Service user and clinical perspectives of psychiatric advance directives in New Zealand

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dc.contributor.author Thom, Katey en
dc.contributor.author O'Brien, Anthony en
dc.contributor.author Tellez, JJ en
dc.date.accessioned 2017-01-16T21:01:22Z en
dc.date.issued 2015-12 en
dc.identifier.citation International Journal of Mental Health Nursing 24(6):554-560 Dec 2015 en
dc.identifier.issn 1445-8330 en
dc.identifier.uri http://hdl.handle.net/2292/31591 en
dc.description.abstract Advance care planning is becoming an increasingly important feature of health service provision. Although the New Zealand Mental Health Commission has advocated strongly for the provision of advance directives in mental health services, little is known about clinician or service user views on advance directives. The aim of the study was to survey the perspectives of service users and clinicians on the use of psychiatric advance directives. The study used an anonymous online survey to collect data from 110 mental health service users and 175 clinicians. Survey items included existing knowledge, preferred content and potential benefits of advance directives. Descriptive statistics and intergroup comparisons were conducted. Over 90% of service users and clinicians agreed that they support advance directives in mental health. There were similarities in the preferred content of an advance directive across the two groups, particularly regarding the notification of support persons, cultural support and preferred methods of de-escalation. Significant differences in opinion were found regarding the use of coercive measures and the ability of mental health legislation to override advance directives. The results indicate strong support for the use of advance directives within New Zealand mental health services, as well as for further research in the area. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.publisher Blackwell Publishing Inc. en
dc.relation.ispartofseries International Journal of Mental Health Nursing en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Service user and clinical perspectives of psychiatric advance directives in New Zealand en
dc.type Journal Article en
dc.identifier.doi 10.1111/inm.12157 en
pubs.issue 6 en
pubs.begin-page 554 en
pubs.volume 24 en
dc.identifier.pmid 26293649 en
pubs.end-page 560 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 495925 en
dc.identifier.eissn 1447-0349 en
pubs.record-created-at-source-date 2017-01-17 en
pubs.dimensions-id 26293649 en


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