RT Journal Article SR Electronic T1 When patients refuse COVID-19 testing, quarantine, and social distancing in inpatient psychiatry: clinical and ethical challenges JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP medethics-2020-106613 DO 10.1136/medethics-2020-106613 A1 Mark J Russ A1 Dominic Sisti A1 Philip J Wilner YR 2020 UL http://jme.bmj.com/content/early/2020/07/10/medethics-2020-106613.abstract AB The COVID-19 pandemic has introduced new ethical challenges in the care of patients with serious psychiatric illness who require inpatient treatment and who may have beeen exposed to COVID-19 or have mild to moderate COVID-19 but refuse testing and adherence to infection prevention protocols. Such situations increase the risk of infection to other patients and staff on psychiatric inpatient units. We discuss medical and ethical considerations for navigating this dilemma and offer a set of policy recommendations.