Geneva University Hospitals , Geneva , Switzerland ; Geneva University , Geneva , Switzerland.
Geneva University Hospitals , Geneva , Switzerland.
Front Public Health. 2014 Apr 29;2:37. doi: 10.3389/fpubh.2014.00037. eCollection 2014.
Psychiatric advance directives (ADs) allow an individual to state their preferences for future treatment at times when they may be unable to make considered decisions. There are differences in their form and legal value and the process associated with their use and completion. Several studies have now been completed to assess the impact of ADs on service use and coercion. Their results give a mixed picture but directives nevertheless have the potential to support the empowerment process, minimize experienced coercion, and improve coping strategies. These may in turn reduce the frequency of in-patient service use. Further studies on the different processes of facilitation involved and on different populations are necessary to improve our knowledge and use of these potentially powerful interventions.
精神科预先指示（AD）允许个人在可能无法做出深思熟虑的决定时，表达他们对未来治疗的偏好。它们在形式和法律价值上存在差异，其使用和完成过程也有所不同。目前已经完成了几项研究来评估 AD 对服务使用和强制的影响。他们的结果给出了一个混合的画面，但指令仍然有可能支持赋权过程，最大限度地减少所经历的强制，并改善应对策略。这反过来又可能减少住院服务的使用频率。为了提高我们对这些潜在有力干预措施的认识和使用，有必要对所涉及的不同促进过程和不同人群进行进一步研究。
