Law and ethical practice require that patients must be competent to make treatment decisions when they accept or refuse medical and mental health interventions. Clinicians often are asked to evaluate patients' competence to consent to treatment, for purposes of determining how medical and psychiatric staff should proceed and whether the treatment decision should be made by someone else on behalf of an incompetent patient.
The MacArthur Competence Assessment Tool for Treatment (MacCat-T) is the product of an 8-year study of patients' capacities to make treatment decisions. It is a semi-structured interview that assists clinicians who are conducting assessments of patients' competence to consent to treatment. The process provides a patient with the information about the medical/psychiatric condition that needs intervention, the type of treatment being recommended, its risks and benefits, as well as other possible treatments and their probable consequences. During this process, the MacCAT-T prompts the clinician to ask questions that assess the patient's understanding, appreciation, and reasoning regarding treatment decisions.
• The MacCAT-T Manual is an examiner-friendly field manual for conducting actual competency assessments. Large format (8 1/2 X 11) flexible binding.
• The MacCAT-T Record Form is well designed for recording, rating, and summarizing patient responses on the MacCAT-T.
• Administering the MacCAT-T is a DVD Video that demonstrates the administration and interpretation of the MacCAT-T.
• Assessing Competence to Consent to Treatment is a hardbound book that discusses in detail the concept of assessing competence to consent to treatment.
Table of Contents
MacCAT-T Record Form and Alternative Treatment (AT) Form
About the Authors
Thomas Grisso, PhD, is Professor of Psychiatry (Clinical Psychology) at the University of Massachusetts Medical School where his research, teaching, and clinical practice focus on forensic mental health evaluations and services. He has authored and edited several books on evaluations for the courts and juvenile forensic issues, including Competency to Stand Trial Evaluations (1988) and Assessing Competence to Consent to Treatment (with P. Appelbaum, 1998). He has also authored two assessment tools published by Professional Resource Press: Instruments for Assessing Understanding and Appreciation of Miranda Rights and MacArthur Competence Assessment Tool-Treatment (with P.S. Appelbaum). Dr. Grisso is a diplomate of the American Board of Professional Psychology (Forensic), past president of the American Psychology-Law Society, a member of the MacArthur Foundation Network on Adolescent Development and Juvenile Justice, and the 1995 recipient of the American Psychological Association's Award for Distinguished Contributions to Research in Public Policy.
Paul S. Appelbaum, MD, is currently Elizabeth K. Dollard Professor of Psychiatry, Medicine, & Law, Columbia University Medical Center. He was previously A. F. Zeleznik Distinguished Professor of Psychiatry; Chairman of Psychiatry; and Director of the Law and Psychiatry Program at the University of Massachusetts Medical School. He is the author of many articles and several books on law in clinical practice including Almost a Revolution: Mental Health Law and the Limits of Change (1994), for which he was awarded the 1996 Manfred S. Guttmacher Award from the American Psychiatric Association and the American Academy of Psychiatry and the Law. Dr. Appelbaum is the secretary of the American Psychiatric Association, past president of the American Academy of Psychiatry and the Law, and past president of the Massachusetts Psychiatric Society. He has served as Chair of the Council on Psychiatry and Law and the Commission on Judicial Action for the American Psychiatric Society and was a member of the John D. and Catherine T. MacArthur Foundation Research Network on Mental Health and the Law. He has received the Isaac Ray Award (1990) of the American Psychiatric Association for "outstanding contributions to forensic psychiatry and the psychiatric aspects of jurisprudence." In 1996-1997, he was the Fritz Redlich Fellow at the Center for Advanced Study in the Behavioral Sciences.