A national survey of ethics committees in state mental hospitals

Patricia Backlar, Bentson McFarland

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

In June 1992, a national mail survey was directed to 204 state inpatient psychiatric institutions. This study was implemented following the 1992 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement that hospitals put in place some means with which to address ethical issues. The goals of the study were: 1. to examine state mental hospital characteristics and their response to the JCAHO requirements; 2. to describe healthcare ethics committee (HEC) composition, function, and role; 3. to study patient and family access to a HEC; and 4. to discover ethical issues most frequently addressed. The survey response rate was 71%. Of the 145 responders, 62 had HECs in place, and 53 were in the process of implementing HECs. There were no differences between JCAHO accredited institutions and non-accredited facilities with regard to having HECs. Physicians accounted for 22% of HEC membership, followed by nurses (15%), and administrators (12%). Twenty-six percent of facilities systematically notified patients about existence of the HEC; 71% of facilities had no patient request for HEC services in the last year. A patient's danger to others, and resuscitation policy were issues most frequently (23%) heard by HECs.

Original languageEnglish (US)
Pages (from-to)272-288
Number of pages17
JournalHEC Forum
Volume5
Issue number5
DOIs
StatePublished - Sep 1993
Externally publishedYes

Fingerprint

mental hospital
Ethics Committees
State Hospitals
Psychiatric Hospitals
Joint Commission on Accreditation of Healthcare Organizations
moral philosophy
Delivery of Health Care
accreditation
Ethics
psychiatric institution
Resuscitation Orders
Committee Membership
Organization and Institution
Nurse Administrators
mail survey
Postal Service
Psychiatry
Inpatients
nurse
physician

Keywords

  • access to HECs
  • state mental hospital HECs

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Pathology and Forensic Medicine

Cite this

A national survey of ethics committees in state mental hospitals. / Backlar, Patricia; McFarland, Bentson.

In: HEC Forum, Vol. 5, No. 5, 09.1993, p. 272-288.

Research output: Contribution to journalArticle

Backlar, Patricia ; McFarland, Bentson. / A national survey of ethics committees in state mental hospitals. In: HEC Forum. 1993 ; Vol. 5, No. 5. pp. 272-288.
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