2024 Addiction Medicine Board Certification Review Course-2024

Video Transcription

Video Summary

Julie Knick discusses the ethical principles and federal laws relevant to addiction medicine. Core ethical principles—autonomy, beneficence, non-malfeasance, justice, and fidelity—are defined and related to the treatment of substance use disorders. Autonomy involves informed consent and the right to make decisions without coercion, while beneficence and non-malfeasance focus on acting for the patient's benefit and doing no harm. Justice ensures fair treatment regardless of social or economic status.<br /><br />Special populations such as older adults, adolescents, pregnant individuals, people in the criminal justice system, and impaired physicians present unique ethical challenges, from consent issues to the need for supportive rather than punitive approaches. Knick highlights laws like the Rehabilitation Act, Americans with Disabilities Act (ADA), Mental Health Parity and Addiction Equity Act, Consolidated Appropriations Act, HIPAA, and Title 42 CFR Part 2 and 8, which govern patient rights and confidentiality.<br /><br />The updated regulations under the CARES Act align patient consent practices with HIPAA, allowing a single consent for future disclosures and limiting redisclosure without explicit consent. Knick emphasizes the importance of ethical practice, patient confidentiality, and legal compliance in addiction medicine, stressing the balance between patient autonomy and societal obligations.

Keywords

ethical principles

addiction medicine

autonomy

beneficence

patient confidentiality

federal laws

special populations

CARES Act