Backlar P, McFarland B H
Center for Ethics in Health Care, Oregon Health Sciences University, Portland, USA.
Psychiatr Serv. 1996 Dec;47(12):1387-9. doi: 10.1176/ps.47.12.1387.
Oregon is one of three states that allows persons to prepare a legal document-and advance directive-to stipulate the mental health treatment they wish to receive should they lose their decision-making capacity. An informal one-page questionnaire on the use of advance directives for mental health treatment in the state was enclosed in newsletters sent to families and care providers of persons with severe and persistent mental disorders. Responses were received from 156 people; they reported that 64 advance directives had been completed by consumers, 40 surrogate decision makers had been appointed, and ten consumers had used their advance directives when in crisis. In each case, the consumer's wishes were honored. The small response to this preliminary survey suggests the need for further education about advance directives among mental health care consumers, their families, and providers.
俄勒冈州是允许人们准备一份法律文件——预先指示——以规定如果失去决策能力时希望接受的心理健康治疗的三个州之一。一份关于该州心理健康治疗预先指示使用情况的非正式单页调查问卷随附在发送给严重和持续性精神障碍患者家庭及护理人员的时事通讯中。收到了156人的回复；他们报告说，消费者已完成64份预先指示，已指定40名替代决策者，10名消费者在危机时使用了他们的预先指示。在每种情况下，消费者的意愿都得到了尊重。对这项初步调查的少量回复表明，需要在心理健康护理消费者、他们的家人和提供者中进一步开展关于预先指示的教育。
