Decisional capacity in mental illness and substance use disorders: Empirical database and policy implications
Decisional capacity in mental illness and substance use disorders: Empirical database and policy implications
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DOI：
10.1002/bsl.707
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发表时间：
2006-01-01
影响因子：
1.4
通讯作者：
Saks, Elyn
中科院分区：
文献类型：
--
作者：
Jeste, Dilip V.;Saks, Elyn
关于精神疾病或物质使用障碍患者的决策能力的辩论往往很激烈。然而，它们往往不是基于经验数据，而是基于个人意见和经验。这方面的经验数据库相当有限，但近年来一直在增长。以下讨论重点关注相关临床研究。我们考虑了不同诊断之间和内部的差异，决策障碍，评估能力的方法-访谈与工具，从不同的能力工具中选择，决策能力-它是一种状态还是一种特质？评估决策能力的触发因素，增强能力的方法，以及物质使用障碍患者的决策能力。最后，我们讨论了一些相关的卫生政策建议。版权所有（c）2006年约翰威利圣儿子有限公司。
Debates on decisional capacity in people with mental illnesses or substance use disorders have tended to be heated. Yet, they are often based not on empirical data but on personal opinions and experiences. The empirical database in this area is quite limited, but has been growing in recent years. The following discussion focuses on relevant clinical investigations. We consider variations across and within different diagnoses, barriers to decision-making, methods for assessing capacity-interview versus instruments, choosing from among different capacity instruments, decisional capacity-is it a state or a trait?, triggers for assessment of decisional capacity, methods for enhancing capacity, and decisional capacity in people with substance use disorders. Finally, we discuss some relevant health policy recommendations. Copyright (c) 2006 John Wiley St Sons, Ltd.