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  • 19 - Ethical issues of youthful offenders: confidentiality; right to receive and to refuse treatment; seclusion and restraint

    • By Lilia Romero-Bosch, Chief Resident Hasbro and Rhode Island Hospitals Providence, Rhode Island 02903 USA, Joseph V. Penn, Director of Child and Adolescent Forensic Psychiatry Rhode Island Hospital, RI Training School Medical Clinic, 300 New London Avenue Cranston, RI 02920 USA
  • Edited by Carol L. Kessler, Columbia University, New York, Louis James Kraus, Rush University, Chicago
  • Book:
    The Mental Health Needs of Young Offenders
    Published online:
    11 August 2009
    Print publication:
    06 September 2007, pp 401-422

  • Summary

    This chapter provides an overview of some relevant ethical issues, confidentiality, right to assent to and right to refuse treatment, seclusion, and restraint, which frequently arise in the context of evaluation and treatment of juvenile offenders. It has applicability to psychiatry, psychology, social work, and other child mental health professionals. The terms, clinician and forensic evaluator, apply to various disciplines in these settings. Attempts to meet the needs of youth offenders rely on inter-agency collaboration and adherence to established standards of care. In addition, there needs to be continued development and validation of: (1) mental health screening for juveniles across juvenile justice and correctional settings, (2) further research on the prevalence of mental illness and the efficacy of various treatments for youth offenders, and (3) continued debate regarding legal and ethical implications of treatment specific to minors.