The Capacity to Consent to Treatment Instrument (CCTI) is a standardized psychometric instrument designed to assess the treatment consent capacity (TCC) of adults. The CCTI evaluates five different consent abilities or standards and has been shown to be a reliable and valid measure of TCC.
Full Answer
What is the competency to stand trial assessment instrument?
The Competence to Stand Trial Assessment Instrument, often called the Competency Assessment Instrument (CAI), was developed in 1973 as a companion instrument to the Competency Screening Test (CST) and sought to standardize as well as quantify the criteria for competence to stand trial.
Is the CCTI a reliable measure of consent capacity?
The CCTI has reliability and validity as a measure of consent capacity. Three separate raters trained in administration and scoring of the CCTI achieved high interrater reliability for interval scales (>.83, p < .0001; S3-S5) and categorical scales (96% agreement; S1 and S2).
Who is responsible for obtaining informed consent for imaging procedures?
Nice work! You just studied 16 terms! Now up your study game with Learn mode. The imaging technologist has the responsibility of obtaining informed consent. The imaging professional has no responsibility for obtaining informing consent. Written informed consent must be obtained for every procedure performed in the imaging department.
What is the clinical problem of informed consent?
The Clinical Problem Physicians are required by law and medical ethics to obtain the informed consent of their patients before initiating treatment.1Valid informed consent is premised on the disclosure of appropriate information to a competent patient who is permitted to make a voluntary choice.
What is the criticism of many testing instruments used for custody evaluations?
What is a criticism of many testing instruments that are used for custody evaluations? Their reliability has not been demonstrated. In which situation would a psychologist most likely be asked to conduct a visitation risk assessment?
Which of the following is the most common custody arrangement currently in the US?
Joint custody, where both parents have custody of all children involved, is preferred and is the most common arrangement, if conditions allow.
What is the primary concern with the Gbmi verdict?
What is the primary concern with the GBMI verdict? a. It does not guarantee treatment for the mentally ill individual.
Which is the most common custody arrangement in divorced families quizlet?
Which custody arrangement is most common? Sole physical custody by the mother. Under the legal doctrine of pater familias used in English common law prior to the nineteenth century: fathers were automatically granted custody of their children.
What are the 3 types of custody?
There are three forms of joint custody, which are:Physical joint custody. When the child spends significant amounts of time with both parents.Legal joint custody. Where both parents make decisions over a child's upbringing.Joint physical and legal custody.
How is custody determined?
If you have ever been involved in a child custody case, or you are about to begin one, you most likely have heard the phrase “best interests of the child”. This is almost universally used to determine custody and visitation issues based on the Best Interests of the Child Standard. 4. The preference of the child.
What is the criteria for determining competency quizlet?
A competent defendant must have "sufficient present ability to consult with his attorney with a reasonable degree of rational understanding and whether he has a rational as well as factual understanding of the proceedings against him". A measure of a person's competency to stand trial.
Which professional evaluates offenders to determine if they are competent to stand trial?
If there is a reasonable basis to believe that competency is an issue, the court orders an evaluation, usually by a forensic psychologist. Based on the outcome of the evaluation, the judge determines whether the defendant is competent to stand trial.
Which 1996 case recognized the importance of the psychotherapist patient confidentiality?
In 1996, The U.S. Supreme Court established the psychotherapist-patient privilege in the Federal Courts in its Jaffee v. Redmond decision.
What percentage of children in divorced families live primarily with their fathers?
10 percentIn about 10 percent of the families, the children resided primarily with their fathers.
What is the average length of first marriages that end in divorce quizlet?
the average length of a first marriage that ends in divorce is about 8 years. the divorce rate has stabilized for the time being, rise of age in marriage.
What is the least common form of custody arrangement?
The least common form of custody arrangement is split custody.
What is CCTI in medical?
The CCTI is administered in a way that simulates an informed consent dialogue between the physician and the patient. The vignettes are presented simultaneously in oral and written format using an uninterrupted disclosure method. They are written at a fifth- to sixth-grade reading level, with low syntactic complexity and a moderate information load.
Why is CCTI important?
The CCTI provides a standardized and norm-referenced basis for evaluating TCC in individual patients and across different patient populations. For this reason, it has very good research application. In addition, by objectively evaluating different consent abilities, it pro-vides clinicians with flexibility in a particular case to consider different standards of capacity in relation to the risks and benefits of a particular treatment situation.
What is a CCTI?
The Capacity to Consent to Treatment Instrument (CCTI) is a standardized psychometric instrument designed to assess the treatment consent capacity (TCC) of adults. The CCTI evaluates five different consent abilities or standards and has been shown to be a reliable and valid measure of TCC. The measure discriminates well between cognitively intact adults and persons with Alzheimer’s disease (AD), Parkinson’s disease dementia syndrome, and traumatic brain injury. The CCTI has application to all adult patient populations in which issues of neurocognitive impairment and consent capacity arise. Research using the CCTI has provided insight into the relationships between cognitive change and different thresholds of decisional capacity.
What are the limitations of the CCTI?
First, because it uses standardized, hypothetical clinical vignettes (brain tumor, heart disease), the CCTI does not directly assess specific issues of TCC presenting clinically (e.g., in the treatment of bone cancer). Instead , it provides objective, norm-referenced information about a patient’s treatment consent abilities that the clinician can consider as part of his or her overall assessment of TCC. Thus, the CCTI gives up clinical specificity for standardization. A second limitation of the CCTI is its use of hypothetical medical vignettes. Patients dealing with real, personal medical problems arguably may display treatment consent abilities that differ somewhat from those demonstrated when responding to hypothetical medical situations. Finally, the CCTI and its performance and outcome scores are intended to support but not replace clinical judgment. Determination of consent capacity is ultimately a judgment made by a clinician.
When was the standard for competence to stand trial laid out?
Supreme Court in Dusky v. United States in 1960.
What is a 6 score?
A score of 6 is given when there is insufficient information to score the respective item. The item scores are neither weighted nor summed, but rather are intended to stand alone and assist the evaluator in the formation of his or her subsequent report and potential testimony.
Is CAI scoring standardized?
The scoring of the CAI is not standardized, and there are no norms available for the instrument. Interrater reliability coefficients for the instrument have been found to range from .84 to .97 among experienced raters and from .43 to .96 among inexperienced raters.
Structure and Administration of The CCTI
- The CCTI was first developed in 1992 to empirically investigate patterns of consent capacity impairment in patients with mild and moderate AD. The measure consists of two clinical vignettes that present hypothetical medical problems and their symptoms (brain tumor, atherosclerotic heart disease) as well as treatment alternatives with the associated...
CCTI Scoring System
- The CCTI has a detailed and well-operationalized scoring system that yields information regarding both capacity performance and capacity status. Capacity performance is the quantitative score that a patient receives for each standard. Scores across vignettes are summed to create a composite score for each standard. There is no CCTI total score. Capacity status refers to the c…
Reliability and Validity of The CCTI
- The CCTI has reliability and validity as a measure of consent capacity. Three separate raters trained in administration and scoring of the CCTI achieved high interrater reliability for interval scales (>.83, p < .0001; S3-S5) and categorical scales (96% agreement; S1 and S2). The CCTI demonstrates face and content validity. The medical content of each vignette was reviewed an…
Clinical and Research Utility
- The CCTI provides a standardized and norm-referenced basis for evaluating TCC in individual patients and across different patient populations. For this reason, it has very good research application. In addition, by objectively evaluating different consent abilities, it pro-vides clinicians with flexibility in a particular case to consider different standards of capacity in relation to the ris…