Administration and Policy in Mental Health and Mental Health Services Research

, Volume 37, Issue 6, pp 447–458

How Should we Implement Psychiatric Advance Directives? Views of Consumers, Caregivers, Mental Health Providers and Researchers

  • Claire Henderson
  • Carlos Jackson
  • Mike Slade
  • Alexander S. Young
  • Jennifer L. Strauss
Original Paper

DOI: 10.1007/s10488-010-0264-5

Cite this article as:
Henderson, C., Jackson, C., Slade, M. et al. Adm Policy Ment Health (2010) 37: 447. doi:10.1007/s10488-010-0264-5

Abstract

The aim of this study was to measure expert consensus on the implementation of Psychiatric Advance Directives (PADs) within the Veterans Health Administration. We conducted a two-round Delphi study with 55 panelists including consumers, caregivers, mental health providers and researchers. For a number of items where no positive or negative consensus was reached we found differences between the views of consumers and non-consumers, reflecting consumer’s preferences for nonmedical settings for completion and assistance with completion independent of the treatment team. Thus, the principle of consumer choice that applies to MHAD content should also be applied to the process of completion offered.

Keywords

Psychiatric advance directivesConsensus studyImplementation

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Claire Henderson
    • 1
    • 2
  • Carlos Jackson
    • 2
    • 3
  • Mike Slade
    • 1
  • Alexander S. Young
    • 4
  • Jennifer L. Strauss
    • 5
  1. 1.P029, Health Service and Population Research DepartmentInstitute of Psychiatry, King’s College LondonLondonUK
  2. 2.James J. Peters VA Medical CenterBronxUSA
  3. 3.New York State Psychiatric InstituteColumbia UniversityNew YorkUSA
  4. 4.Greater Los Angeles VA and University of California Los AngelesLos AngelesUSA
  5. 5.Durham VA and Duke University Medical CentersDurhamUSA