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Users’ and Health Professionals’ Values in Relation to a Psychiatric Intervention: The Case of Psychiatric Advance Directives

  • P. Nicaise
  • V. E. Soto
  • V. Dubois
  • V. Lorant
Original Article

Abstract

Although clinical and organisational benefits have been expected from Psychiatric Advance Directives (PADs), their take-up rates remain low and their evaluation disappointing. The endorsement of PADs by stakeholders is decisive for their use and understanding stakeholders’ preferences for implementation is crucial. A Multinomial Discrete Choice analysis was carried out of options for designing, completing, and honouring PADs, with a view to enhancing user autonomy, therapeutic alliance, care coordination, and feasibility. Although autonomy underlies the whole process, the criteria determining options varied with the stage of the intervention. These criteria should be taken into account in future PAD intervention and evaluation processes.

Keywords

Psychiatric Advance Directives Crisis plans Therapeutic alliance Delivery of health care Integrated 

Notes

Acknowledgements

This study was supported by the Fonds de la Recherche Scientifique Médicale (File 3.4.539.09.F)—Public Scientific Medicine Research Fund of the French-Speaking Community, Belgium

Conflict of interest

The authors state that there is no conflict of interest and certify that they take full responsibility for the conduct of the study and for the analysis and interpretation of the data.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Institute of Health and Society (IRSS)Université catholique de LouvainBrusselsBelgium

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