Services Effectiveness Research Program, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 905 West Main Street, Box 54, Durham, NC, 27701, USA.
Adm Policy Ment Health. 2013 May;40(3):232-9. doi: 10.1007/s10488-011-0401-9.
An innovative Virginia health care law enables competent adults with serious mental illness to plan for treatment during incapacitating crises using an integrated advance directive with no legal distinction between psychiatric or other causes of decisional incapacity. This article reports results of a survey of 460 individuals in five stakeholder groups during the initial period of the law's implementation. All respondents held favorable views of advance directives for mental health care. Identified barriers to completing and using advance directives varied by group. We conclude that relevant stakeholders support implementation of advance directives for mental health, but level of baseline knowledge and perception of barriers vary. A multi-pronged approach will be needed to achieve successful implementation of advance directives for mental health.
一项创新的弗吉尼亚医疗保健法律使有严重精神疾病的有能力的成年人能够在丧失能力的危机期间使用综合预先指示来规划治疗，而无需在决策能力丧失的精神或其他原因之间进行法律区分。本文报告了在该法律实施的初始阶段对五个利益相关者群体中的 460 个人进行的调查结果。所有受访者都对精神卫生保健的预先指示持有赞成意见。确定完成和使用预先指示的障碍因群体而异。我们的结论是，相关利益相关者支持实施精神卫生保健的预先指示，但基线知识水平和对障碍的看法存在差异。需要采取多管齐下的方法才能成功实施精神卫生保健的预先指示。
