International Addiction Research Ethics Working Group
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Group Wiki
hello there 3.11.10
Case Vignette #1-Submitted September 23, 2009
Submitted by:
Linda B Cottler, PhD, MPH and Catherine Striley, PhD, ACSW, MPE } Tina presents to Doctor F for labored breathing
after her mental health agency case manager called and made the
appointment. Doctor F is currently
enrolling for a study of untreated asthma. Tina appears well-groomed and smiles at the receptionist.
} Should Dr. F’s coordinator screen Tina for the study? Why or why not?
} How confident are you:
◦ That Tina would participate in the study?
◦ That Tina would attend every study visit?
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Case Vignette #2
Date: December 21, 2009
Name: Dr. Anna Brandon
Country: USA
Comment: For perinatal depression, exclusion criteria is active
substance abuse; difficult to treat depression when substance abuse is ongoing;
her group usually recommends the person get treatment for substance abuse and then will
accept people with a history of substance abuse.
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Case Vignette #3
Date: December 21, 2009
Name: Dr Marie Claire Van Hout
Country: Ireland
Comment: From my experience, ethical concerns relating to research participant comprehension
and decision making abilities remain present, in terms of potential participant intoxication,
withdrawal and addiction clouding the informed consent process. Other special
concerns remain with regard to drugs research conducted with minors,
particularly in terms of obtaining adequate informed consent, and also possible
child protection guidelines.
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Case Vignette #4
Date: December 21, 2009
Name: Javier Gontier Bertiola
Country: Chile
Comment: My comment:
In Chile there is little research about drugs and
clinical trials. Most of the data and information we have come from
other countries (US). Clinicians use medications to treat patients
based on foreign scientific literature. Ethical issues in Chile have to
do with how well the patients are informed about side effects and
participation in research. For instance, how I do research with
teenagers who do drugs (cocaine base paste) that are hospitalized for
detoxification but have no adult responsible for them? My choice would
be to ask for consent with the patient and the medical staff.
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