Increasing the use of psychiatric advance directives
نویسندگان
چکیده
منابع مشابه
Competency for creation, use, and revocation of psychiatric advance directives.
Psychiatric advance directives help promote patient involvement in treatment and expedite psychiatric care. However, clinicians are unsure of how to use directives, partly due to poor clarity regarding standards for capacity to create, use, and revoke them. This article recommends possible capacity standards. Capacity to create directives is a legal presumption, supported by empirical data. Sta...
متن کاملNew research on psychiatric advance directives
Background Psychiatric advance directives (PADs) provide a legal means for competent individuals to refuse or consent to future mental health treatment during periods of decisional incapacity. Previous studies have shown high potential demand for PADs but low rates of completion in the United States, despite new laws authorizing PADs in over 20 states. This paper reports the results of the firs...
متن کامل[Psychiatric advance directives and the role of autonomy].
Although psychiatric advance directives (PADs) are grounded in the ethics of autonomy, the relationship between the two is unclear. PADs are legal documents that allow individuals with mental illness to record their treatment preferences should they become incompetent in the future. The relationship between autonomy and PADs has been discussed in ethical, legal, and philosophical terms, but has...
متن کاملCommentary: the climate for physician adherence to psychiatric advance directives.
Factors that may be significant in rationalizing physician overrides of psychiatric advance directives (PADs) are not only features of individual clinical scenarios, but also are artifacts of the faltering mental health system being navigated by both provider and patient. This system, frequently viewed as hostile to consumer choice and increasingly focused on reacting to recurrent crises, is no...
متن کاملPsychiatric advance directives and reduction of coercive crisis interventions.
BACKGROUND: Psychiatric advance directives are intended to enable self-determined treatment for patients who lose decisional capacity, and thus reduce the need for coercive interventions such as police transport, involuntary commitment, seclusion and restraints, and involuntary medications during mental health crises; whether PADs can help prevent the use of these interventions in practice is u...
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ژورنال
عنوان ژورنال: Nursing Ethics
سال: 2017
ISSN: 0969-7330,1477-0989
DOI: 10.1177/0969733017708881