Medication Overuse in Mental Health Facilities: Not the Answer, Regardless of Consent, Says Ethicist

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Medication Overuse in Mental Health Facilities: Not the Answer, Regardless of Consent, Says Ethicist
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Ethicist Art Caplan discusses the overuse of antipsychotic medications in long-term mental health facilities.

Served as a director, officer, partner, employee, advisor, consultant, or trustee for: Johnson & Johnson's Panel for Compassionate Drug Use There's a growing scandal in mental health care. Recent studies are showing that certain medications that basically are used to, if you will, quiet patients — antipsychotic drugs — are being overused, particularly in facilities that serve poorer people and people who are minorities.

California law now puts the burden on getting consent from the patient in order to use these drugs. It's not a good solution. It still permits the use of the drugs to substitute for the inability to provide adequate numbers of people to provide care in safe environments. It's almost like saying,"We know you're going into a dangerous place. We can't really reduce the danger, so we're going to make sure that you stay in your seat.

Well, the right thing to do is just to make sure they don't get hurt or injure themselves. Yes, give them the drugs.

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