Supported Decision-Making for Clinical Research Participants with Mental Illness.
Federal disability anti-discrimination laws expect clinical trials to render study processes and sites accessible to potential participants, including through the provision of reasonable accommodations. Nonetheless, people with disabilities, and particularly people with mental illness, are often exc...
| Publicado en: | Journal of Law, Medicine & Ethics Vol. 54; no. 2; pp. 85 - 94 |
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| Autores principales: | , , , , , |
| Formato: | questions and answers tables/charts Journal Article |
| Publicado: |
Cambridge University Press
Summer2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194133289&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194133289 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10731105 JME jtl: Journal of Law, Medicine & Ethics issn: 10731105 maglogo: N pubinfo: dt: Summer2026 vid: 54 iid: 2 pid: 15979 pub: Cambridge University Press artinfo: ui: 194133289 194133289 194133289 10.1017/jme.2025.10191 194133289 ppf: 85 ppct: 9 formats: tig: atl: Supported Decision-Making for Clinical Research Participants with Mental Illness. aug: au: Silverman, Benjamin C. DeCormier Plosky, Willyanne Strauss, David H. Stein, Michael Ashley Francis, Leslie Bierer, Barbara E. affil: Human Research Affairs, Mass General Brigham, Boston, MA sug: subj: Clinical Trials Research Subject Recruitment Research Subjects Psychosocial Factors Persons with Mental Disorders Psychosocial Factors Decision Making, Family Support, Psychosocial Decision Making, Patient Clinical Research Institutional Review ab: Federal disability anti-discrimination laws expect clinical trials to render study processes and sites accessible to potential participants, including through the provision of reasonable accommodations. Nonetheless, people with disabilities, and particularly people with mental illness, are often excluded from clinical trials. Supported decision-making, a strategy that allows people to select trusted others to help them understand and communicate decisions, is an important accommodation to further inclusion. However, because mental illness can be dynamic and vary widely in nature (e.g., diagnosis, symptom severity, functional impairment) and duration (e.g., short-term, intermittent, progressive, permanent), supported decision-making is neither a one-size-fits-all strategy nor one that can serve as a reasonable accommodation in every situation. While prior work on supported decision-making has focused predominantly on adults with intellectual and developmental disabilities or dementias, people with mental illness may also benefit from supported decision-making, although the variability in decision-making capacity in mental illness presents nuanced challenges. Here, we explore supported decision-making in the case of people with intermittent or episodic mental illness that may impact decision-making capacity to varying degrees at different times. pubtype: Academic Journal doctype: questions and answers tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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