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Administration and Policy in Mental Health and Mental Health Services Research

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01.11.2008 | Original Paper

Reducing Barriers to Completing Psychiatric Advance Directives

verfasst von: Richard A. Van Dorn, Jeffrey W. Swanson, Marvin S. Swartz, Eric Elbogen, Joelle Ferron

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 6/2008

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Abstract

Objective Psychiatric advance directives (PADs) allow individuals to plan for future mental health treatment. However, little is known about barriers to PAD completion. This paper examines an intervention’s effect in reducing barriers to PAD completion. Method Patients were randomly assigned to a facilitated PAD session or control group. Barriers associated with (1) the PAD documents and (2) external support for PADs were assessed at baseline (n = 462), 6 months (n = 380) and 1 year (n = 362). Results There were no significant baseline between-group differences on the two barriers. However, at follow-up both barriers were significantly lower in the experimental group. Further, barriers were predictive of PAD completion. Conclusions Structured facilitation can significantly reduce barriers to PAD completion. However, the intervention did not eliminate barriers. Findings are discussed in the context of possible system-level changes to further reduce barriers to PAD completion.

Amering, M., Stastny, P., & Hopper, K. (2005). Psychiatric advance directives: Qualitative study of informed deliberations by mental health service users. The British Journal of Psychiatry, 186, 247–252. doi:10.1192/bjp. 186.3.247.PubMedCrossRef

California Protection and Advocacy, Inc. (2003). Advance case directive. Sacramento, CA: California Protection and Advocacy, Inc.

Colvin, E. R., & Hammes, B. J. (1991). “If I only knew”. A patient education program on advance directives. American Nephrology Nurses Association Journal, 18, 557–560.

Diggle, P. J., Liang, K.-Y., & Zeger, S. L. (1994). Analysis of longitudinal data. Oxford: Clarendon Press.

Elbogen, E. B., Swanson, J. W., Appelbaum, P., Swartz, M. S., Ferron, J., Van Dorn, R. A., et al. (2007). Competency to complete psychiatric advance directives: Effects of facilitated decision making. Law and Human Behavior, 31, 275–289. doi:10.1007/s10979-006-9064-6.PubMedCrossRef

Faccincani, C., Mignolli, G., & Platt, S. (1990). Service utilization, social support, and psychiatric status in a cohort of patients with schizophrenic psychoses: A seven-year follow-up study. Schizophrenia Research, 3, 139–146. doi:10.1016/0920-9964(90)90047-B.PubMedCrossRef

Ganju, V. (1999). The MHSIP consumer survey. Austin: Texas Department of MHMR.

Hammes, B. J., & Rooney, B. L. (1998). Death and end-of-life planning in one midwestern community. Archives of Internal Medicine, 158, 383–390. doi:10.1001/archinte.158.4.383.PubMedCrossRef

Henderson, C., Flood, C., Leese, M., Thornicroft, G., Sutherby, K., & Szmukler, G. (2004). Effect of joint crisis plans on use of compulsory treatment in psychiatry: Single blind randomised controlled trial. British Medical Journal, 329, 136–140.PubMedCrossRef

Henderson, C., Swanson, J. W., Szmukler, G., Thornicroft, G., & Zinkler, M. (2008). A typology of advance statements in mental health care. Psychiatric Services (Washington, DC), 59(1), 63–71. doi:10.1176/appi.ps.59.1.63.

Horvath, A. O., & Greenberg, L. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36, 223–233. doi:10.1037/0022-0167.36.2.223.CrossRef

Kim, M. M., Van Dorn, R. A., Scheyett, A., Elbogen, E., Swanson, J. W., Swartz, M. S., et al. (2007). Understanding the personal and clinical utility of Psychiatric Advance Directives: A qualitative perspective. Psychiatry, 70(1), 19–29.PubMed

Monahan, J., Redlich, A., Swanson, J. W., Robbins, P. C., Appelbaum, P. S., Petrila, J., et al. (2005). Use of leverage to improve adherence to psychiatric treatment in the community. Psychiatric Services (Washington, DC), 56, 37–44. doi:10.1176/appi.ps.56.1.37.

Neale, M. S., & Rosenheck, R. A. (1989). Therapeutic alliance and outcome in a VA intensive case management program. Psychiatric Services (Washington, DC), 46, 719–721.

Shaw, W. S., Patterson, T. L., Semple, S. J., Halpain, M. C., Koch, W. L., Harris, M. J., et al. (2000). Use of community support services by middleaged and older patients with psychotic disorders. Psychiatric Services (Washington, DC), 51, 506–512. doi:10.1176/appi.ps.51.4.506.

Srebnik, D., Appelbaum, P. S., & Russo, J. (2004). Assessing competence to complete psychiatric advance directives with the competence assessment tool for psychiatric advance directives. Comprehensive Psychiatry, 45, 239–245. doi:10.1016/j.comppsych.2004.03.004.PubMedCrossRef

Srebnik, D., & Brodoff, L. (2003). Implementing psychiatric advance directives: Service provider issues and answers. The Journal of Behavioral Health Services & Research, 30(3), 253–268. doi:10.1007/BF02287316.CrossRef

Srebnik, D., & La Fond, J. (1999). Advance directives for mental health services: Current perspectives and future directions. Psychiatric Services (Washington, DC), 50(7), 919–925.

Srebnik, D., Russo, J., Sage, J., Peto, T., & Zick, E. (2003). Interest in psychiatric advance directives among high users of crisis services and hospitalization. Psychiatric Services (Washington, DC), 54(7), 981–986. doi:10.1176/appi.ps.54.7.981.

Srebnik, D. S., Rutherford, L. T., Peto, T., Russo, J., Zick, E., Jaffe, C., et al. (2005). The content and clinical utility of psychiatric advance directives. Psychiatric Services (Washington, DC), 56, 592–598. doi:10.1176/appi.ps.56.5.592.

Stokes, M. E., Davis, C., & Koch, G. G. (1995). Categorical data analysis using the SAS system. Cary: SAS Institute Inc.

Swanson, J. W., Swartz, M. S., Elbogen, E. B., Van Dorn, R. A., Ferron, J., Wagner, H. R., et al. (2006a). Facilitated psychiatric advance directives: A randomized trial of an intervention to foster advance treatment planning among persons with severe mental illness. The American Journal of Psychiatry, 163, 1943–1951. doi:10.1176/appi.ajp. 163.11.1943.PubMedCrossRef

Swanson, J. W., Swartz, M. S., Ferron, J., Elbogen, E. B., & Van Dorn, R. A. (2006b). Psychiatric advance directives among public mental health consumers in five U.S. cities: Prevalence, demand, and correlates. The Journal of the American Academy of Psychiatry and the Law, 34, 43–57.PubMed

Swanson, J. W., Swartz, M. S., Hannon, M. J., Elbogen, E. B., Wagner, H., McCauley, B. J., et al. (2003). Psychiatric advance directives: A survey of persons with schizophrenia, family members, and treatments providers. International Journal of Forensic Mental Health, 2(1), 73–86.

Swanson, J. W., Tepper, M. C., Backlar, P. B., & Swartz, M. S. (2000). Psychiatric advance directives: An alternative to coercive treatment? Psychiatry, 63(2), 160–172.PubMed

Van Dorn, R. A., Elbogen, E. B., Redlich, A., Swanson, J. W., Swartz, M. S., & Mustillo, S. (2006a). The relationship between mandated treatment and perceived barriers to care in persons with severe mental illness. International Journal of Law and Psychiatry, 29, 495–506. doi:10.1016/j.ijlp. 2006.08.002.PubMedCrossRef

Van Dorn, R. A., Swartz, M. S., Elbogen, E. B., Swanson, J. W., Kim, M., Ferron, J., et al. (2006b). Clinicians’ attitudes regarding barriers to the implementation of psychiatric advance directives. Administration and Policy in Mental Health and Mental Health Services Research, 33, 449–460. doi:10.1007/s10488-005-0017-z.PubMedCrossRef

Woerner, M. G., Mannuzza, S., & Kane, J. M. (1988). Anchoring the BPRS: An aid to improved reliability. Psychopharmacology Bulletin, 24, 112–117.PubMed

Titel: Reducing Barriers to Completing Psychiatric Advance Directives
verfasst von: Richard A. Van Dorn
Jeffrey W. Swanson
Marvin S. Swartz
Eric Elbogen
Joelle Ferron
Publikationsdatum: 01.11.2008
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 6/2008
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-008-0187-6

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Reducing Barriers to Completing Psychiatric Advance Directives

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