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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0573

Ethics as a Clinical Compass in Child and Adolescent Psychiatry in Low-Resource Settings

ETHICS AS A CLINICAL COMPASS IN CHILD AND ADOLESCENT PSYCHIATRY IN LOW-RESOURCE SETTINGS

In low-resource settings, ethics is not an abstract ideal but a practical compass guiding everyday clinical decisions.

The study aims to address ethical decision-making in child and adolescent psychiatric practice in resource-constrained settings. Conducted in Honduras, where limited infrastructure, resource scarcity, and institutional fragility turn every clinical choice into an ethical one, the assessment draws on a practice-based ethical analysis of recurring clinical situations in public and private settings. The frameworks used include basic bioethics, the ethics of care, the ethics of responsibility, and cross-cultural perspectives; no identifiable patient data were used. The main ethical dilemmas identified are prioritizing severe cases amid resource scarcity, limited access to psychotropic medications and psychotherapy, the tension between autonomy and protection in minors, conflicts between culturally mediated practices and child protection, and moral distress among clinicians facing persistent systemic constraints. No quantitative findings or statistical analyses were reported. In conclusion, the ethics of care and the ethics of responsibility emerge as the most applicable frameworks for supporting humane, context-sensitive, and developmentally informed psychiatric practice in low-resource settings.

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