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Reconceptualizing involuntary outpatient psychiatric treatment: From “capacity” to “capability”

journal contribution
posted on 30.03.2022, 03:59 by Edwina M Light, Michael D Robertson, Ian H Kerridge, Philip Boyce, Terry Carney, Alan Rosen, Michelle ClearyMichelle Cleary, Glenn E Hunt, Nick O’Connor
Justifying involuntary psychiatric treatment on the basis of a judgment that a person lacks capacity is controversial because there are questions about the meaning and utility of the concept in this context. There are complexities to using capacity in this way, which are further amplified in the community outpatient setting compared with acute inpatient care. A richer account of capacity, its meanings, and practical applications in context, is required. This qualitative study sought to build inductively a model of capacity in the context of involuntary outpatient psychiatric treatment, based on 38 interviews with stakeholders from New South Wales, Australia. The emergent model incorporates multiple “capacities”: to manage illness, for self-care, and to maintain social roles. It identifies core values that correspond with the “capabilities approach,” elaborating the justifications and processes of involuntary outpatient psychiatric treatment. This proposed model of ”capability“ may have a range of benefits to sound and ethical practice and scrutiny of systems of involuntary outpatient treatment.

Funding

Category 2 - Other Public Sector Grants Category

History

Volume

23

Issue

1

Start Page

33

End Page

45

Number of Pages

16

eISSN

1086-3303

ISSN

1071-6076

Publisher

The Johns Hopkins University Press

Language

en

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

University of Central Lancashire, Uk; University of Sydney; University of Sydney

Era Eligible

Yes

Journal

Philosophy, Psychiatry and Psychology