How long does an advance directive for mental health care remain valid?
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Open access•Posted Content 11 Citations | On the one hand, proponents of psychiatric advance directives believe that such instruments further the rights and autonomy of the mentally ill by allowing consumers of mental health services the right to participate in their own health care when they are competent to make health care decisions. |
| Advance directives for psychiatric treatment-long-debated, but little used-are on the verge of having a major impact on psychiatric care. | |
| Psychiatric Advance Directives are relatively new legal tools that allow competent persons to consent or refuse mental health treatment and designate a proxy decision maker in advance of a mental health crisis, during which they may lose capacity to make healthcare decisions. | |
23 Citations | 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. |
| It has been argued that in certain cases an advance directive carries no weight in a decision on whether to withhold treatment, since the individual in the debilitating state is not the same person as the person who created the advance directive. | |
36 Citations | Advance directive completion varies by demographic characteristics and is affected by patient attitudes toward advance directives and end-of-life care. |
17 Citations | Thus, while the advance directive is a highly desirable clinical tool for collaborative decision making between the person with mental illness and the treatment provider, at this time, more needs to be done before legal enforcement is considered in India. |
105 Citations | BACKGROUND Advance directive law may compromise the clinical effectiveness of advance directives. |
36 Citations | We conclude that although there is little experience so far with advance directives for psychiatric patients, there is an interest and predominance of positive attitudes towards this legal option among mental health professionals. |
12 Citations | There is a wide variety of opinion about what advance directives could or should bring to mental health care, they are not all achievable through the use of any one model. |
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