Psychiatrists’ views and attitudes about psychiatric advance directives


Journal Article

Psychiatric advance directives (PADs) document a patient’s advance instructions (AIs) for treatment and/or designation of a potential proxy decision maker. Approximately 50% of a total of N=167 U.S. psychiatrists who completed a mail survey of their attitudes and views regarding PADs had a favorable opinion of a law authorizing AIs, whereas two-thirds of psychiatrists endorsed proxy decision making legislation. However, 42% perceived important barriers in the service system that would prevent effective implementation of PADs, while 30% considered clinical factors to be important barriers to implementation. Psychiatrists who are correctly apprised of applicable state mental health law are generally more supportive of PADs; they may be more willing to support PADs if they are educated about key aspects of PAD legislation. © 2005 International Association of Forensic Mental Health Services.

Full Text

Duke Authors

Cited Authors

  • Swartz, MS; Swanson, JW; Ferron, J; Elbogen, EB; Van Dorn, R; Kim, M; Scheyett, A

Published Date

  • January 1, 2005

Published In

Volume / Issue

  • 4 / 2

Start / End Page

  • 107 - 117

Electronic International Standard Serial Number (EISSN)

  • 1932-9903

International Standard Serial Number (ISSN)

  • 1499-9013

Digital Object Identifier (DOI)

  • 10.1080/14999013.2005.10471217

Citation Source

  • Scopus