I was taking drugs and I had run away from my previous placement more than once.
Yamada, and Kenji Matsui Ethical issues of placebo-controlled studies in depression: A randomized controlled trial comparing foster care and institutionalization Romania Fair subject selection, scientific value, equipoise, risk Sana Loue Commentary by Douglas Brugge The co-occurrence of bipolar disorder and human immunodeficiency virus risk among African-American men who have sex with men United States Open in a separate window Case studies are an established teaching tool.
Ethical analyses of such cases demonstrate the relevance of ethics to the actual practice of medical research and provide paradigmatic illustrations of the application of ethical principles to particular research situations.
Concrete cases help generate and guide discussion and assist students who have trouble dealing with ethical concepts in abstraction. Through structured discussion, ethical development and decision-making skills can be enhanced.
Moreover, outside of the teaching context, case study analyses provide a means to generate and focus debate on the relevant ethical issues, which can both highlight their importance and help academic discussion to advance.
People working in mental health research can benefit most from case studies that are specific to mental health. Even though, as outlined below, many of the same ethical problems arise in mental health research as elsewhere, the details of how they arise are important.
For example, the nature of depression and the variation in effectiveness of antidepressive medication make a difference to how we should assess the ethics of placebo-controlled trials for new antidepressants. The cases in this collection highlight the commonalities and the variation in the ethical issues facing researchers in mental health around the world.
The current literature contains some other collections of ethics case studies that may be useful to mental health researchers. I note four important collections here, to which interested scholars may want to refer. Two further collections focus on mental health research, in particular.
Finally, Hoagwood et al. For teachers and academics in search of more case studies, these existing collections should be very useful. Here, we expand on the available resources with six case studies from around the world with extended ethical analyses.
The remainder of this introduction provides an overview of some of the most important ethical issues that arise in mental health research and describes some of the more significant ethics guidance documents that apply.
Ethical Issues in Mental Health Research The same principles can be applied in assessing the ethics of mental health research as to other research using human participants Emanuel et al. Concerns about the social value of research, risks, informed consent, and the fair treatment of participants all still apply.
This means that we can learn from the work done in other areas of human subjects research. However, specific research contexts make a difference to how the more general ethical principles should be applied to them.
Different medical conditions may require distinctive research designs, different patient populations may need special protections, and different locations may require researchers to respond to study populations who are very poor and lack access to health care or to significant variations in regulatory systems.
The ethical analysis of international mental health research therefore needs to be tailored to its particularities. Each case study in this collection focuses on the particular ethical issues that are relevant to the research it analyzes.
Nevertheless, some issues arise in multiple cases. For example, questions about informed consent arise in the context of research with stroke patients, with students, and with other vulnerable groups. To help the reader compare the treatment of an ethical issue across the different case studies, the ethical analyses use the same nine headings to delineate the issues they consider.
These are social value, study design, study population, informed consent, risks and benefits, confidentiality, post-trial obligations, legal versus ethical obligations, and oversight. Here, I focus on five of these ethical issues as they arise in the context of international mental health research: I close by mentioning some of the most important guidelines that pertain to mental health research.
Study Design The scientific design of a research study determines what sort of data it can generate. For example, the decision about what to give participants in each arm of a controlled trial determines what interventions the trial compares and what questions about relative safety and efficacy it can answer.Mental Health is ” used positively to indicate a state of psychological well- being, negatively to indicate its opposite (as in ‘mental health problems’) or euphemistically to indicate facilities used by, or imposed upon, people with mental health problems (as in ‘mental health services’).
MHCPMS Case Study 1 CASE STUDY Mental Health Care Patient Management System (MHCPMS) This case study is based on . Mental health; Case studies; Case studies Driving up quality in mental health care. Mental health care across the NHS in England is changing to improve the experiences of the people who use them.
In many areas, a transformation is already under way, offering people better and earlier access as well as more personalised care, whilst building. Suffolk libraries' service provides up-to-date and reliable information about mental health and Case study Mental Health and Wellbeing Information Service (MHIS).
When I arrived at New Hall I was not in a good place, my head was in a mess.
Case Studies I used to say that mental health was completely outside of my remit—but now we realise it’s strategically important to the business. Rolling out change across WHSmith. This collection presents six case studies on the ethics of mental health research, written by scientific researchers and ethicists from around the world. Mental health case studies filmed as part of the SELF project. Topics include communication, anger, sexual advances and stereotyping. Filmed by the Centre of Excellence in Interdisciplinary Mental Health (CEIMH).
I was taking drugs and I had run away from my previous placement more than once. Mental health case studies filmed as part of the SELF project. Topics include communication, anger, sexual advances and stereotyping. Filmed by the Centre of Excellence in Interdisciplinary Mental Health (CEIMH).