Skip to main content
×
×
Home

An ethical dilemma in the learning disability services: too much money

  • Helen Matthews (a1), Sheila Hollins (a1), Jeanette Smith (a2) and Gwen Adshead (a3)
Abstract

Learning disability services care for the needs of patients whose autonomy of thought and action is impaired by processes that often cannot be reversed. Their autonomy may also be limited by external influences such as carers' attitudes, both positive and negative. Others may therefore find themselves making decisions for such patients. The case presented in this paper illustrates how these factors can condemn a wealthy woman to a life of relative poverty, lacking in pleasures she could so easily afford, because she lacks competence in some areas of decision making. A possible solution is proposed.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      An ethical dilemma in the learning disability services: too much money
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      An ethical dilemma in the learning disability services: too much money
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      An ethical dilemma in the learning disability services: too much money
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
re F [1989] I Med LR 58; (Mental patient: sterilisation) [19901 2 AC 1.
Bicknell, D.J.B. (1989) Consent and people with mental handicap. British Medical Journal, 11761177.
Department of Health and Social Security (1971) Hospital Memorandum on Patients' Moneys.
Department of Health and Social Security (1993) Looking After Your Money in Hospital.
Law Commission (1993) Mentally Incapacitated Adults and Decision Making: medical treatment and research. A consultation paper. The Law Commission, 37–38 John Street, London WC1N 2BQ.
MENCAP (1989) Competency and Consent to Medical Treatment. Report of the Working Party on Legal Medical and Ethical Issues of Mental Handicap, Mencap.
National Association of Health Authorities and Trusts (1992) Other People's Money – guidance on the responsibilities of formal carers in the NHS.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 4 *
Loading metrics...

Abstract views

Total abstract views: 25 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 24th June 2018. This data will be updated every 24 hours.

An ethical dilemma in the learning disability services: too much money

  • Helen Matthews (a1), Sheila Hollins (a1), Jeanette Smith (a2) and Gwen Adshead (a3)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *