Department of Mental Health Law and Policy, University of South Florida, Tampa, FL 33612, USA.
Psychiatr Serv. 2009 Oct;60(10):1383-5. doi: 10.1176/ps.2009.60.10.1383.
Psychiatric advance directives allow people to plan for future mental health care. Little is known about how minority groups, particularly Latinos, view these legal mechanisms. This study examined demand for, and attitudes toward, psychiatric advance directives among Latinos with mental illness (N=85), their family members (N=25), and their clinicians (N=30).
All participants were interviewed.
Participants showed substantial interest in completing psychiatric advance directives, specifically involving family or other surrogates in the preparation and execution. There were few between-group differences in attitudes toward directives.
Psychiatric advance directives provide an acceptable way to increase culturally appropriate services and family involvement for Latinos with mental illness. Psychiatric advance directive interventions should capitalize on the centrality of the family in Latino culture, which could provide an opportunity to reduce mental health crises in this population.
精神科预先指示允许人们规划未来的精神卫生保健。对于少数群体，特别是拉丁裔，他们如何看待这些法律机制，人们知之甚少。本研究调查了精神疾病拉丁裔患者（N=85）、他们的家庭成员（N=25）和他们的临床医生（N=30）对精神科预先指示的需求和态度。
所有参与者都接受了访谈。
参与者对完成精神科预先指示表现出极大的兴趣，特别是涉及到家庭成员或其他代理人参与准备和执行。不同群体之间的指令态度差异不大。
精神科预先指示为增加对有精神疾病的拉丁裔患者的文化上适当的服务和家庭参与提供了一种可接受的方式。精神科预先指示干预措施应该利用拉丁裔文化中家庭的中心地位，这为减少这一人群的精神健康危机提供了机会。
