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ETHICAL DECISION MAKING AND CAPACITY TO CONSENT IN NEUROCOGNITIVELY IMPAIRED AND VULNERABLE PATIENT POPULATIONS

Monica Rivera Mindt, PhD
Associate Professor, Department of Psychology, Fordham University Assistant Clinical Professor, Departments of Pathology & Psychiatry, Mount Sinai School of Medicine New York, NY, USA

Neuropsychologists and related clinicians routinely assess and treat adults from vulnerable populations with myriad neurocognitive sequelae. However, numerous ethical issues can arise when working with such populations within both the research and practice contexts. This workshop will focus on integrating relevant ethical, legal and professional standards with up-to-date ethics research on neurocognitively impaired and vulnerable patient populations germane to neuropsychology. The course will include presentation of empirical evidence and research and clinical case examples among adults with HIV, psychiatric illness and substance use disorders, and dementia. Empirically supported approaches to assessment of capacity to consent in these populations will be discussed, as well as strategies and models of decision-making to resolve ethical challenges with neurocognitively impaired and vulnerable patient populations. Attendees of this course will achieve the following learning objectives: 1) Demonstrate knowledge regarding how to assess capacity to consent in neurocognitively impaired and vulnerable patients; and 2) Demonstrate raised awareness and knowledge regarding ethical decision making strategies when working with neurocognitively impaired and vulnerable patient populations.