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Doing the right thing: ethical and practical dilemmas in working with homeless mentally ill people
- Authors:
- TIMMS Philip, BORRELL Teresa
- Journal article citation:
- Journal of Mental Health, 10(4), August 2001, pp.419-426.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Psychiatric work with homeless people has generated a particular style of service. It involves elements of assertive outreach assessment, case management, assertive treatment, and close relationships with the voluntary sector. This activity has thrown up a number of practical and ethical dilemmas. These problems include the conflicting principles of paternalism and autonomy, the boundaries of medical confidentiality and the limitations of the Mental Health Act. Discusses the issues which also have a wider relevance to community psychiatry as a whole.