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Guardianship of people with mental disorders
- Authors:
- MELAMED Yuval, DORON Israel, SHNITT Dan
- Journal article citation:
- Social Science and Medicine, 65(6), September 2007, pp.1118-1123.
- Publisher:
- Elsevier
The duty of a guardian is to protect a patient who is unable to care for himself or herself. Guardianship has been considered an abrogation of autonomy while conversely it often prevents irreversible harm to the patient. We examined the decision-making process for appointing a guardian in 60 cases from one mental health center in Israel, by examining the patients’ medical records and court appeals. The results of our study suggest that guardians are usually appointed only in extreme cases, though alternative solutions are rarely sought, and that clear criteria for physicians when recommending guardianship are lacking.
The development and evaluation of a hybrid decision support system for clinical decision making: the case of discharge from the military
- Authors:
- BENBENISHTY Rami, TREISTMAN Robin
- Journal article citation:
- Social Work Research, 22(4), December 1998, pp.195-204.
- Publisher:
- Oxford University Press
This article reports on the development, implementation, and evaluation of a decision support system (DSS), a hybrid of a statistical model (regression equation) and expert rules, to support this decision. The study focused on the decisions made by social workers, psychologists, and psychiatrists serving as military mental health officers to recommend discharge from compulsory duty in the Israeli army because of mental or emotional difficulties. The validity of this hybrid DSS was established. User acceptance was low. This article discusses these findings and their implications for practice.