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Forensic Issues and Caregivers of the Elderly 

Forensic Issues and Caregivers of the Elderly
Chapter:
Forensic Issues and Caregivers of the Elderly
Author(s):

Gary Epstein-Lubow

and Elizabeth Tobin-Tyler

DOI:
10.1093/med/9780199374656.003.0011
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date: 22 May 2019

Providing patient-centered care for an elderly individual with a mental health condition requires clinicians and family caregivers to work together. This chapter provides a description of a mental health treatment model, the triadic model of caregiving, in which service delivery for a patient includes clinicians communicating with family members or caregivers. Description of the mental health workforce to support patient-centered care is provided along with laws and policies that support family caregivers in their aid of patients. The associated legal responsibilities and ethical issues related to working with patients who have impaired decision-making capacity due to a mental health or substance use condition are explained, including capacity, competence, informed consent, advance care planning, guardianship, fiduciary responsibilities, and ethical concerns.

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