Ethical Imperatives for Participation in Integrated/Collaborative Care Models for Pediatric Mental Health Care - 17/09/21

Doi : 10.1016/j.chc.2021.06.001

Shannon L. Mazur, DO, MA ^a,^⁎ , Gail A. Edelsohn, MD, MSPH ^b, Peter A. DePergola, PhD, MTS ^c,^d,^e, Barry D. Sarvet, MD, DFAPA ^f
^a Department of Psychological Medicine, Yale New Haven Hospital, 20 York Street, Fitkin 607, New Haven, CT 06510, USA
^b Community Care Behavioral Health Organization, UPMC Insurance Services Division, 1 East Uwchlan Avenue, Suite 311, Exton, PA 19341, USA
^c Department of Medicine, University of Massachusetts Medical School – Baystate, 759 Chestnut Street, Daly 6100B, Springfield, MA 01199, USA
^d Department of Bioethics and Medical Humanities, College of Our Lady of the Elms, 291 Springfield Street, Chicopee, MA 01013, USA
^e St. Augustine Center for Ethics, Religion, and Culture, College of Our Lady of the Elms, 291 Springfield Street, Chicopee, MA 01013, USA
^f Department of Psychiatry, University of Massachusetts Medical School – Baystate, 759 Chestnut Street, WG703, Springfield, MA 01199, USA

^∗Corresponding author.

Résumé

The significant and ongoing shortage of child and adolescent psychiatrists has limited access to mental health care in the pediatric population. In response to this problem, integrated/collaborative care models have been established. These models, as all imperfect things in medicine, have their own set of challenges. A careful ethical analysis of integrated/collaborative care models is essential to protect the social and emotional health and safety of children with mental illness. To this end, ethical assessment supports the use of integrated/collaborative care models, and recent studies have demonstrated the benefits of their implementation.

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Keywords : Collaborative care, Integrated care, Ethics, Mental health, Pediatric, Behavioral health

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Introduction

Ethical considerations

Social Justice

Informed Consent

The Principles of Proportionate Reason

Ethical Responsibility Within an Imperfect Model

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Vol 30 - N° 4

P. 697-712 - octobre 2021 Retour au numéro

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Ethical Imperatives for Participation in Integrated/Collaborative Care Models for Pediatric Mental Health Care - 17/09/21

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