Psychiatric advance directives and social workers: an integrative review.

Journal Article (Journal Article;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 coercive interventions can abridge clients' autonomy and self-determination--values supported by the NASW Code of Ethics--social workers have a vested interest in finding ways to reduce coercion and increase autonomy and self-determination in their practice. However, PADs are also viewed as having the potential to positively affect a variety of other clinical outcomes, including, but not limited to, treatment engagement, treatment satisfaction, and working alliance. This article reviews the clinical and legal history of PADs and empirical evidence for their implementation and effectiveness. Despite what should be an inherent interest in PADs and the fact that laws authorizing PADs have proliferated in the past decade, there is little theoretical or empirical research on PADS in the social work literature.

Full Text

Duke Authors

Cited Authors

  • Van Dorn, RA; Scheyett, A; Swanson, JW; Swartz, MS

Published Date

  • April 2010

Published In

Volume / Issue

  • 55 / 2

Start / End Page

  • 157 - 167

PubMed ID

  • 20408357

Pubmed Central ID

  • PMC3642872

International Standard Serial Number (ISSN)

  • 0037-8046

Digital Object Identifier (DOI)

  • 10.1093/sw/55.2.157


  • eng

Conference Location

  • United States