Asylums, Asphalt, and Ethics
Abstract
Dr. Eth's Introduction: Homelessness has burst into the American consciousness, and with it recognition of the many homeless persons who are mentally ill. Less conspicuous, but no less important, are the daily problems psychiatrists face in evaluating the homeless mentally ill. Often the basic facts about the patient are straightforward, but the choice of an optimal treatment plan is rarely as clear, reflecting the underlying ethical conflicts. This month's column focuses on the unarticulated ethical issues encountered by a prototypic psychiatric resident when a homeless patient asks to be hospitalized.
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