TY  - JOUR
PY  - 2007//
TI  - Overriding psychiatric advance directives: factors associated with psychiatrists' decisions to preempt patients' advance refusal of hospitalization and medication
JO  - Law and human behavior
A1  - Swanson, Jeffrey W.
A1  - Van McCrary, S.
A1  - Swartz, Marvin S.
A1  - Van Dorn, Richard A.
A1  - Elbogen, Eric B.
SP  - 77
EP  - 90
VL  - 31
IS  - 1
N2  - 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>
LA  - en
SN  - 0147-7307
UR  - http://dx.doi.org/10.1007/s10979-006-9032-1
ID  - ref1
ER  -