Abstract
Clinical ethics committees and ethics consultation are new ways to institutionalize ethics in medicine and healthcare. Over the last decade ethics consultation has undergone a rapid development in many European countries. This article provides an overview of this development with a special focus on the field of psychiatry. Clinical ethics consultation and psychiatric consultation services are differentiated. Structures of clinical ethics consultation, the implementation of these services in hospitals, their duties and responsibilities, e.g. clinical-ethical consultation for individual cases, development of guidelines and education in clinical ethics are discussed. Finally the current state of the art of the field, future challenges and the need of further professionalisation of clinical ethics consultation in medicine and the field of psychiatry in particular are pointed out.
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