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The 51st Meeting of the NH/VT Ethics Committees: Navigating Decision-Making Capacity amid Mental Illness – Uncomfortable Ethical Quandaries Inherent When Psychiatrically Ill Children are Boarded on Non-psychiatric Pediatric Floors – Part 3 of 4

Decision-making capacity can be challenging to assess in patients with mental health diagnoses. Clinicians often struggle with the balance between a desire to respect autonomy and a duty to protect. In this conference, we will discuss challenges in decision-making capacity assessment involving adult and pediatric patients with mental health diagnoses.

Activity Details

Start Date:  October 25, 2021
End Date:  October 25, 2024

You may claim CME or CNE credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click the Continue button to navigate to the Activity Material tab; then click the Link to Presentation link to view the recording. View the entire presentation.
  3. Return to this Activity page.
  4. Click the Continue button to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.


There is no fee for this activity, but to receive credit(s) you must register online and complete the online evaluation (you must register to access this form).

  • Steven C. Schlozman, MD

    Steven C. Schlozman, MD – Pediatric Psychiatric Staff Physician, Outpatient Psychiatric Services, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Associate Professor of Psychiatry, Geisel School of Medicine, Hanover, New Hampshire. Dr. Schlozman has been a child psychiatrist since completing my residency in psychiatry at MGH in 1998 and my child fellowship in 2000.  He served as the chief psychiatric consultant at MGH for the pediatric solid organ transplant unit and as a staff child psychiatrist for 18 years. He was also a member of the consult-liaison psychiatry service at MGH during that time. He then came to DHMC this year (July, 2021) where he is the main child psychiatrist on the consult-liaison service for CHaD.
  • Ellen K. D. Sejkora, PhD 

    Ellen K. D. Sejkora, Ph.D. – Pediatric Psychologist, Outpatient Psychiatric Services, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Assistant Professor of Psychiatry and Pediatrics, Geisel School of Medicine, Hanover, New Hampshire. She has worked in three different hospitals serving the inpatient medical and psychiatric boarding population through consult services. Dr. Sejkora participated in ethics consults for two years at Nationwide Children’s Hospital and co-authored manuscripts specifically outlining ethical dilemmas common within the field of pediatric psychology. She also assisted with ethics consults, both formal and informal, around end of life scenarios in the Nationwide Children’s Hospital neonatal intensive care unit.
Learning Outcome(s)

At the conclusion of this learning activity, (at least 75% of) participants will be able to discuss current issues related to ethical dilemmas posed by patients with mental illness who are asked to make a health care related decision.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Dartmouth-Hitchcock Nursing Continuing Education Council is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity carries 0.50 contact hour.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education, Continuing Nursing Education (CME/CNE) activity, you must:

  • View the entire presentation
  • fill out the activity evaluation. (you must register to access).

The activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have reported NO financial relationship(s)* with ineligible companies**. 

* A “financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).

** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Bibliographic Resources
  • Massachusetts College of Emergency Physicians. MACEP. (n.d.). Retrieved October 26, 2021, from https://www.macep.org/. 
  • Park, J. M., Jordan, N., Epstein, R., Mandell, D. S., & Lyons, J. S. (2009). Predictors of residential placement following a psychiatric crisis episode among children and youth in state custody. American Journal of Orthopsychiatry, 79(2), 228–235. https://doi.org/10.1037/a0015939
  • Misek, R., DeBarba, A., & Brill, A. (2015). Predictors of psychiatric boarding in the emergency department. Western Journal of Emergency Medicine, 16(1), 71–75. https://doi.org/10.5811/westjem.2014.10.23011
Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Director of Continuing Nursing Education, Center for Nursing Excellence
Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
4 Registered Users