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EFFECTIVELY IMPLEMENTING PSYCHIATRIC ADVANCE DIRECTIVES TO PROMOTE SELF-DETERMINATION OF TREATMENT AMONG PEOPLE WITH MENTAL ILLNESS.

Publication ,  Journal Article
Elbogen, EB; Van Dorn, R; Swanson, JW; Swartz, MS; Ferron, J; Wagner, HR; Wilder, C
Published in: Psychol Public Policy Law
November 2007

Statutes on psychiatric advance directives (PADs) allow competent individuals to document instructions for future mental health treatment in the event of an incapacitating crisis. PADs are aimed at promoting a stronger sense of patient self-determination, considered a central tenet of psychosocial rehabilitation and recovery; however, it is unknown what factors (if any) lead psychiatric patients with PADs to experience this benefit long term. The current study involves examination of 1 year effects on perceived treatment self-determination among 125 people with mental disorders who completed PADs via a 1-on-1 facilitated PAD intervention. Descriptive analyses showed participants documented medically relevant information that would assist doctors in a crisis and participants reported a high level of satisfaction with the facilitated PAD intervention. Multivariate analyses demonstrated that increased sense of autonomy at 1 year was predicted by race, understanding PADs, and verbal memory. Results provide useful guidance for administrators and clinicians, suggesting that PADs show promise in helping empower people with mental illness, especially African-American clients. Further, findings indicate that optimal implementation of PADs will be achieved when facilitated intervention assists people with mental illness to better understand what PADs are and to remember they have a PAD at the time they are experiencing a psychiatric crisis.

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Published In

Psychol Public Policy Law

DOI

ISSN

1076-8971

Publication Date

November 2007

Volume

13

Issue

4

Location

United States

Related Subject Headings

  • Criminology
  • 5201 Applied and developmental psychology
  • 4804 Law in context
  • 4402 Criminology
  • 1801 Law
  • 1701 Psychology
  • 1605 Policy and Administration
 

Citation

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Elbogen, E. B., Van Dorn, R., Swanson, J. W., Swartz, M. S., Ferron, J., Wagner, H. R., & Wilder, C. (2007). EFFECTIVELY IMPLEMENTING PSYCHIATRIC ADVANCE DIRECTIVES TO PROMOTE SELF-DETERMINATION OF TREATMENT AMONG PEOPLE WITH MENTAL ILLNESS. Psychol Public Policy Law, 13(4). https://doi.org/10.1037/1076-8971.13.4.273
Elbogen, Eric B., Richard Van Dorn, Jeffrey W. Swanson, Marvin S. Swartz, Joelle Ferron, H Ryan Wagner, and Christine Wilder. “EFFECTIVELY IMPLEMENTING PSYCHIATRIC ADVANCE DIRECTIVES TO PROMOTE SELF-DETERMINATION OF TREATMENT AMONG PEOPLE WITH MENTAL ILLNESS.Psychol Public Policy Law 13, no. 4 (November 2007). https://doi.org/10.1037/1076-8971.13.4.273.
Elbogen EB, Van Dorn R, Swanson JW, Swartz MS, Ferron J, Wagner HR, et al. EFFECTIVELY IMPLEMENTING PSYCHIATRIC ADVANCE DIRECTIVES TO PROMOTE SELF-DETERMINATION OF TREATMENT AMONG PEOPLE WITH MENTAL ILLNESS. Psychol Public Policy Law. 2007 Nov;13(4).
Elbogen, Eric B., et al. “EFFECTIVELY IMPLEMENTING PSYCHIATRIC ADVANCE DIRECTIVES TO PROMOTE SELF-DETERMINATION OF TREATMENT AMONG PEOPLE WITH MENTAL ILLNESS.Psychol Public Policy Law, vol. 13, no. 4, Nov. 2007. Pubmed, doi:10.1037/1076-8971.13.4.273.
Elbogen EB, Van Dorn R, Swanson JW, Swartz MS, Ferron J, Wagner HR, Wilder C. EFFECTIVELY IMPLEMENTING PSYCHIATRIC ADVANCE DIRECTIVES TO PROMOTE SELF-DETERMINATION OF TREATMENT AMONG PEOPLE WITH MENTAL ILLNESS. Psychol Public Policy Law. 2007 Nov;13(4).

Published In

Psychol Public Policy Law

DOI

ISSN

1076-8971

Publication Date

November 2007

Volume

13

Issue

4

Location

United States

Related Subject Headings

  • Criminology
  • 5201 Applied and developmental psychology
  • 4804 Law in context
  • 4402 Criminology
  • 1801 Law
  • 1701 Psychology
  • 1605 Policy and Administration