The PSDA and treatment refusal by a depressed older patient committed to the state mental hospital.

@article{Lee1993ThePA,
  title={The PSDA and treatment refusal by a depressed older patient committed to the state mental hospital.},
  author={Melissa A Lee and Linda K Ganzini and Ronald T Heintz},
  journal={HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues},
  year={1993},
  volume={5 5},
  pages={289-301}
}
Since 1991, the Patient Self-Determination Act (PSDA) has required all health care institutions that receive Federal funds to inform patients upon admission of their rights to make decisions about medical care and to execute advance directives. Implementation of the PSDA presents a special challenge for state mental hospitals. The relevance and possible negative therapeutic impact of discussing end of life decisions at the time of an acute psychiatric admission has recently been raised in the… CONTINUE READING