Abstract
As the United States population ages, psychiatrists will have increasing requests for consultations to address legal issues involving older persons. Following an overview of competency as a distinct legal issue, specific legal issues are addressed that include hospitalization, consent or refusal of treatment, living will legislation, and guardianship and conservatorship. Relevant cases are cited.
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Selected References
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- Appelbaum P. S., Roth L. H. Competency to consent to research: a psychiatric overview. Arch Gen Psychiatry. 1982 Aug;39(8):951–958. doi: 10.1001/archpsyc.1982.04290080061009. [DOI] [PubMed] [Google Scholar]
- Folstein M., Anthony J. C., Parhad I., Duffy B., Gruenberg E. M. The meaning of cognitive impairment in the elderly. J Am Geriatr Soc. 1985 Apr;33(4):228–235. doi: 10.1111/j.1532-5415.1985.tb07109.x. [DOI] [PubMed] [Google Scholar]
- Heyman A., Wilkinson W. E., Stafford J. A., Helms M. J., Sigmon A. H., Weinberg T. Alzheimer's disease: a study of epidemiological aspects. Ann Neurol. 1984 Apr;15(4):335–341. doi: 10.1002/ana.410150406. [DOI] [PubMed] [Google Scholar]
- McKhann G., Drachman D., Folstein M., Katzman R., Price D., Stadlan E. M. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology. 1984 Jul;34(7):939–944. doi: 10.1212/wnl.34.7.939. [DOI] [PubMed] [Google Scholar]
- Meisel A., Roth L. H., Lidz C. W. Toward a model of the legal doctrine of informed consent. Am J Psychiatry. 1977 Mar;134(3):285–289. doi: 10.1176/ajp.134.3.285. [DOI] [PubMed] [Google Scholar]
- Melnick V. L., Dubler N. N., Weisbard A., Butler R. N. Clinical research in senile dementia of the Alzheimer type: suggested guidelines addressing the ethical and legal issues. J Am Geriatr Soc. 1984 Jul;32(7):531–536. doi: 10.1111/j.1532-5415.1984.tb02240.x. [DOI] [PubMed] [Google Scholar]
- Mortimer J. A., French L. R., Hutton J. T., Schuman L. M. Head injury as a risk factor for Alzheimer's disease. Neurology. 1985 Feb;35(2):264–267. doi: 10.1212/wnl.35.2.264. [DOI] [PubMed] [Google Scholar]
- Nolan B. S. Functional evaluation of the elderly in guardianship proceedings. Law Med Health Care. 1984 Oct;12(5):210–218. doi: 10.1111/j.1748-720x.1984.tb00862.x. [DOI] [PubMed] [Google Scholar]
- Peer I. N. Wills, testamentary capacity and undue influence. Bull Am Acad Psychiatry Law. 1981;9(1):15–22. [PubMed] [Google Scholar]
- Plum F. Dementia: an approaching epidemic. Nature. 1979 May 31;279(5712):372–373. doi: 10.1038/279372a0. [DOI] [PubMed] [Google Scholar]
- Rocca W. A., Amaducci L. A., Schoenberg B. S. Epidemiology of clinically diagnosed Alzheimer's disease. Ann Neurol. 1986 May;19(5):415–424. doi: 10.1002/ana.410190502. [DOI] [PubMed] [Google Scholar]
- Schram R. B., Kane J. C., Jr, Roble D. T. Law-medicine notes. "No code" orders: clarification in the aftermath of Saikewicz. N Engl J Med. 1978 Oct 19;299(16):875–878. doi: 10.1056/NEJM197810192991608. [DOI] [PubMed] [Google Scholar]
- Straker M. Adjustment disorders and personality disorders in the aged. Psychiatr Clin North Am. 1982 Apr;5(1):121–129. [PubMed] [Google Scholar]
- Sulkava R., Wikström J., Aromaa A., Raitasalo R., Lehtinen V., Lahtela K., Palo J. Prevalence of severe dementia in Finland. Neurology. 1985 Jul;35(7):1025–1029. doi: 10.1212/wnl.35.7.1025. [DOI] [PubMed] [Google Scholar]
- Wanzer S. H., Adelstein S. J., Cranford R. E., Federman D. D., Hook E. D., Moertel C. G., Safar P., Stone A., Taussig H. B., van Eys J. The physician's responsibility toward hopelessly ill patients. N Engl J Med. 1984 Apr 12;310(15):955–959. doi: 10.1056/NEJM198404123101505. [DOI] [PubMed] [Google Scholar]
- Weissman M. M., Myers J. K. Depression in the elderly: research directions in psychopathology, epidemiology, and treatment. J Geriatr Psychiatry. 1979;12(2):187–201. [PubMed] [Google Scholar]
- Wells C. Chronic brain disease: an update on alcoholism, Parkinson's disease, and dementia. Hosp Community Psychiatry. 1982 Feb;33(2):111–126. doi: 10.1176/ps.33.2.111. [DOI] [PubMed] [Google Scholar]