：
In this paper, the authors (two clinicians with specialized practices in child and adolescent eating disorders and a lawyer who practices health law in Ontario, Canada) review pertinent aspects of clinical capacity assessment, with elaboration of the specific unique and complex issues which shape that assessment in children and adolescents with eating disorders. The relevant Ontario legislation and institutional framework governing consent and capacity in children and adolescents are reviewed. The literature on involuntary treatment and consent and capacity in patients with eating disorders is reviewed. Specific cases involving child and adolescent patients with eating disorders that have been heard by the Ontario Consent and Capacity Board (OCCB) in the past decade are discussed in order to elucidate the Board's views of consent and capacity in this vulnerable and challenging patient population. Strategies to support clinicians' therapeutic alliances with their patients while both are going through what can be a lengthy and potentially adversarial-seeming legal process are also discussed. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码：138 / 143
页数：6
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