Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication

Abstract Psychiatric advance directives (PADs) are intended to support patients' treatment decisions during a crisis. However, PAD statutes give clinicians broad discretion over whether to carry out patients' advance instructions. This study uses data from a survey of psychiatrists (N=164)...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Swanson, Jeffrey W. [verfasserIn] Van McCrary, S. [verfasserIn] Swartz, Marvin S. [verfasserIn] Van Dorn, Richard A. [verfasserIn] Elbogen, Eric B. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2006

Schlagwörter:	Psychiatric advance directives Severe mental illness Psychiatric disorders Mental health law

Übergeordnetes Werk:	Enthalten in: Law and human behavior - Washington, DC : American Psychological Assoc., 1977, 31(2006), 1 vom: 23. Mai, Seite 77-90
Übergeordnetes Werk:	volume:31 ; year:2006 ; number:1 ; day:23 ; month:05 ; pages:77-90

Links:	Volltext

DOI / URN:	10.1007/s10979-006-9032-1

Katalog-ID:	SPR015329941

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spelling	10.1007/s10979-006-9032-1 doi (DE-627)SPR015329941 (SPR)s10979-006-9032-1-e DE-627 ger DE-627 rakwb eng 150 340 ASE 77.00 bkl 86.00 bkl Swanson, Jeffrey W. verfasserin aut Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Psychiatric advance directives (PADs) are intended to support patients' treatment decisions during a crisis. However, PAD statutes give clinicians broad discretion over whether to carry out patients' advance instructions. This study uses data from a survey of psychiatrists (N=164) to examine reasons for overriding PADs. In response to a hypothetical vignette, 47% of psychiatrists indicated that they would override a valid, competently-executed PAD that refused hospitalization and medication. PAD override was more likely among psychiatrists who worked in hospital emergency departments; those who were concerned about patients' violence risk and lack of insight; and those who were legally defensive. PAD override was less likely among participants who believed that involuntary treatment is largely unnecessary in a high-quality mental health system. Psychiatric advance directives (dpeaa)DE-He213 Severe mental illness (dpeaa)DE-He213 Psychiatric disorders (dpeaa)DE-He213 Mental health law (dpeaa)DE-He213 Van McCrary, S. verfasserin aut Swartz, Marvin S. verfasserin aut Van Dorn, Richard A. verfasserin aut Elbogen, Eric B. verfasserin aut Enthalten in Law and human behavior Washington, DC : American Psychological Assoc., 1977 31(2006), 1 vom: 23. Mai, Seite 77-90 (DE-627)320583023 (DE-600)2017882-7 1573-661X nnns volume:31 year:2006 number:1 day:23 month:05 pages:77-90 https://dx.doi.org/10.1007/s10979-006-9032-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_184 GBV_ILN_213 GBV_ILN_230 GBV_ILN_266 GBV_ILN_285 GBV_ILN_374 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2190 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4246 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4700 77.00 ASE 86.00 ASE AR 31 2006 1 23 05 77-90
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allfieldsGer	10.1007/s10979-006-9032-1 doi (DE-627)SPR015329941 (SPR)s10979-006-9032-1-e DE-627 ger DE-627 rakwb eng 150 340 ASE 77.00 bkl 86.00 bkl Swanson, Jeffrey W. verfasserin aut Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Psychiatric advance directives (PADs) are intended to support patients' treatment decisions during a crisis. However, PAD statutes give clinicians broad discretion over whether to carry out patients' advance instructions. This study uses data from a survey of psychiatrists (N=164) to examine reasons for overriding PADs. In response to a hypothetical vignette, 47% of psychiatrists indicated that they would override a valid, competently-executed PAD that refused hospitalization and medication. PAD override was more likely among psychiatrists who worked in hospital emergency departments; those who were concerned about patients' violence risk and lack of insight; and those who were legally defensive. PAD override was less likely among participants who believed that involuntary treatment is largely unnecessary in a high-quality mental health system. Psychiatric advance directives (dpeaa)DE-He213 Severe mental illness (dpeaa)DE-He213 Psychiatric disorders (dpeaa)DE-He213 Mental health law (dpeaa)DE-He213 Van McCrary, S. verfasserin aut Swartz, Marvin S. verfasserin aut Van Dorn, Richard A. verfasserin aut Elbogen, Eric B. verfasserin aut Enthalten in Law and human behavior Washington, DC : American Psychological Assoc., 1977 31(2006), 1 vom: 23. Mai, Seite 77-90 (DE-627)320583023 (DE-600)2017882-7 1573-661X nnns volume:31 year:2006 number:1 day:23 month:05 pages:77-90 https://dx.doi.org/10.1007/s10979-006-9032-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_184 GBV_ILN_213 GBV_ILN_230 GBV_ILN_266 GBV_ILN_285 GBV_ILN_374 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2190 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4246 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4700 77.00 ASE 86.00 ASE AR 31 2006 1 23 05 77-90
allfieldsSound	10.1007/s10979-006-9032-1 doi (DE-627)SPR015329941 (SPR)s10979-006-9032-1-e DE-627 ger DE-627 rakwb eng 150 340 ASE 77.00 bkl 86.00 bkl Swanson, Jeffrey W. verfasserin aut Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Psychiatric advance directives (PADs) are intended to support patients' treatment decisions during a crisis. However, PAD statutes give clinicians broad discretion over whether to carry out patients' advance instructions. This study uses data from a survey of psychiatrists (N=164) to examine reasons for overriding PADs. In response to a hypothetical vignette, 47% of psychiatrists indicated that they would override a valid, competently-executed PAD that refused hospitalization and medication. PAD override was more likely among psychiatrists who worked in hospital emergency departments; those who were concerned about patients' violence risk and lack of insight; and those who were legally defensive. PAD override was less likely among participants who believed that involuntary treatment is largely unnecessary in a high-quality mental health system. Psychiatric advance directives (dpeaa)DE-He213 Severe mental illness (dpeaa)DE-He213 Psychiatric disorders (dpeaa)DE-He213 Mental health law (dpeaa)DE-He213 Van McCrary, S. verfasserin aut Swartz, Marvin S. verfasserin aut Van Dorn, Richard A. verfasserin aut Elbogen, Eric B. verfasserin aut Enthalten in Law and human behavior Washington, DC : American Psychological Assoc., 1977 31(2006), 1 vom: 23. Mai, Seite 77-90 (DE-627)320583023 (DE-600)2017882-7 1573-661X nnns volume:31 year:2006 number:1 day:23 month:05 pages:77-90 https://dx.doi.org/10.1007/s10979-006-9032-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_184 GBV_ILN_213 GBV_ILN_230 GBV_ILN_266 GBV_ILN_285 GBV_ILN_374 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2190 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4246 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4700 77.00 ASE 86.00 ASE AR 31 2006 1 23 05 77-90
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source	Enthalten in Law and human behavior 31(2006), 1 vom: 23. Mai, Seite 77-90 volume:31 year:2006 number:1 day:23 month:05 pages:77-90
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author	Swanson, Jeffrey W.
spellingShingle	Swanson, Jeffrey W. ddc 150 bkl 77.00 bkl 86.00 misc Psychiatric advance directives misc Severe mental illness misc Psychiatric disorders misc Mental health law Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication
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topic_title	150 340 ASE 77.00 bkl 86.00 bkl Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication Psychiatric advance directives (dpeaa)DE-He213 Severe mental illness (dpeaa)DE-He213 Psychiatric disorders (dpeaa)DE-He213 Mental health law (dpeaa)DE-He213
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title	Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication
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title_full	Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication
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title_sort	overriding psychiatric advance directives: factors associated with psychiatrists' decisions to preempt patients' advance refusal of hospitalization and medication
title_auth	Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication
abstract	Abstract Psychiatric advance directives (PADs) are intended to support patients' treatment decisions during a crisis. However, PAD statutes give clinicians broad discretion over whether to carry out patients' advance instructions. This study uses data from a survey of psychiatrists (N=164) to examine reasons for overriding PADs. In response to a hypothetical vignette, 47% of psychiatrists indicated that they would override a valid, competently-executed PAD that refused hospitalization and medication. PAD override was more likely among psychiatrists who worked in hospital emergency departments; those who were concerned about patients' violence risk and lack of insight; and those who were legally defensive. PAD override was less likely among participants who believed that involuntary treatment is largely unnecessary in a high-quality mental health system.
abstractGer	Abstract Psychiatric advance directives (PADs) are intended to support patients' treatment decisions during a crisis. However, PAD statutes give clinicians broad discretion over whether to carry out patients' advance instructions. This study uses data from a survey of psychiatrists (N=164) to examine reasons for overriding PADs. In response to a hypothetical vignette, 47% of psychiatrists indicated that they would override a valid, competently-executed PAD that refused hospitalization and medication. PAD override was more likely among psychiatrists who worked in hospital emergency departments; those who were concerned about patients' violence risk and lack of insight; and those who were legally defensive. PAD override was less likely among participants who believed that involuntary treatment is largely unnecessary in a high-quality mental health system.
abstract_unstemmed	Abstract Psychiatric advance directives (PADs) are intended to support patients' treatment decisions during a crisis. However, PAD statutes give clinicians broad discretion over whether to carry out patients' advance instructions. This study uses data from a survey of psychiatrists (N=164) to examine reasons for overriding PADs. In response to a hypothetical vignette, 47% of psychiatrists indicated that they would override a valid, competently-executed PAD that refused hospitalization and medication. PAD override was more likely among psychiatrists who worked in hospital emergency departments; those who were concerned about patients' violence risk and lack of insight; and those who were legally defensive. PAD override was less likely among participants who believed that involuntary treatment is largely unnecessary in a high-quality mental health system.
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title_short	Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication
url	https://dx.doi.org/10.1007/s10979-006-9032-1
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up_date	2024-07-03T15:30:34.079Z
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Overriding Psychiatric Advance Directives: Factors Associated with Psychiatrists' Decisions to Preempt Patients' Advance Refusal of Hospitalization and Medication

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