Journal article

Mental capacity in psychiatric patients

David Okai, Gareth Owen, Hugh McGuire, Swaran Singh, Rachel Churchill, Matthew Hotopf

BRITISH JOURNAL OF PSYCHIATRY | ROYAL COLLEGE OF PSYCHIATRISTS | Published : 2007

Abstract

BACKGROUND: Mental capacity is central to legal and ethical debates on the use of compulsion in psychiatry. AIMS: To describe the clinical epidemiology of mental incapacity in patients with psychiatric disorders, including interrater reliability of assessments, frequency in the psychiatric population and associations of mental incapacity. METHOD: Cross-sectional studies of capacity to consent to treatment for psychiatric patients were systematically reviewed from Medline, EMBASE and PsycInfo databases. Information on the reliability of assessments, frequency and associations of mental incapacity was extracted. RESULTS: Out of 37 papers reviewed, 29 different capacity assessment tools were id..

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