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Preference-based crisis care is an infrastructure problem: lessons from joint crisis plans and advance choice
Teruyuki Nomura1, Shunsuke Kanou2
1Department of Psychological Science, Faculty of Psychology and Welfare, https://ror.org/00aygzx54Niigata University of Health and Welfare, Niigata, Japan.
Abstract:
Crisis planning based on stated treatment preferences should not be judged by trials that never verified delivery infrastructure. Lessons from UK joint crisis plans and advance choice documents (ACDs) suggest outcomes depend on facilitation, accessibility, specificity and exception governance. Japan should test ACDs as measurable crisis-care infrastructure, not paperwork.
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