The Scattergood Program for Applied Ethics of Behavioral Health Care is housed in the Department of Medical Ethics & Health Policy at the University of Pennsylvania. The ScattergoodEthics Program aims to elevate the national conversation about the ethics of research, treatment, and delivery of behavioral health care.
Some of the most ethically challenging cases in mental health care involve providing treatment to individuals who refuse that treatment. Although it has become both a clinical colloquialism and legal touchstone, the concept of involuntary treatment is used imprecisely to describe all instances in which a patient has refused the treatment he or she subsequently receives.
JAMA. Published online August 24, 2017. doi:10.1001/jama.2017.10318
Check out resources & read the original issue of Fact Magazine that sparked today's controversy about psychiatrists speculating about the mental health of public figures. Find interviews on the intersection of politics, psychiatry, and ethics and a number of resources related to the Goldwater Rule in the context of the 2016 election.
“The presidency is supposed to age the president, not the public.” And with that Jon Stewart, former host of the Daily Show and comic genius, touched on an overlooked but very serious public health question.
The Scattergood Program for the Applied Ethics of Behavioral Health Care (ScattergoodEthics) is housed within the Department of Medical Ethics & Health Policy at the Perelman School of Medicine of the University of Pennsylvania.
ScattergoodEthics is dedicated to education, research, and resource development for the field of psychiatric, mental, and behavioral healthcare ethics. The program engages in scholarly research, trains and educates clinicians and scholars in mental and behavioral healthcare ethics, sponsors programs and public events, and promotes and advocates for greater attention to the ethical dimensions of diagnosis and treatment. ScattergoodEthics is funded in large part by the Thomas Scattergood Behavioral Health Foundation.
A shadow health care system now exists behind bars in the US, with a substantial amount of behavioral health care delivered there.
There are approximately 2.6 million people incarcerated in the US, which equates, by far, to the world’s highest incarceration rate (~700/100,000 people). It is estimated that 50% of inmates of jails and prisons have a mental illness, and 15-20% have a serious mental illness.
By convening an interdisciplinary research group that includes bioethicists, clinicians, prison reform advocates, and (at least) one former inmate, we will develop a novel line of bioethics research to examine ethics and policy questions in correctional mental health care.
This project is funded by the Leonard Davis Institute of Health Economics at the University of Pennsylvania
The ScattergoodEthics Program, in collaboration with the APA Ethics Committee and St. Elizabeth's Hospital, has organized and sponsored a multi-session ethics track for the Annual Meeting of the APA.
The 2017 ethics track includes 13 sessions, led by nationally and globally renowned scholars, including:
"The Goldwater Rule: Pro and Con"
"The Battle Over Involuntary Psychiatric Care"
"A Hippocratic Oath for Global Mental Health"
"Informed About Informed Consent: Toward a Model Graduate Medical Curriculum"
"Navigating Online Professionalism and Social Media Personas: Principles and Practical Solutions for Training and Practice"
"Rethinking “Trust” in Culture and Psychiatric Practice"
View the Full Program
Philly.com | "'13 Reasons Why' a failed attempt at reducing stigma surrounding mental illness" | July 28, 2017 | Read the Article
The Public's Health | Waking up about sleep: A public health need, overlooked | September 7, 2016 | Read the Aricle
The Philadelphia Inquirer | Why should behavioral health care be any different? | June 29, 2016 | Read Article
WHYY's The Pulse | We're at a point of historic reckoning on standards for behavioral health care | June 17, 2016 | Listen
New York Times | Psychiatric Institutions Are a Necessity | May 9, 2016 | Read Essay
WHYY Newsworks | Group of ethicists to examine mental health care behind bars | March 7, 2016 | Read Article
The PSEEN Initiative aims to indentify and examine ethical and policy issues generated by rapidly advancing technoligies that will allow early detection and possibly prevention of psychosis spectrum disorders.
In partnership with the Neuropsychiatry Section in Penn's Department of Psychiatry, we will approach these issues along two research tracks: empirical bioethics and normative analysis.
Key problems to be addressed by this initiative will be to clarify the concept of prodromal psychosis and examine derivative ethical challenges, such as appropriate disclosure of risk information, mitigating stigma, and respecting the autonomy of adolescents as transitional decision makers.
The PSEEN Initiative is supported a grant from the Greenwall Foundation.
MARCH 23, 2017 | Grand Rounds in Psychiatry, Steven Sharfstein: "The Case for Caring Coercion" | The University of Pennsylvania
FEBRUARY 8, 2017 | Ground Rounds in Psychiatry, Dominic Sisti: "Bioethics Behind Bars: Addressing the Mental Health Care Crisis in Jails and Prisons" | Temple University Lewis Katz School of Medicine
DECEMBER 21, 2016 | Research Seminar in Population Health, Dominic Sisti: "Bioethics Behind Bars: Ethical Challenges in Jail and Prision Mental Health Care" | NYU Langone School of Medicine
APRIL 21, 2016 | Grand Rounds in Psychiatry: Giving Aslyum? Ethical Issues in Long-Term Psychiatric Care | The University of Pennsylvania
JANUARY 21, 2016 | Giving Asylum? The Ethics of Long-Term Care for People with Severe Mental Illness | The Institute of Living, Hartford Hospital | Hartford, CT
JULY 22, 2015 | A Debate on Treating Mental Illness: Should We Bring Back Asylums? | The Commonwealth Club of San Francisco | Listen