@article{ref1,
title="Overriding psychiatric advance directives: factors associated with psychiatrists' decisions to preempt patients' advance refusal of hospitalization and medication",
journal="Law and human behavior",
year="2007",
author="Swanson, Jeffrey W. and Van McCrary, S. and Swartz, Marvin S. and Van Dorn, Richard A. and Elbogen, Eric B.",
volume="31",
number="1",
pages="77-90",
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.<p /><p>Language: en</p>",
language="en",
issn="0147-7307",
doi="10.1007/s10979-006-9032-1",
url="http://dx.doi.org/10.1007/s10979-006-9032-1"
}