Abstract
Litigation, particularly in the United States, has resulted in the establishment of a number of legal rights regarding the administration of psychoactive medication to individuals with developmental disabilities. During the last 15 years, courts have fashioned rules and standards for regulating psychoactive drug use, particularly in institutional settings. Although there is general agreement among numerous jurisdictions that high professional standards be mandated for drug use, there remain substantial differences concerning the circumstances under which such medication may be administered to refusing individuals or to persons incapable of giving an informed, competent consent. The author reviews these legal developments and suggests four general principles for regulating the administration of psychoactive drugs to people of questionable competence.
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References
Abbott, M., Dawson, J., Haines, H., Hessey, E., McBride, T., & Maule, R. ( 1983, December). Towards mental health law reform: Report of the Legal Information Service/Mental Health Foundation Task Force on Revision of Mental Health Legislation, Mental Health Foundation of New Zealand.
Aman, M.G. (1984). Drugs and learning in mentally retarded persons. In G.D. Burrows & J.S. Werry (Eds.), Advances in human psychopharmacology (Vol. 3, pp. 121–163 ). Greenwich, CT: JAI Press.
American Association on Mental Deficiency. (1973–75). Rights of mentally retarded persons. Washington, DC: AAMD Council.
Annas, G.J. (1975). The rights of hospital patients. New York: Discus/Avon.
Appelbaum, P.S., & Hoge, S.K. (1986). Empirical research on the effects of legal policy on the right to refuse treatment. In D. Rapoport & J. Parry (Eds.), The right to refuse antipsychotic medication (pp. 87–97 ). Washington, DC: American Bar Association’s Commission on the Mentally Disabled.
Arkin, H.R. (1984). Forcible administration of antipsychotic medication: State Iaws. Journal of the American Medical Association, 144, 2620–2621.
Ayd, F. (1973). Rational pharmacotherapy: Once-a-day drug dosage. Diseases of the Nervous System, 34, 371–378.
Beck, J.C. (1987). Right to refuse antipsychotic medication: Psychiatric assessment and legal decision-making. Mental and Physical Disability Law Reporter, 11, 368–372.
Beyer, H.A. (1983). Litigation with the mentally retarded. In. J. Matson & J. Mulick (Eds.), Handbook of mental retardation (pp. 79–93 ). New York: Pergamon Press.
Brakel, S., & Rock, R. (Eds.). (1971). The mentally disabled and the law. (rev. ed.). Chicago: University of Chicago Press.
Bregman, S. (1984). Assertiveness training for mentally retarded adults. Mental Retardation, 22, 12–16.
Brooks, A.D. (1980). The constitutional right to refuse antipsychotic medication. Bulletin of the American Association of Psychology and Law, 8, 179–221.
Brooks, A.D. (1987). The right to refuse antipsychotic medication: Law and policy. Rutgers Law Review, 39, 339–376.
Dunphy, S.M., & Cross, J.H. (1987). Medical decision making for incompetent persons: The Massachusetts substituted judgment model. Western New England Law Review, 9, 153–167.
Floor, L., & Rosen, M. (1975). Investigating the phenomenon of helplessness in mentally retarded adults. American Journal of Mental Deficiency, 79, 565–572.
Gill, M.J. (1982). Side effects of a right to refuse treatment lawsuit: The Boston State Hospital experience. In A.F. Doudera & J.P. Swazey (Eds.), Refusing treatment in mental health institutions: Values in conflict (pp. 81–87 ). Ann Arbor, MI: AUPHA Press.
Gordon, R.M., & Verdun-Jones, S.N. (1983). The right to refuse treatment: Commonwealth developments and issues. International Journal of Law and Psychiatry, 6, 57–73.
Gordon, R.M., & Verdun-Jones, S.N. (1986). The impact of the Canadian Charter of Rights and Freedoms upon Canadian mental health law: The dawn of a new era or business as usual? Law, Medicine & Health Care, 14, 190–197.
Gostin, L. (1982). A review of the Mental Health (Amendment) Act: III. The legal position of patients while in hospital. New Law Journal, 1199–1202.
Gostin, L. (1986). Mental health services-law and practice. London: Shaw & Sons.
Gualtieri, C.T., Sprague, R.L., & Cole, J.O. (1986). Tardive dyskinesia litigation and the dilemmas of neuroleptic treatment. Journal of Psychiatry & Law, 14, 187–216.
Gutheil, T.G., & Appelbaum, P. (1983). “Mind control,” “synthetic sanity,” “artificial competence,” and genuine confusion: Legally relevant effects of antipsychotic medication. Hofstra Law Review, 12, 77–120.
Gutheil, T.G., & Appelbaum, P.S. (1985). The substituted judgment approach: Its difficulties and paradoxes in mental health settings. Law, Medicine & Health Care, 13, 61–64.
Gutheil, T.G., Shapiro, R., & St. Clair, R.L. (1980). Legal guardianship in drug refusal: An illusory solution. American Journal of Psychiatry, 137, 347–352.
Hargreaves, W.A., Shumway, M., Knutsen, E.J., Weinstein, A., & Senter, N. (1987). Effects of the Jamison-Farabee consent decree: Due process protection for involuntary psychiatric patients treated with psychoactive medication. American Journal of Psychiatry, 144, 188–192.
Hoge, S.K., Gutheil, T.G., & Kaplan, E. (1987). The right to refuse treatment under Rogers v. Commissioner: Preliminary empirical findings and comparisons. Bulletin of the American Academy of Psychiatry & Law, 15, 163–169.
International League of Societies for the Mentally Handicapped. ( 1968, October). Declaration of General and Special Rights of the Mentally Retarded. Brussels, Belgium: ILSMH.
Kirby, M. (1983). On talking about ethics. Australian Paediatric Journal, 19, 208–209.
McNamara, P. (1980). Psychopharmacotherapy in South Australia. Adelaide Law Review, 7, 323–347.
Onek, Klein, & Farr Law Firm. (1985). Selected legal problems in the practice of psychiatry. Washington, DC: American Psychiatric Association.
Peay, J. (1986). The Mental Health Act 1983 (England and Wales): Legal safeguards in limbo. Law, Medicine A Health Care 14, 180–189.
Plotkin, R. (1977). Limiting the therapeutic orgy: Mental patients’ right to refuse treatment. Northwestern University Law Review, 72, 461–525.
Plotkin, R., & Gill, K.R. (1979). Invisible manacles: Drugging mentally retarded people. Stanford Law Review, 31, 637–678.
President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. (1982). Making health care decisions: A report on the ethical and legal implications of informed consent in the patient-practitioner relationship. Washington, DC: U.S. Government Printing Office.
Rapoport, D, & Parry, J. (Eds.). (1986). The right to refuse antipsychotic medication: A monograph including the perspectives of legal and clinical specialists based on papers presented at an ABA Presidential Showcase panel program. Washington, DC: American Bar Association’s Commission on the Mentally Disabled.
Rodenhauser, P., Schwenkner, C.E., & Khamis, H.J. (1987). Factors related to drug treatment refusal in a forensic hospital. Hospital & Community Psychiatry, 38, 631–637.
Rosen, M., Floor L., & Zisfein, L. (1974). Investigating the phenomenon of acquiescence in the mentally handicapped. British Journal of Mental Subnormality, 20, 56–68.
Schatzberg, A.F., & Cole, J.O. (1986). Manual of clinical psychopharmacology. Washington, DC: American Psychiatric Press.
Schwartz, S.J. (1986). Equal protection in medication decisions: Informed consent, not just the right to refuse. In D. Rapoport & J. Parry (Eds.), The right to refuse antipsychotic medication (pp. 74–79 ). Washington, DC: American Bar Association’s Commission on the Mentally Disabled.
Sigelman C., Budd, E.C., Spanhel, C.L. & Schoenrock, C.J. (1981). When in doubt, say yes: Acquiescence in interviews with mentally retarded persons. Mental Retardation, 19, 53–58.
Sovner, R. (1986). Assessing the quality of a psychotropic drug regimen. In D. Rapoport & J. Parry (Eds.), The right to refuse antipsychotic medication (pp. 48–57 ). Washington, DC: American Bar Association’s Commission on the Mentally Disabled.
Sprague, R.L., & Baxley, G.B. (1978). Drugs for behavior management, with comment of some legal aspects. In J. Wortis (Ed.), Mental retardation and developmental disabilities (Vol. 10, pp. 92–129 ). New York: Brunner/Mazel.
Stone, A.A. (1984). Law, psychiatry, and morality: Essays and analysis. Washington, DC: American Psychiatric Press.
Stone, A.A. (1984–85). Judges as medical decision makers: Is the cure worse than the disease? Cleveland State Law Review, 33,579–592
United Cerebral Palsy Association. ( 1973, May). A Bill of Rights for the handicapped. Washington DC: UCPA Annual conference.
United Nations. (1948). Resolution of the General Assembly,Dec. 10, 1948, #217, 3 GAOR (A/810).
United Nations. (1972). Resolution of the General Assembly,Jan. 21, 1972, Agenda Item #12 [A/Res/2856()OXVI)].
United Nations. (1975). Resolution of the General Assembly,Dec. 9. 1975 [A/ 10284/Add.1(X)X)].
Veatch, R.M. (1984). Limits of guardian treatment refusal: A reasonableness standard. American Journal of Law and Medicine, 9, 427–468.
Veliz, J., & James, W.S. (1987). Medicine court: Rogers in practice. American Journal of Psychiatry, 144, 62–67.
Verdun-Jones, S.N. (1986). The dawn of a “new legalism” in Australia? The New South Wales Mental Health. Act, 1983 and related legislation. International Journal of Law and Psychiatry, 8, 95–118.
Wexler, D.B. (1982). Seclusion and restraint: Lessons from law, psychiatry, and psychology. International Journal of Law and Psychiatry, 5, 285–294.
Winick, B.J. (1986). The right to refuse psychotropic medication: Current state of the law and beyond. In D. Rapoport & J. Parry (Eds.), The right to refuse anti-psychotic medication (pp. 7–31 ). Washington, DC: American Bar Association’s Commission on the Mentally Disabled.
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Beyer, H.A. (1988). Litigation and Use of Psychoactive Drugs in Developmental Disabilities. In: Aman, M.G., Singh, N.N. (eds) Psychopharmacology of the Developmental Disabilities. Disorders of Human Learning, Behavior, and Communication. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8774-9_2
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DOI: https://doi.org/10.1007/978-1-4613-8774-9_2
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