{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T13:30:56Z","timestamp":1787146256828,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Aging"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults with psychiatric disorders and\/or neurocognitive impairment are often cared for in restrictive settings such as long-term care facilities and inpatient psychiatric hospitals. Risk-averse institutional cultures can lead to overly restrictive practices that prioritize safety at the expense of autonomy and dignity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop a geropsychology-informed dignity of risk framework that helps clinicians and teams balance safety and autonomy in geriatric mental health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This conceptual paper integrates psychological, gerontological, and philosophical literature, including human rights perspectives, geropsychological work on fluctuating capacity and serious mental illness, and empirical studies of institutional risk cultures, coercion, and ageism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The resulting framework comprises five elements: (1) clarifying older adults\u2019 values and goals; (2) assessing and supporting decision-making capacity; (3) distinguishing everyday life risk from high, non-negotiable risk; (4) explicitly weighing psychological benefits alongside physical risks; and (5) documenting \u201csafe enough\u201d risk-sharing plans in partnership with older adults, families, and staff.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/30495334261479384","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:30:51Z","timestamp":1786969851000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Safe Enough to Thrive: A Dignity of Risk Framework for Older Adult Mental Health Care"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9922-2669","authenticated-orcid":false,"given":"William","family":"McKenna","sequence":"first","affiliation":[{"name":"Piedmont Geriatric Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_3_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19566"},{"key":"e_1_3_10_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.774533"},{"key":"e_1_3_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnaa099"},{"key":"e_1_3_10_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610212002372"},{"issue":"5","key":"e_1_3_10_6_1","first-page":"1","article-title":"Life course perspectives of aging with schizophrenia spectrum disorders in psychiatric and long-term care facilities","volume":"64","author":"Garc\u00eda Walker V.","year":"2024","unstructured":"Garc\u00eda Walker V., Harrison T. C. (2024). Life course perspectives of aging with schizophrenia spectrum disorders in psychiatric and long-term care facilities. The Gerontologist, 64(5), 1\u201312. https:\/\/doi.org\/10.1093\/geront\/gnad149","journal-title":"The Gerontologist"},{"key":"e_1_3_10_7_1","volume-title":"The Gerontologist, gnaf215","author":"Goodman M.","year":"2025","unstructured":"Goodman M., Funk L. M., Herron R. V., Novek S. (2025). Routinized Violence: Examining Long-term Residential Care Workers' Perspectives on Involuntary Treatment. The Gerontologist, gnaf215. Advance online publication."},{"key":"e_1_3_10_8_1","doi-asserted-by":"publisher","DOI":"10.34172\/ijhpm.2023.7342"},{"key":"e_1_3_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17366"},{"key":"e_1_3_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19405"},{"key":"e_1_3_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17451"},{"key":"e_1_3_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnv092"},{"key":"e_1_3_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac192"},{"key":"e_1_3_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnaf111"},{"key":"e_1_3_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glaf197"},{"key":"e_1_3_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19535"},{"key":"e_1_3_10_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnaf272"},{"key":"e_1_3_10_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac205"},{"key":"e_1_3_10_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnx044"},{"key":"e_1_3_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18128"},{"key":"e_1_3_10_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610213001014"},{"key":"e_1_3_10_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1426015"},{"key":"e_1_3_10_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/13854046.2018.1517503"},{"key":"e_1_3_10_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2026.1600777"},{"key":"e_1_3_10_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/32.6.767"},{"key":"e_1_3_10_26_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50121.x"},{"issue":"2","key":"e_1_3_10_27_1","first-page":"310","article-title":"Toward a more comprehensive concept of successful aging: Disability and care needs","volume":"72","author":"Tesch-R\u00f6mer C.","year":"2017","unstructured":"Tesch-R\u00f6mer C., Wahl H.-W. (2017). Toward a more comprehensive concept of successful aging: Disability and care needs. Journals of Gerontology: Series B, 72(2), 310\u2013318. https:\/\/doi.org\/10.1093\/geronb\/gbw162","journal-title":"Journals of Gerontology: Series B"},{"key":"e_1_3_10_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbu137"}],"container-title":["Sage Open Aging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/30495334261479384","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/30495334261479384","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/30495334261479384","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T13:16:34Z","timestamp":1787145394000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/30495334261479384"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":27,"alternative-id":["10.1177\/30495334261479384"],"URL":"https:\/\/doi.org\/10.1177\/30495334261479384","relation":{},"ISSN":["3049-5334","3049-5334"],"issn-type":[{"value":"3049-5334","type":"print"},{"value":"3049-5334","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"30495334261479384"}}