Abstract

As members of an assertive outreach team covering a socially deprived area of south-west Dublin, we read with interest the paper on money for medication by Claassen et al ( Psychiatric Bulletin , January 2007, 31 , 4-7) and congratulate the authors for applying contingency management measures, which

Highlights

  • As members of an assertive outreach team covering a socially deprived area of south-west Dublin, we read with interest the paper on money for medication by Claassen et al (Psychiatric Bulletin, January 2007, 31, 4-7) and congratulate the authors for applying contingency management measures, which are useful in other areas of medicine, in such an innovative, pragmatic way

  • The incentives were negotiated with the patient and involved judicious and appropriate prescription of low doses of medications requested by the patient

  • We discerned that the key ethical issues were undue influence and imbalance of power

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Summary

Introduction

As members of an assertive outreach team covering a socially deprived area of south-west Dublin, we read with interest the paper on money for medication by Claassen et al (Psychiatric Bulletin, January 2007, 31, 4-7) and congratulate the authors for applying contingency management measures, which are useful in other areas of medicine, in such an innovative, pragmatic way. The proposed amendments to the Mental Health Act 1983 focus the doctor’s role on issues that relate to the detention of patients and increase the importance of adequate formal training. Following the recent report of the Barrett homicide inquiry (NHS London, 2006) consultants may provide the only psychiatric input into MHRTs in the future, lessening training experience at work.

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Conclusion

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