As the number of older adults residing in continuing care facilities increa
ses, mental health professionals will provide more services and conduct mor
e research in this setting. Mental health professionals working with contin
uing care residents will find themselves regularly challenged by ethical is
sues, particularly obtaining informed consent. Characteristics of the conti
nuing care setting and residents make obtaining informed consent especially
challenging. Mental health professionals must overcome these challenges in
order to fulfill the following three requirements of informed consent: (1)
the client is competent, (2) the client is provided with sufficient inform
ation, and (3) the client has not been coerced and/or the consent is volunt
ary. This article will examine the issues surrounding the fulfillment of th
ese requirements in a continuing care facility, and will provide suggestion
s and guidelines that mental health professionals can utilize during the in
formed consent process.