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Open Forum
Published Online: 23 April 2021

Navigating Care From Afar: Ethical Considerations for Police Welfare Checks

Abstract

The clinical practice of contacting law enforcement to perform safety welfare checks for persons who have missed psychiatry appointments is commonly regarded as benign. However, in nonemergency situations, these interventions may carry greater risk than is usually assumed, especially if the person whose welfare is being checked belongs to a racial-ethnic minority group, and there is little evidence on the safety and effectiveness of these interventions. This Open Forum presents a case analysis to examine the central ethical considerations for these situations. Using crisis intervention teams, making repeated phone calls, or using other methods of communication may be clinically and ethically preferable to contacting law enforcement.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 1345 - 1347
PubMed: 33887958

History

Received: 2 October 2020
Revision received: 23 December 2020
Accepted: 22 January 2021
Published online: 23 April 2021
Published in print: November 01, 2021

Keywords

  1. Advance directives/proxies
  2. Ethics
  3. Police
  4. Welfare/wellness checks

Authors

Details

Evan Vitiello, M.D. [email protected]
Yale University School of Medicine, New Haven, Connecticut (Vitiello); University of North Carolina School of Medicine, Chapel Hill (Moseley)
Daniel D. Moseley, Ph.D.
Yale University School of Medicine, New Haven, Connecticut (Vitiello); University of North Carolina School of Medicine, Chapel Hill (Moseley)

Notes

Send correspondence to Dr. Vitiello ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

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