Thank you for the question. I will address the issue of the participation of a psychiatrist in these committees, and maybe Kristin can also talk about other potential members of such committees. It's also something we discussed in our panel at CAMH.
For individuals who don't have a mental illness before they develop a physical one that is an irremediable and grievous illness, I don't think it is always necessary to have a psychiatrist as part of the panel. However, many of the individuals who develop a terminal illness will develop a new mental illness, in the form of major depression or sometimes in the form of a psychosis. If there is a suspicion by the primary treatment team that there is a psychiatric condition that either happened before the physical illness or after the physical illness, I think engaging a psychiatrist at that level and as part of the panel would be important. Again, this is related to my previous answer about assessing extensively and in depth the issue of capacity.