Psychiatric Advance Directives and Social Workers: An Integrative Review

Dorn, Richard A. Van; Scheyett, Anna; Swanson, Jeffrey W.; Swartz, Marvin S.

doi:10.1093/sw/55.2.157

Cited by 13 publications

(6 citation statements)

References 60 publications

(67 reference statements)

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“…Avoiding involuntary treatment is generally associated with advance directives. This orientation refers to making advanced decisions to reduce the use of legal coercion in treatment (Belden et al, 2021; James et al, 2021; Kim et al, 2007; Poremski et al, 2020; Van Dorn et al, 2010).…”

Section: Resultsmentioning

confidence: 99%

Crisis plans in mental health: A scoping review

Cassivi

Sergerie-Richard

Saint-Pierre

et al. 2023

Int J Mental Health Nurs

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Crisis situations are frequent among people with mental health disorders. Several interventions have been developed to act in prevention, including crisis plans recognized as particularly effective in reducing coercive measures. In the literature, several models of crisis plans are proposed with similar aims and contents. Based on the methodology proposed by the Joanna Briggs Institute, a scoping review was conducted to map the state of knowledge on crisis plans in adult mental health settings. The literature search conducted on six databases (CINAHL, PubMed, Medline, EMBASE, PsychINFO and Cochrane) yielded 2435 articles. Of these, 122 full‐text articles were assessed for eligibility, and 78 met the inclusion criteria. Studies were critically appraised using the Joanna Briggs Institute appraisal tools, and data were extracted by two independent reviewers. Content analysis identified a typology of crisis plans: (1) the legal crisis plan and (2) the formal crisis plan. Five modalities were identified for its completion: the sections, the moment, the completion steps, the people involved and the training of key actors. Most identified outcomes are consistent with the main purpose of the intervention, which is crisis prevention. However, the most identified outcomes focused on the service user's recovery and indicated that crisis plans could provide an opportunity to operationalize recovery in mental healthcare, thus suggesting an evolution in the aim of the intervention. Future research should further focus on the modalities of crisis plans to guide the implementation in clinical practice.

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Section: Resultsmentioning

confidence: 99%

Crisis plans in mental health: A scoping review

Cassivi

Sergerie-Richard

Saint-Pierre

et al. 2023

Int J Mental Health Nurs

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“…Facilitated PADs might help in overcoming this obstacle. Studies have looked into multi-session, therapist-facilitated PADs and computer-facilitated PADs (Khazaal, Chatton, Pasandin, Zullino, & Preisig, 2009;Van Dorn, Scheyett, Swanson, & Swartz, 2010).…”

Section: Facilitationmentioning

confidence: 99%

EAT-PAD: Educating about psychiatric advance directives in India

Philip

Chandran

Stezin

et al. 2019

Int J Soc Psychiatry

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Background: With India enacting the Mental Health Care Act (MHCA; No. 10 of 2017a), Psychiatric Advance Directives (PADs) have been legalised and have become binding orders for psychiatrists treating patients. There is a paucity of research into acceptability of PADs in Indian mental health care, likely due to a lack of awareness. There are no educational measures about PADs provided for in this Act. Facilitators and facilitation methods have not been elaborated upon as well. Aim: The aim of this study is (a) to develop/evaluate the effectiveness of a structured Education-cum-Assessment Tool (EAT) in providing information regarding PADs and (b) to evaluate modes of facilitation required by patients to complete PADs. Methods: A tool was developed as per provisions regarding PADs in the Mental Health Care Bill of 2013. This tool was administered to patients ( n = 100), purposively sampled from the adult psychiatry review out-patient department (OPD). Patients were evaluated on retention of information, completion of PADs, modes of facilitation and time taken to write one. Results: Mean years of education was 8.28 (±5.74) years and mean duration of illness was 8.30 (±7.04) years. In all, 65% had Below-Poverty Line (BPL) status. All participants completed valid PADs in an average of 15 minutes. About 93% required facilitation via assistance in writing and reminding. The mean EAT scores implied above 70% retention but did not relate to types of facilitation. Conclusions: EAT scores can be used as an approximate measure of the patient’s ability to understand and retain information which is a part of decisional capacity. Types of facilitation can help in understanding patient’s ability to communicate their choices. Service providers may find EAT a time-effective tool for uniformly educating service users regarding PADs and indirectly assessing competence.

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“…The PAD will become active when the treating physician determines that the patient is not capable of making decisions on his/her behalf. [ 22 ] The MHCA 2017 does not mention the need for conducting the mental status examination and documentation, at the time of completing Advance Directive document.…”

Section: Psychiatric Advance Directivementioning

confidence: 99%