Reducing Barriers to Completing Psychiatric Advance Directives
نویسندگان
چکیده
منابع مشابه
New 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 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 کاملAdvance directives in psychiatric care: a narrative approach.
Advance directives for psychiatric care are the subject of debate in a number of Western societies. By using psychiatric advance directives (or so-called "Ulysses contracts"), it would be possible for mentally ill persons who are competent and with their disease in remission, and who want timely intervention in case of future mental crisis, to give prior authorisation to treatment at a later ti...
متن کاملPsychiatric advance directives and social workers: an integrative review.
Psychiatric advance directives (PADs) are legal documents that allow individuals to express their wishes for future psychiatric care and to authorize a legally appointed proxy to make decisions on their behalf during incapacitating crises. PADs are viewed as an alternative to the coercive interventions that sometimes accompany mental health crises for people with mental illness. Insofar as coer...
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: Administration and Policy in Mental Health and Mental Health Services Research
سال: 2008
ISSN: 0894-587X,1573-3289
DOI: 10.1007/s10488-008-0187-6