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Implementing Psychiatric Advance Directives: The Transmitter and Receiver Problem and the Neglected Right to Be Deemed Incapable.

Publication ,  Journal Article
Swartz, MS; Swanson, JW; Easter, MM; Robertson, AG
Published in: Psychiatr Serv
February 1, 2021

Psychiatric advance directives (PADs) can help adults with serious mental illnesses preserve their autonomy and avoid involuntary interventions during an incapacitating mental health crisis. A PAD is a legal document prepared while mentally competent and states the person's treatment preferences to be implemented during a future crisis, ideally with the advocacy of an authorized proxy decision maker. PADs have been available in the United States for more than three decades but have yet to be robustly implemented in practice. This Open Forum describes PADs metaphorically as a device for remote communication among the person with mental illness, a proxy decision maker, and health care providers. Barriers to PAD usage occur on both "transmitter" and "receiver" sides and must be addressed to advance PAD implementation.

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Published In

Psychiatr Serv

DOI

EISSN

1557-9700

Publication Date

February 1, 2021

Volume

72

Issue

2

Start / End Page

219 / 221

Location

United States

Related Subject Headings

  • United States
  • Psychiatry
  • Mental Disorders
  • Humans
  • Communication
  • Advance Directives
  • Adult
  • 4203 Health services and systems
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
 

Citation

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Chicago
ICMJE
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Swartz, M. S., Swanson, J. W., Easter, M. M., & Robertson, A. G. (2021). Implementing Psychiatric Advance Directives: The Transmitter and Receiver Problem and the Neglected Right to Be Deemed Incapable. Psychiatr Serv, 72(2), 219–221. https://doi.org/10.1176/appi.ps.202000659
Swartz, Marvin S., Jeffrey W. Swanson, Michele M. Easter, and Allison G. Robertson. “Implementing Psychiatric Advance Directives: The Transmitter and Receiver Problem and the Neglected Right to Be Deemed Incapable.Psychiatr Serv 72, no. 2 (February 1, 2021): 219–21. https://doi.org/10.1176/appi.ps.202000659.
Swartz MS, Swanson JW, Easter MM, Robertson AG. Implementing Psychiatric Advance Directives: The Transmitter and Receiver Problem and the Neglected Right to Be Deemed Incapable. Psychiatr Serv. 2021 Feb 1;72(2):219–21.
Swartz, Marvin S., et al. “Implementing Psychiatric Advance Directives: The Transmitter and Receiver Problem and the Neglected Right to Be Deemed Incapable.Psychiatr Serv, vol. 72, no. 2, Feb. 2021, pp. 219–21. Pubmed, doi:10.1176/appi.ps.202000659.
Swartz MS, Swanson JW, Easter MM, Robertson AG. Implementing Psychiatric Advance Directives: The Transmitter and Receiver Problem and the Neglected Right to Be Deemed Incapable. Psychiatr Serv. 2021 Feb 1;72(2):219–221.
Journal cover image

Published In

Psychiatr Serv

DOI

EISSN

1557-9700

Publication Date

February 1, 2021

Volume

72

Issue

2

Start / End Page

219 / 221

Location

United States

Related Subject Headings

  • United States
  • Psychiatry
  • Mental Disorders
  • Humans
  • Communication
  • Advance Directives
  • Adult
  • 4203 Health services and systems
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services