Reconceptualizing involuntary outpatient psychiatric treatment: From "Capacity" to "Capability"
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Open Access
Type
ArticleAuthor/s
Light, ERobertson, M
Kerridge, I
Boyce, P
Carney, T
Rosen, A
Cleary, M
Hunt, G
O'Connor, N
Abstract
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 ...
See moreJustifying 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.
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See moreJustifying 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.
See less
Date
2016-01-01Publisher
Johns Hopkins University PressCitation
Light, E. M., M. D. Robertson, I. H. Kerridge, P. Boyce, T. Carney, A. Rosen, M. Cleary, G. E. Hunt and N. O'Connor (2016). "Reconceptualizing involuntary outpatient psychiatric treatment: From" Capacity" to" Capability"." Philosophy, Psychiatry, & Psychology 23(1): 33-45. Available at https://muse.jhu.edu/article/629602Share