De rol van wilsbekwaamheid in de Wet verplichte geestelijke gezondheidszorg

Translated title of the contribution: The role of patient competence in the new Dutch statute concerning involuntary treatment in psychiatry

A. Vellinga, I. M. Hein, C. Blankman, A. J. K. Hondius, S. P. K. Welie

Research output: Contribution to journalArticleProfessional

Abstract

BACKGROUND: In the new Compulsory Mental Health Care Act (Wvggz), patient competence has a more central position. AIM: To describe the new position of patient competence in the Wvggz and to reflect on related moral questions. METHOD: Discussion of relevant legal texts and publications. RESULTS: In case of incompetency of a patient, a surrogate decision-maker has to attempt what decision the patient would make if he or she were competent. A new element in the Wvggz is that grandparents and grandchildren can also act as surrogate decision-makers. A competency judgment is mandatory in every decision on involuntary treatment, with the exception of involuntarily commitment. Competent refusal of care has to be respected, unless the patient is in a life threatening situation or there is a risk of other people getting harmed. CONCLUSION: The question is whether the changed position of patient competence in the new law will contribute to the aim of maintaining and enhancing patients' autonomy. Due care in competency judgments is complex and remains important.
Translated title of the contributionThe role of patient competence in the new Dutch statute concerning involuntary treatment in psychiatry
Original languageDutch
Pages (from-to)717-722
Number of pages6
JournalTijdschrift voor Psychiatrie
Volume63
Issue number10
Publication statusPublished - 2021

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