Dani Chammas
speaker
1,436 appearances
4 recordings
1 series
first heard Apr 2020
last heard Dec 2024
Dani Chammas’s voice in public audio — every appearance, attributed to the second.
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And they're not always aligned depending on your geography, who you are as an individual, the ethical parameter you're considering.
So here in California, if somebody uses end-of-life options, wants to die, and I'm doing their mental health assessment, I do have to make sure that they have decision-making capacity.
That's like a hard thing.
barrier, which has a clear definition and has really big implications for access to MAID for people with dementia or serious mental illness without capacity.
But the other piece of our law says that the patient must not be suffering from impaired judgment due to a mental disorder.
That's a tricky one, right?
So having depression isn't going to be a contraindication to me that you might still be able to get it.
But the law does expect me to assess if their request, whether or not it's primarily driven by an untreated or an unmanaged mental health condition.
And it's not straightforward.
That's a really hard thing for me to assess.
We know that
frequency of psychiatric symptoms is higher in people who make these requests.
But we also know that when we treat the mental health condition, sometimes the request resolves.
Sometimes the request doesn't resolve.
So there's a lot of subjectivity there.
And even to add to the nuance, what if I do think that it is motivated by a primary mental health condition, but I don't think there's a good chance that that mental health condition is going to resolve before they die.
It's important, though, because I actually think we get a ton of requests for haste and death, and we are still working on how to best understand where it's coming from.
And there's a lot of non-controversial waters that come before me that we can think about.
I think the other piece is that different countries, different states, they don't have the same requirements that we have.
Right.
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