Studies involving children with mental, emotional, or behavioral problems--or their families--have to meet certain standards of research ethics. This book contains chapters on the kinds of ethical dilemmas that typically occur in different types of studies of children, and then presents 65 real-world cases from experts who study children's mental health. These experts offer practical suggestions for how to handle these dilemmas. Chapters on the perspectives of parents, regulators, and bioethicists provide additional points of view on these issues. Written in down-to-earth language, this book will be useful for professionals who study children, for those who train students in research methods, and for parents who are thinking about participating in research studies.
In attempting to bridge the apparent gap between ethics and science, the editors close this volume on a note commonly sounded by researchers: more research is needed. Yet in this area, a new kind of research is required. The science of scientific ethics must be developed and expanded, and better understanding of the determinants and circumstances under which children can comprehend and evaluate risks and benefits is needed. Likewise, fuller knowledge of the contextual factors affecting children's and families' consent to participate in research is essential. In particular, development of scales to assess children's ability to comprehend risk-benefit issues, studies of families' reactions to research procedures, and empirical data on the impact of various forms of participant reimbursement will advance both science and ethics. This volume should spur further research, serving as a guide for current investigators, participating families, institutional review boards, and policymakers who shape the research enterprise.
Preface. Part I: Scientific, Regulatory, and Family Perspectives. K. Hoagwood, P.S. Jensen, C.B. Fisher, Toward a Science of Scientific Ethics in Research on Child and Adolescent Mental Disorders. J.P. Porter, Regulatory Considerations in Research Involving Children and Adolescents With Mental Disorders. T.W. Osher, M. Telesford, Involving Families to Improve Research. Part II: Ethical Challenges Across Diverse Research Contexts. C.C. Attkisson, A. Rosenblatt, K. Hoagwood, Research Ethics and Human Subjects Protection in Child Mental Health Services Research and Community Studies. E.D. Hibbs, P. Krener, Ethical Issues in Psychosocial Treatment Research With Children and Adolescents. H. Leonard, P.S. Jensen, B. Vitiello, N. Ryan, J. March, M. Riddle, J. Biederman, Ethical Issues in Psychopharmacological Treatment Research With Children and Adolescents. L.E. Arnold, D.M. Stoff, E. Cook, Jr., C. Wright, D.J. Cohen, M. Kruesi, J. Hattab, P. Graham, A. Zametkin, F.X. Castellanos, W. McMahon, J.F. Leckman, Biologic Procedures: Ethical Issues in Research With Children and Adolescents. F.W. Putnam, M.B. Liss, J. Landsverk, Ethical Issues in Maltreatment Research With Children and Adolescents. Part III: Casebook. C.B. Fisher, K. Hoagwood, P.S. Jensen, Casebook on Ethical Issues in Research With Children and Adolescents With Mental Disorders. Part IV: Bridging Science and Ethics. E.G. DeRenzo, A Bioethicist's Perspective. P.S. Jensen, K. Hoagwood, C.B. Fisher, Bridging Scientific and Ethical Perspectives: Toward Synthesis.