Revive and Refuse: Capacity, Autonomy, and Refusal of Care After Opioid Overdose

Commentary
by
Marshall, Kenneth D. et al

Release Date

2023

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

This paper reviews what is known about the effects of opioid use disorder on decision-making, and argues that some subset of these refusals are non-autonomous choices, even when patients appear to have decision making capacity. 

Findings/Key points

This conclusion, that overdose patients do not have the capacity to refuse treatment, has several implications for how physicians assess and respond to patients who refuse medical recommendations after naloxone resuscitation.

Keywords

About PWUD
Legal system/law enforcement
Mental health
Overdose