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Related Experiment Videos

Support needed to create psychiatric advance directives.

Tracy Peto1, Debra Srebnik, Ellen Zick

  • 1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 359911, USA.

Administration and Policy in Mental Health
|September 24, 2004
PubMed
Summary

Adults with severe mental illness want and need support to create psychiatric advance directives (PADs). Flexible peer support and user-friendly software aided completion, but most required assistance with technology and understanding information.

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Area of Science:

  • Psychiatry
  • Mental Health Services
  • Health Informatics

Background:

  • Psychiatric advance directives (PADs) are crucial for patient-centered treatment during compromised decision-making.
  • Severe and persistent mental illness (SPMI) impacts decision-making capacity, highlighting the need for advance planning tools.

Purpose of the Study:

  • To assess the desire and need for support in creating PADs among outpatients with SPMI.
  • To evaluate the feasibility of using computer software and peer support for PAD completion.

Main Methods:

  • 106 adult outpatients with SPMI completed PADs using specialized computer software.
  • Flexible peer support was provided throughout the PAD creation process.
  • Participant support needs regarding software use and information clarification were documented.

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Main Results:

  • All participants successfully completed their PADs.
  • Nearly all participants required assistance with the software or clarification of PAD content.
  • One-third of participants expressed a desire for support from case managers.

Conclusions:

  • Accessible software and peer support facilitate PAD completion for individuals with SPMI.
  • Tailored support, varying by individual needs and creation methods, is essential for effective PAD implementation.
  • Consumer preferences should guide the level and type of clinician involvement in PAD creation.