Literature DB >> 1572608

The Hopkins Competency Assessment Test: a brief method for evaluating patients' capacity to give informed consent.

J S Janofsky1, R J McCarthy, M F Folstein.   

Abstract

The Hopkins Competency Assessment Test (HCAT), a brief instrument for evaluating the competency of patients to give informed consent or write advance directives, consists of a short essay and a questionnaire for determining patients' understanding of the essay. In a study to validate the instrument, 41 medical and psychiatric inpatients answered the questionnaire after reading the essay while bearing it read aloud. A forensic psychiatrist who was blind to the HCAT scores later examined the patients for competency. A subject's number of correct answers to the HCAT questionnaire was an accurate indicator of clinical competency as assessed by the psychiatrist. The results suggest that the HCAT is a useful tool for rapidly screening patients for competency to make treatment decisions.

Entities:  

Keywords:  Johns Hopkins University; Mental Health Therapies; Professional Patient Relationship

Mesh:

Year:  1992        PMID: 1572608     DOI: 10.1176/ps.43.2.132

Source DB:  PubMed          Journal:  Hosp Community Psychiatry        ISSN: 0022-1597


  30 in total

1.  [Mental competence and neuropsychologic impairments in demented patients].

Authors:  J Vollmann; K-P Kühl; A Tilmann; H D Hartung; H Helmchen
Journal:  Nervenarzt       Date:  2003-05-10       Impact factor: 1.214

2.  End-of-life care and mental illness: a model for community psychiatry and beyond.

Authors:  Philip J Candilis; Mary Ellen G Foti; Jacob C Holzer
Journal:  Community Ment Health J       Date:  2004-02

3.  Capacity to consent to treatment: empirical comparison of three instruments in older adults with and without dementia.

Authors:  Jennifer Moye; Michele J Karel; Armin R Azar; Ronald J Gurrera
Journal:  Gerontologist       Date:  2004-04

4.  Neurocognitive indicators predict results of an informed-consent quiz among substance-dependent treatment seekers entering a randomized clinical trial.

Authors:  Brian D Kiluk; Charla Nich; Kathleen M Carroll
Journal:  J Stud Alcohol Drugs       Date:  2010-09       Impact factor: 2.582

Review 5.  The cognitive based approach of capacity assessment in psychiatry: a philosophical critique of the MacCAT-T.

Authors:  Torsten Marcus Breden; Jochen Vollmann
Journal:  Health Care Anal       Date:  2004-12

Review 6.  Neuropsychological assessment of mental capacity.

Authors:  Karen Sullivan
Journal:  Neuropsychol Rev       Date:  2004-09       Impact factor: 7.444

7.  Assessing capacity in the setting of self-neglect: development of a novel screening tool for decision-making capacity.

Authors:  Aanand D Naik; Sabrina Pickens; Jason Burnett; James M Lai; Carmel Bitondo Dyer
Journal:  J Elder Abuse Negl       Date:  2006

8.  Variable judgments of decisional capacity in cognitively impaired research subjects.

Authors:  Carol B Stocking; Gavin W Hougham; Deborah D Danner; Marion B Patterson; Peter J Whitehouse; Greg A Sachs
Journal:  J Am Geriatr Soc       Date:  2008-10       Impact factor: 5.562

9.  Elder abuse: research, practice, and health policy. The 2012 GSA Maxwell Pollack award lecture.

Authors:  Xinqi Dong
Journal:  Gerontologist       Date:  2013-11-22

Review 10.  The doctor's duty to the elderly patient in clinical trials.

Authors:  Antony Bayer; Mark Fish
Journal:  Drugs Aging       Date:  2003       Impact factor: 3.923

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