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Support Needed to Create Psychiatric Advance Directives

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Abstract

Psychiatric advance directives (PADs) inform treatment during periods of compromised decision-making. We report consumer desire and need for support to create PADs among 106 adult outpatients with severe and persistent mental illness. PADs were completed using computer software and flexible peer support. All participants were able to complete PADs. However, nearly all participants needed support using the software, or clarification of PAD information. Types of support needed may vary depending on PAD creation methods. While one-third of participants wanted support from case managers to complete PADs, the appropriate level of clinician support is not clear-cut, and should be at consumers' discretion.

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Authors and Affiliations

  1. University of Washington, Box 359911, 325 9th Avenue, Seattle, WA, 98104

    Tracy Peto (Research Assistant)

  2. Department of Psychiatry and Behavioral Sciences, University of Washington, Box 359911, 325 9th Avenue, Seattle, WA, 98104

    Debra Srebnik

  3. University of Washington, Box 359911, 325 9th Avenue, Seattle, WA, 98104

    Ellen Zick (Research Coordinator)

  4. University of Washington, Box 359911, 325 9th Avenue, Seattle, WA, 98104

    Joan Russo (Research Associate Professor)

Authors
  1. Tracy Peto
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  2. Debra Srebnik
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  3. Ellen Zick
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  4. Joan Russo
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Peto, T., Srebnik, D., Zick, E. et al. Support Needed to Create Psychiatric Advance Directives. Adm Policy Ment Health 31, 409–419 (2004). https://doi.org/10.1023/B:APIH.0000034417.17494.58

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  • DOI: https://doi.org/10.1023/B:APIH.0000034417.17494.58

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