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Psychiatric consent in emergency situations

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2022. Sujet(s) : Ressources en ligne : Abrégé : Considering consent to care in the context of psychiatric emergencies could enable us to compare the exigencies of the restricted time of emergency care with a more evolutive process. However, it may be harmful to limit oneself to a purely formal or superficial consent from a poorly informed patient, as may be the case in forced care, without taking the time to support the family. Emergency units remain a place where the information provided should allow a better adherence to care, strengthened by informed consent and accompanied by medical staff, despite the reality of forced care in psychiatric emergency units, which can only be decided upon with strong arguments. We face these issues daily at the Psychiatric Orientation and Reception Center (Centre Psychiatrique d’Orientation et d’Accueil, CPOA) of Sainte-Anne Hospital, where we have tried to set up a space that can help the patient reflect on our suggestions and care offers. Our aim is to inform but also to support those who ask for help in understanding this information, so that at the end of their care they can be sure that all the means have been deployed to acquire either consent or refusal. This approach urges physicians and their teams to have a clear position and real commitment, foregoing a false neutrality that may signal more an abdication of responsibility than true objectivity.
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Considering consent to care in the context of psychiatric emergencies could enable us to compare the exigencies of the restricted time of emergency care with a more evolutive process. However, it may be harmful to limit oneself to a purely formal or superficial consent from a poorly informed patient, as may be the case in forced care, without taking the time to support the family. Emergency units remain a place where the information provided should allow a better adherence to care, strengthened by informed consent and accompanied by medical staff, despite the reality of forced care in psychiatric emergency units, which can only be decided upon with strong arguments. We face these issues daily at the Psychiatric Orientation and Reception Center (Centre Psychiatrique d’Orientation et d’Accueil, CPOA) of Sainte-Anne Hospital, where we have tried to set up a space that can help the patient reflect on our suggestions and care offers. Our aim is to inform but also to support those who ask for help in understanding this information, so that at the end of their care they can be sure that all the means have been deployed to acquire either consent or refusal. This approach urges physicians and their teams to have a clear position and real commitment, foregoing a false neutrality that may signal more an abdication of responsibility than true objectivity.

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