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The content of mental health advance directives: Advance statements in Scotland
Jacquie Reilly1, Jacqueline M Atkinson
1University of Glasgow, United Kingdom.
Background:
Where advance directives in mental health have been introduced concern has been expressed about their content including inappropriate treatment choices, ambiguity, or the impact of decisions on resources.
Aim:
To examine the content of advance statements in Scotland.
Method:
A thematic analysis of 55 advance statements presented to the Mental Health Tribunal for Scotland.
Results:
The format of statements did not always follow the guidelines and there were considerable differences in the content. A total of 96% of the statements included at least one specific treatment refusal. In contrast 45% named specific medications they were prepared to take. 55% contained wider information than 'treatment', including setting and other supports.
Conclusions:
The majority of advance statements contained clear information about preferences as to medical treatment. The additional requests raise questions about what is meant by treatment.
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