ArticleSage open aging
Safe Enough to Thrive: A Dignity of Risk Framework for Older Adult Mental Health Care.
Article in Sage open aging. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 author.
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Abstract
Background: Older adults with psychiatric disorders and/or neurocognitive impairment are often cared for in restrictive settings such as long-term care facilities and inpatient psychiatric hospitals. Risk-averse institutional cultures can lead to overly restrictive practices that prioritize safety at the expense of autonomy and dignity. Objective: To develop a geropsychology-informed dignity of risk framework that helps clinicians and teams balance safety and autonomy in geriatric mental health care. Methods: This conceptual paper integrates psychological, gerontological, and philosophical literature, including human rights perspectives, geropsychological work on fluctuating capacity and serious mental illness, and empirical studies of institutional risk cultures, coercion, and ageism. Results: The resulting framework comprises five elements: (1) clarifying older adults' values and goals; (2) assessing and supporting decision-making capacity; (3) distinguishing everyday life risk from high, non-negotiable risk; (4) explicitly weighing psychological benefits alongside physical risks; and (5) documenting "safe enough" risk-sharing plans in partnership with older adults, families, and staff.
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