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Psychiatric advance directives among public mental health consumers in five U.S. cities: prevalence, demand, and correlates.

Publication ,  Journal Article
Swanson, J; Swartz, M; Ferron, J; Elbogen, E; Van Dorn, R
Published in: J Am Acad Psychiatry Law
2006

Psychiatric advance directives (PADs) are legal instruments that allow competent persons to document their preferences regarding future mental health treatment and to designate a surrogate decisionmaker in the event they lose capacity to make reliable treatment decisions during an acute episode of psychiatric illness. This study reports the findings of a survey of 1,011 psychiatric outpatients in five U.S. cities about their interest in, and completion of, PADs. Across the sites, only 4 to 13 percent of participants had completed a PAD; however, between 66 and 77 percent reported wanting to complete one if given assistance. Significantly higher demand for PADs was found among participants who were female; were nonwhite; had a history of self-harm, arrest, and decreased personal autonomy; and those who felt pressured to take medication. Actual completion of PADs was more likely among participants with higher insight, those reporting leverage by a representative payee, and those who felt external pressure to keep outpatient appointments for mental health treatment.

Duke Scholars

Published In

J Am Acad Psychiatry Law

ISSN

1093-6793

Publication Date

2006

Volume

34

Issue

1

Start / End Page

43 / 57

Location

United States

Related Subject Headings

  • Urban Population
  • United States
  • Public Sector
  • Psychiatry
  • Outpatients
  • Middle Aged
  • Male
  • Humans
  • Health Care Surveys
  • Female
 

Citation

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Swanson, J., Swartz, M., Ferron, J., Elbogen, E., & Van Dorn, R. (2006). Psychiatric advance directives among public mental health consumers in five U.S. cities: prevalence, demand, and correlates. J Am Acad Psychiatry Law, 34(1), 43–57.
Swanson, Jeffrey, Marvin Swartz, Joelle Ferron, Eric Elbogen, and Richard Van Dorn. “Psychiatric advance directives among public mental health consumers in five U.S. cities: prevalence, demand, and correlates.J Am Acad Psychiatry Law 34, no. 1 (2006): 43–57.
Swanson J, Swartz M, Ferron J, Elbogen E, Van Dorn R. Psychiatric advance directives among public mental health consumers in five U.S. cities: prevalence, demand, and correlates. J Am Acad Psychiatry Law. 2006;34(1):43–57.
Swanson, Jeffrey, et al. “Psychiatric advance directives among public mental health consumers in five U.S. cities: prevalence, demand, and correlates.J Am Acad Psychiatry Law, vol. 34, no. 1, 2006, pp. 43–57.
Swanson J, Swartz M, Ferron J, Elbogen E, Van Dorn R. Psychiatric advance directives among public mental health consumers in five U.S. cities: prevalence, demand, and correlates. J Am Acad Psychiatry Law. 2006;34(1):43–57.

Published In

J Am Acad Psychiatry Law

ISSN

1093-6793

Publication Date

2006

Volume

34

Issue

1

Start / End Page

43 / 57

Location

United States

Related Subject Headings

  • Urban Population
  • United States
  • Public Sector
  • Psychiatry
  • Outpatients
  • Middle Aged
  • Male
  • Humans
  • Health Care Surveys
  • Female