Consent and long‐term neuroleptic treatment

Abstract

The involvement of clients in the process of developing their care and treatment package is well established. If a genuine collaboration in treatment is achieved one of the fundamental bases of this process lies with 'informed consent'. Neuroleptic medication forms the basis of relapse prevention treatment for people suffering from schizophrenia with non-adherence to treatment seen as the largest cause of relapse. This paper reviews the complex and difficult issues in obtaining informed consent for this client group from within the context of the nurse's role and the problems that arise as a consequence of the blurring of professional boundaries. Throughout the paper reference is made to the expectations made by the UKCC, which provides clarification of nurses' practice in this area.

A best‐evidence synthesis review of the administration of psychotropic pro re nata (PRN) medication in in‐patient mental health settings

“…Thirdly, there appears to be a continued reliance on typical antipsychotic medications. These drugs cause numerous potential severe and dangerous side effects (Harris et al. 2002).…”

Iatrogenic sexual dysfunction and the protective withholding of information: in whose best interest?

“…Contemporary policy documents have emphasized the need for people to be actively involved in their care [Government of Ireland 2001, 2006, Mental Health Commission (Irl) 2005]. Engaging service users in collaborative discussion about drug treatment is a core aspect of informed consent (Laugharne & Brown 1998, Usher & Arthur 1998, Harris et al . 2002) and central to the current emphasis on concordance (Gray et al .…”

Neuroleptic medication and sexuality: the forgotten aspect of education and care

“…In a world where neuroleptic medication forms part of the treatment of people with mental distress, we need to respond to their request for information in a more comprehensive manner; not because we wish to increase ‘compliance’, or because the statutory or state body states that it is part of our role, but because we truly believe in the right of people to be informed and make informed decisions. In order for choice to be voluntary it must be given in the absence of ‘duress’, coercion, control or influence (Harris et al . 2002).…”