TY - JOUR T1 - ADdressing the ethical, legal, and social issues raised by voting by persons with dementia AU - Karlawish JH, Bonnie RJ, Appelbaum PS, et al Y1 - 2004/09/15 N1 - 10.1001/jama.292.11.1345 JO - JAMA SP - 1345 EP - 1350 VL - 292 IS - 11 N2 - This article addresses an emerging policy problem in the United States participation in the electoral process by citizens with dementia. At present, health care professionals, family caregivers, and long-term care staff lack adequate guidance to decide whether individuals with dementia should be precluded from or assisted in casting a ballot. Voting by persons with dementia raises a series of important questions about the autonomy of individuals with dementia, the integrity of the electoral process, and the prevention of fraud. Three subsidiary issues warrant special attention: development of a method to assess capacity to vote; identification of appropriate kinds of assistance to enable persons with cognitive impairment to vote; and formulation of uniform and workable policies for voting in long-term care settings. In some instances, extrapolation from existing policies and research permits reasonable recommendations to guide policy and practice. However, in other instances, additional research is necessary. SN - 0098-7484 M3 - doi: 10.1001/jama.292.11.1345 UR - http://dx.doi.org/10.1001/jama.292.11.1345 ER -