Moral Decision-Making among Assertive Community Treatment (ACT) Case Managers: A Focus Group Study

Birgitte Lerbæk, Jørgen Aagaard, Mette Braendstrup Andersen, Niels Buus

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review

Abstract

The context of care in assertive community treatment (ACT) can
be precarious and generate ethical issues involving the principles
of autonomy and paternalism. This focus group study examined
case managers’ situated accounts of moral reasoning. Our findings
show how they expressed strong moral obligation towards
helping the clients. Their moral reasoning reflected a paternalistic
position where, on different occasions, the potential benefits of
their interventions would be prioritised at the expense of protecting
the clients’ personal autonomy. The case managers’ reasoning
emphasised situational awareness, but there was a risk of supporting
paternalistic interventions and denying the clients’ right to
autonomy.
OriginalsprogEngelsk
TidsskriftIssues in Mental Health Nursing
Vol/bind36
Udgave nummer9
Sider (fra-til)659-668
Antal sider10
ISSN0161-2840
DOI
StatusUdgivet - 2015

Emneord

  • psykiatri
  • fokusgrupper

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