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A Values-Based Analysis of Recovery-Oriented Practice in Mental Health Care and Medical Assistance in Dying

Publication: Canadian Journal of Community Mental Health
28 August 2020

Abstract

The Criminal Code of Canada has been amended to allow medical assistance in dying (MAiD) under prescribed criteria. There has been considerable debate regarding whether people with mental illness as the sole underlying medical condition should be eligible. It is argued that access to MAiD is not compatible with recovery-oriented care. Based on a comprehensive analysis exploring the ethical principles guiding decision making around MAiD, this paper offers a discussion of the compatibility between MAiD and recovery-oriented care and demonstrates significant overlap of these principles. The discussion around MAiD as an option in recovery-oriented care is legitimate and needs to continue.

Résumé

Le Code criminel du Canada a été amendé pour autoriser l’assistance médicale à mourir (AMM) selon certains critères. Nombre de débats ont eu lieu quant à savoir si les personnes atteintes uniquement de maladie mentale pouvaient être considérées comme éligibles à l’AMM. L’incompatibilité de l’AMM avec les soins axés sur le rétablissement fait l’objet de nombreuses discussions. Fondé sur une analyse exhaustive des principes éthiques guidant la prise de décision autour de l’AMM, cet article propose une discussion sur la compatibilité entre l’AMM et les soins axés sur le rétablissement tout en démontrant un chevauchement important entre les deux. Le débat autour de l’AMM comme une option parmi les soins axés sur le rétablissement est légitime et se doit d’être poursuivit.

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Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 39Number 2July 2020
Pages: 1 - 10

History

Version of record online: 28 August 2020

Key Words

  1. ethics
  2. mental health
  3. recovery
  4. medical assistance in dying

Mots-clés

  1. éthique
  2. santé mentale
  3. rétablissement
  4. aide médicale à mourir

Authors

Affiliations

Rosanna Macri [email protected]
Ontario Shores Centre for Mental Health Sciences
Frank Wagner
Ontario Shores Centre for Mental Health Sciences
Melanie I. Stuckey
Ontario Shores Centre for Mental Health Sciences

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