• 2001 84pp paperback ISBN: 9781568870717
• Also available in Japanese (U.S. customers only)
This instrument is not User Qualified and can be sold to any researcher doing research on human subjects.
The MacCAT-CR provides a structured format for capacity assessment that is adaptable to the particulars of any given research project. With the introduction of the MacCAT-CR, researchers enrolling human participants in their studies have available for the first time a reliable and valid means of assessing their potential subject's capacity to consent to participation.
The MacCAT-CR can typically be administered in 15-20 minutes.
Beginning with project-specific disclosures to potential participants, the MacCAT-CR measures the four generally accepted components of decision-making competence: understanding, appreciation, reasoning, and the ability to express a choice. Quantification of subjects' responses permits comparisons across subjects and subject groups, and allows the MacCAT-CR to be used not only for screening individual participants but also for conducting research on the characteristics of subject populations and for assessing the effectiveness of interventions designed to increase subjects' capacities.
Review
"The MacArthur Competence Assessment Tool for Clinical Research has rapidly become the gold standard against which all other ways for assessing capacity to participate in research are measured. Legally sound, psychologically sophisticated, and backed by an award-winning program of research, this clinician-friendly 'tool' can streamline and standardize what would otherwise be a time-consuming and unwieldy task. Once again, Appelbaum and Grisso have given the field just what it needed, just when it needed it the most."
-John Monahan, PhD, Doherty Professor of Law, University of Virginia
Table of Contents
PREFACE
INTRODUCTION
I. CUSTOMIZING THE MacCAT-CR
Understanding Section
Appreciation Section
Reasoning Section
Expressing a Choice Selection
II. INTERVIEW
Content
Understanding Section
Appreciation Section
Reasoning Section
Expressing a Choice Selection
General Procedures
Timing
Sequence
Style
Recording
Duration
Introduction
Understanding Section
Disclosure
Inquiry
Probe
Redisclosure and Reinquiry
Appreciation Section
Inquiry
Probe
Reasoning and Expressing a Choice Sections
Procedure to Establish Subject's Choice
Logical Consistency
III. RATING
Understanding
Appreciation
Reasoning
Expressing a Choice
REFERENCES
APPENDIX A: Sample MacCAT-CR Interview
Understanding
Appreciation
Expressing a Choice
Reasoning
Final Choice
Reasoning
APPENDIX B: MacCAT-CR Record Form
APPENDIX C: Subject's Capacity to Consent to Neurobiological Research
Capacity to Consent to Research
Standards for Determining Decision-Making Competence
Empirical Studies of Decision-Making Capacity
Understanding
Appreciation
Reasoning
Guidance for Policy Makers
Capacities Necessary
Identifying Impairments
The Role of IRBs
Practical Guidance for Researchers
Conclusion
References
About the Authors
Paul S. Appelbaum, MD, is currently Elizabeth K. Dollard
Professor of Psychiatry, Medicine, & Law, Columbia University
Medical Center. He was previously A. F. Zeleznik Distinguished Professor
of Psychiatry; Chairman of Psychiatry; and Director of the Law and
Psychiatry Program at the University of Massachusetts Medical School.
He is the author of many articles and several books on law in clinical
practice including Almost a Revolution: Mental Health Law and the Limits of Change (1994),
for which he was awarded the 1996 Manfred S. Guttmacher Award from the American
Psychiatric Association and the American Academy of Psychiatry and the Law.
Dr. Appelbaum is the secretary of the American Psychiatric Association,
past president of the American Academy of Psychiatry and the Law, and past
president of the Massachusetts Psychiatric Society. He has served as
Chair of the Council on Psychiatry and Law and the Commission on Judicial
Action for the American Psychiatric Society and was a member of the John
D. and Catherine T. MacArthur Foundation Research Network on Mental Health
and the Law. He has received the Isaac Ray Award (1990) of the American
Psychiatric Association for "outstanding contributions to forensic psychiatry
and the psychiatric aspects of jurisprudence." In 1996-1997, he was
the Fritz Redlich Fellow at the Center for Advanced Study in the Behavioral
Sciences.
Thomas Grisso, PhD, is Professor of Psychiatry (Clinical Psychology)
at the University of Massachusetts Medical School where his research, teaching,
and clinical practice focus on forensic mental health evaluations and services.
He has authored and edited several books on evaluations for the courts
and juvenile forensic issues, including Competency to Stand Trial Evaluations
(1988) and Assessing Competence to Consent to Treatment (with
P. Appelbaum, 1998). He has also authored two assessment tools published
by Professional Resource Press: Instruments for Assessing Understanding
and Appreciation of Miranda Rights and MacArthur Competence Assessment
Tool-Treatment (with P.S. Appelbaum). Dr. Grisso is a diplomate
of the American Board of Professional Psychology (Forensic), past president
of the American Psychology-Law Society, a member of the MacArthur Foundation
Network on Adolescent Development and Juvenile Justice, and the 1995 recipient
of the American Psychological Association's Award for Distinguished Contributions
to Research in Public Policy.
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