期刊
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
卷 49, 期 6, 页码 986-1003出版社
SPRINGER
DOI: 10.1007/s10488-022-01212-3
关键词
Informed Consent by Minors; Classification; Legislation as Topic; Psychotropic Drugs; Child Welfare
资金
- Patient Centered Outcomes Research Institute(R) (PCORI(R)) Award [IHS-140923194]
- Agency for Healthcare Research and Quality (AHRQ) [1R36 HS02198501, 1R01HS026001]
- W.T. Grant Foundation
- National Center for Advancing Clinical and Translational Sciences at the National Institute of Health [UL1TR003017]
Active participation of youth and surrogate decision-makers in providing informed consent and assent for mental health treatment is critical. However, the procedural elements of an informed consent process, particularly for youth in child welfare custody, are not well defined. This study proposes a taxonomy for the procedural elements of informed consent policies based on child welfare policies and examines whether state formal policies endorse these elements. The findings suggest a need for further research and consensus to set best practices and guide policymakers in improving transparency and accountability for informed consent of mental health treatment among youth in child welfare custody.
Active participation of youth and surrogate decision-makers in providing informed consent and assent for mental health treatment is critical. However, the procedural elements of an informed consent process, particularly for youth in child welfare custody, are not well defined. Given calls for psychotropic medication oversight for youth in child welfare custody, this study proposes a taxonomy for the procedural elements of informed consent policies based upon formal and informal child welfare policies and then examines whether enacted state formal policies across the United States endorsed these elements. A sequential multi-method study design included: (1) semi-structured interviews with key informants (n = 58) primarily from state child welfare agencies to identify a taxonomy of procedural elements for informed consent of psychotropic medications and then (2) a legislative review of the 50 states and D.C. to characterize whether formal policies endorsed each procedural element through February 2022. Key informants reported five procedural elements in policy, including how to: (1) gather social and medical history, (2) prescribe the medication, (3) authorize its use through consent and youth assent, (4) notify relevant stakeholders, and (5) routinely review the consenting decision. Twenty-three states endorsed relevant legislation; however, only two states specified all five procedural elements. Additionally, the content of a procedural element, when included, varied substantively across policies. Further research and expert consensus are needed to set best practices and guide policymakers in setting policies to advance transparency and accountability for informed consent of mental health treatment among youth in child welfare custody.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据