Euthanasia for people with psychiatric disorders or dementia in Belgium: analysis of officially reported cases
BMC Psychiatry volume 17, Article number: 203 (2017) Cite this article
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BMC Psychiatry volume 17, Article number: 203 (2017) Cite this article
Is mental health included in reasons eligible for MAID in NZ? Let me go check.
In NZ no. In Belgium yes.
AHS SUMMARY of BILL C7 changes to MEDICAL ASSISTANCE IN DYING
For Full Legal details go to: https://www.parl.ca/DocumentViewer/en/43-2/bill/C-7/royal-assent
April 2021 AHS Medical Assistance in Dying
PATIENTS
AFFECTED
LEGISLATIVE CHANGE LEGISLATIVE
CATEGORY
ALL
REASONABLY FORESEEABLE NATURAL DEATH NO LONGER AN ELIGIBILITY CRITERIA
Once a patient is found eligible there are now two streams for the remainder of the
MAID assessment process, including: (1) Patients whose natural death is reasonably
foreseeable; and (2) Patients whose natural death is NOT reasonably foreseeable.
Assessment must determine which of these two streams will apply for any individual
patient
Eligibility
MENTAL HEALTH EXPLICITLY EXCLUDED as CONDITION for ELIGIBILITY CRITERIA1
Over the next year, an expert panel review will take place to recommend protocols,
guidance, and safeguards to apply to requests for MAID by persons whose sole underlying
condition is a mental illness
This report is due on March 17, 2022
Mental Health Exclusion will be repealed on March 17, 2023
Eligibility
Only ONE WITTNESS is needed to sign patient request
Can now include those directly providing health care services or personal care services to
the patient making a request, EXCEPT for the MAID Assessor/Provider (MD or NP)
Safeguard
Those whose
natural death
IS
Reasonably
Foreseeable
10 DAY REFLECTION PERIOD REMOVED2 Safeguard
FINAL CONSENT WAIVER OPTION
Strict criteria for this to apply 3
A written agreement needs to be signed by the patient and providing practitioner before
patient loses capacity (Waiver of Final Consent form)
Safeguard
Those whose
natural death
IS NOT
Reasonably
Foreseeable
At least ONE ASSESSOR must HAVE EXPERTISE4
in the CONDITION CAUSING PATIENT’S SUFFERING
If neither do, then consult a MD or NP that does have that expertise
The consultant does not need to be a certified specialist
The consultant’s report must be shared with both assessors
Safeguard
PATIENT INFORMED OF MEANS available to relieve their suffering, including:
Counselling, mental health/disability support services, community services, Palliative Care
Depends on what’s appropriate for patients condition
PATIENT OFFERED CONSULTATIONS with relevant professionals who provide above services
PATIENT and Assessor HAD DISCUSSION AND gave SERIOUS CONSIDERATION to those relevant
and available means and both agree the patient has given serious consideration to those means
Both assessors need to have done this
Safeguard
90 day minimum assessment period
Begins on day on which first assessor begins his/her assessment5
Can be shortened if both assessors agree patient is at imminent risk of losing capacity to
consent
Safeguard
1. Persons whose SOLE underlying medical condition is a mental illness are not eligible for MAID. If however, the mental illness exists in a person
who has another medical condition that satisfies all eligibility criteria, and the mental illness is not the reason the person is seeking MAID, the
person could be eligible for MAID.
2. The removal of 10day reflection period DOES NOT imply an obligation to urgently provide MAID; Each case will vary how quickly it can proceed
depending on multiple factors (i.e. complexity of patient, need for special consultations, availability of practitioners)
3. Waiver of Final Consent Criteria are:
2a. Before losing capacity to consent to receiving MAID, the patient
- natural death is reasonably foreseeable
- meets all of the eligibility criteria and related safeguards for MAID
- entered into a written agreement with providing practitioner who would administer a substance to cause their death on a
specified day
- has been informed by the providing practitioner that they are at risk of losing their capacity to consent to receive MAID
- in the written agreement they consented to receive MAID prior to the day specified in the agreement if they lost capacity to
consent prior to that day
2b. The Patient has lost the capacity to consent to receiving MAID
2c. The Patient does not demonstrate, by words, sounds, or gestures, refusal to have the substance administered or resistance to its
administration
2d. The substance is administered to the person in accordance with the terms of the agreement.
4. Expertise could be obtained through special training OR previous experience with patients with a similar condition. The expertise should be in
the condition that is causing suffering, not just the condition that is the serious and incurable illness/disease/disability (unless this is what is
causing the greatest suffering)
5. The start date of the assessment will be identified in writing by the 1
st assessor and shared with the CCS team. This date selected
will depend on the assessor’s view point of when they began their assessment (i.e. could begin with reviewing the patient’s file,
when meets with the patient, or any other reflection or consideration of info that forms part of MAID assessme
For Full Legal details go to: https://www.parl.ca/DocumentViewer/en/43-2/bill/C-7/royal-assent
April 2021 AHS Medical Assistance in Dying
PATIENTS
AFFECTED
LEGISLATIVE CHANGE LEGISLATIVE
CATEGORY
ALL
REASONABLY FORESEEABLE NATURAL DEATH NO LONGER AN ELIGIBILITY CRITERIA
Once a patient is found eligible there are now two streams for the remainder of the
MAID assessment process, including: (1) Patients whose natural death is reasonably
foreseeable; and (2) Patients whose natural death is NOT reasonably foreseeable.
Assessment must determine which of these two streams will apply for any individual
patient
Eligibility
MENTAL HEALTH EXPLICITLY EXCLUDED as CONDITION for ELIGIBILITY CRITERIA1
Over the next year, an expert panel review will take place to recommend protocols,
guidance, and safeguards to apply to requests for MAID by persons whose sole underlying
condition is a mental illness
This report is due on March 17, 2022
Mental Health Exclusion will be repealed on March 17, 2023
Eligibility
Only ONE WITTNESS is needed to sign patient request
Can now include those directly providing health care services or personal care services to
the patient making a request, EXCEPT for the MAID Assessor/Provider (MD or NP)
Safeguard
Those whose
natural death
IS
Reasonably
Foreseeable
10 DAY REFLECTION PERIOD REMOVED2 Safeguard
FINAL CONSENT WAIVER OPTION
Strict criteria for this to apply 3
A written agreement needs to be signed by the patient and providing practitioner before
patient loses capacity (Waiver of Final Consent form)
Safeguard
Those whose
natural death
IS NOT
Reasonably
Foreseeable
At least ONE ASSESSOR must HAVE EXPERTISE4
in the CONDITION CAUSING PATIENT’S SUFFERING
If neither do, then consult a MD or NP that does have that expertise
The consultant does not need to be a certified specialist
The consultant’s report must be shared with both assessors
Safeguard
PATIENT INFORMED OF MEANS available to relieve their suffering, including:
Counselling, mental health/disability support services, community services, Palliative Care
Depends on what’s appropriate for patients condition
PATIENT OFFERED CONSULTATIONS with relevant professionals who provide above services
PATIENT and Assessor HAD DISCUSSION AND gave SERIOUS CONSIDERATION to those relevant
and available means and both agree the patient has given serious consideration to those means
Both assessors need to have done this
Safeguard
90 day minimum assessment period
Begins on day on which first assessor begins his/her assessment5
Can be shortened if both assessors agree patient is at imminent risk of losing capacity to
consent
Safeguard
1. Persons whose SOLE underlying medical condition is a mental illness are not eligible for MAID. If however, the mental illness exists in a person
who has another medical condition that satisfies all eligibility criteria, and the mental illness is not the reason the person is seeking MAID, the
person could be eligible for MAID.
2. The removal of 10day reflection period DOES NOT imply an obligation to urgently provide MAID; Each case will vary how quickly it can proceed
depending on multiple factors (i.e. complexity of patient, need for special consultations, availability of practitioners)
3. Waiver of Final Consent Criteria are:
2a. Before losing capacity to consent to receiving MAID, the patient
- natural death is reasonably foreseeable
- meets all of the eligibility criteria and related safeguards for MAID
- entered into a written agreement with providing practitioner who would administer a substance to cause their death on a
specified day
- has been informed by the providing practitioner that they are at risk of losing their capacity to consent to receive MAID
- in the written agreement they consented to receive MAID prior to the day specified in the agreement if they lost capacity to
consent prior to that day
2b. The Patient has lost the capacity to consent to receiving MAID
2c. The Patient does not demonstrate, by words, sounds, or gestures, refusal to have the substance administered or resistance to its
administration
2d. The substance is administered to the person in accordance with the terms of the agreement.
4. Expertise could be obtained through special training OR previous experience with patients with a similar condition. The expertise should be in
the condition that is causing suffering, not just the condition that is the serious and incurable illness/disease/disability (unless this is what is
causing the greatest suffering)
5. The start date of the assessment will be identified in writing by the 1
st assessor and shared with the CCS team. This date selected
will depend on the assessor’s view point of when they began their assessment (i.e. could begin with reviewing the patient’s file,
when meets with the patient, or any other reflection or consideration of info that forms part of MAID assessme
Canada still cannot. But might be repealed in 2022 for implementation 2023
No. Lol!
Well this MAID thing looks like it is catching on around the world. It is a matter of time.
Break ups too
Funny how people are saying covid and covid vaccìne is way for governments to start culling population and old folks?
But when it comes to passing bills to allow doctors to kill patients with their consent no one is arguing against it?
Why ar? Oh because no evil pharma seems to involved?
Drs killing patients. Literally. And it is supposed to be good.
World is really quite crazy dont you think?
But when it comes to passing bills to allow doctors to kill patients with their consent no one is arguing against it?
Why ar? Oh because no evil pharma seems to involved?
Drs killing patients. Literally. And it is supposed to be good.
World is really quite crazy dont you think?
Maybe give an option on way to die? Electric chair maybe?guillotine? In case tgere are some very fussy patients.
Not being able to use a dick is more likely grounds.
Cruise ship end of life trip better. No funeral cost to foot by the family.... let the crabs and lobsters eat up yr carcass then u eat the lobster end up on your dinner table...Assisted dying: Doctors to be paid $1087 to perform procedure, starting next month
Henry Cooke15:42, Oct 12 2021
The Government have announced the final details of how euthanasia will work in New Zealand when it becomes legal on November 7.
The law change was spurred by ACT MP David Seymour’s members’ bill and a referendum at the 2020 election, where the option to legalise assisting dying won 65 per cent of the vote.
Strict guidelines surround the procedure. People who wish to end their life under the law must be terminally ill and likely to die within the next six months.
They must be in an advanced state of irreversible decline and must be undergoing “unbearable” suffering. And they must be mentally able enough to make an informed decision.
Those who apply for assisted dying need two medical practitioners to agree that the person is eligible under the strict criteria. If there is any uncertainty about their capacity, a psychiatrist must assess their competency.
Strict safeguards surround the procedure.
The Ministry of Health must be informed of anyone who undergoes assisted dying, with a special review committee keeping track.
An official notice has been gazetted setting out a price schedule for the practice, including what medical practitioners will be paid by the Government for performing the procedure – $1087.20.
Other fees can be paid to those involved in assisted dying services, including psychiatrists who can be called upon to declare that the person requesting assisted dying is of sound mind and is not being pressured to do so.
Travelling costs are also included and are likely to be needed - a February survey suggested only about a third of medical practitioners were planning on offering assisted dying services.
Health Minister Andrew Little announced the membership of the committee who will review reports of those undergoing assisted dying: Dr Dana Wesnley, a medical ethicist, Beleinca Close, a health practitioner, and Dr Jane Greville, a medical practitioner practising end-of-life-care.
“This independent review mechanism is one of the many safeguards put in place to ensure the service is operating in line with strict criteria set out by the Act,” Little said.
ROBERT KITCHIN/Stuff
Health Minister Andrew Little has announced the final details of the process.
“The other body required under the legislation, the Support and Consultation for End of Life in New Zealand group, or SCENZ, was appointed in August. Its responsibilities include maintaining a list of health practitioners providing assisted-dying services, and helping develop and oversee standards of care.”
Little said the funding was key to make sure the service was accessible, and for most people would be free.
“We expect that in most circumstances, these services will be provided in the community and will be free for people who meet the strict eligibility criteria,” Little said.
“Medical and nurse practitioners who provide care as part of the assisted-dying service will be paid for their work and for their travel costs.”
ACT’s End of Life Choice spokeswoman Brooke van Velden welcomed the news.
“On November 7, New Zealanders will be able to access the End of Life Choice Act, with those who are suffering able to end their lives in peace and dignity surrounded by loved ones,” she said.
“We say that a society should be judged by how it treats its most vulnerable. Very soon our country will give those who face terrible suffering at the end of their life compassion and choice. It will be a good day to be a Kiwi.”
AMD for starters
looks like a good option for me when I need thisAssisted dying: Doctors to be paid $1087 to perform procedure, starting next month
Henry Cooke15:42, Oct 12 2021
The Government have announced the final details of how euthanasia will work in New Zealand when it becomes legal on November 7.
The law change was spurred by ACT MP David Seymour’s members’ bill and a referendum at the 2020 election, where the option to legalise assisting dying won 65 per cent of the vote.
Strict guidelines surround the procedure. People who wish to end their life under the law must be terminally ill and likely to die within the next six months.
They must be in an advanced state of irreversible decline and must be undergoing “unbearable” suffering. And they must be mentally able enough to make an informed decision.
Those who apply for assisted dying need two medical practitioners to agree that the person is eligible under the strict criteria. If there is any uncertainty about their capacity, a psychiatrist must assess their competency.
Strict safeguards surround the procedure.
The Ministry of Health must be informed of anyone who undergoes assisted dying, with a special review committee keeping track.
An official notice has been gazetted setting out a price schedule for the practice, including what medical practitioners will be paid by the Government for performing the procedure – $1087.20.
Other fees can be paid to those involved in assisted dying services, including psychiatrists who can be called upon to declare that the person requesting assisted dying is of sound mind and is not being pressured to do so.
Travelling costs are also included and are likely to be needed - a February survey suggested only about a third of medical practitioners were planning on offering assisted dying services.
Health Minister Andrew Little announced the membership of the committee who will review reports of those undergoing assisted dying: Dr Dana Wesnley, a medical ethicist, Beleinca Close, a health practitioner, and Dr Jane Greville, a medical practitioner practising end-of-life-care.
“This independent review mechanism is one of the many safeguards put in place to ensure the service is operating in line with strict criteria set out by the Act,” Little said.
ROBERT KITCHIN/Stuff
Health Minister Andrew Little has announced the final details of the process.
“The other body required under the legislation, the Support and Consultation for End of Life in New Zealand group, or SCENZ, was appointed in August. Its responsibilities include maintaining a list of health practitioners providing assisted-dying services, and helping develop and oversee standards of care.”
Little said the funding was key to make sure the service was accessible, and for most people would be free.
“We expect that in most circumstances, these services will be provided in the community and will be free for people who meet the strict eligibility criteria,” Little said.
“Medical and nurse practitioners who provide care as part of the assisted-dying service will be paid for their work and for their travel costs.”
ACT’s End of Life Choice spokeswoman Brooke van Velden welcomed the news.
“On November 7, New Zealanders will be able to access the End of Life Choice Act, with those who are suffering able to end their lives in peace and dignity surrounded by loved ones,” she said.
“We say that a society should be judged by how it treats its most vulnerable. Very soon our country will give those who face terrible suffering at the end of their life compassion and choice. It will be a good day to be a Kiwi.”
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