Psychiatric Advance Directives for Improved Mental Health Care
NCT00105794 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 360
Last updated 2015-04-07
Summary
During a psychiatric crisis, persons with severe mental illness (SMI) confront complex challenges concerning treatment choices and are often ill equipped or unable to make mental health care decisions. Psychiatric Advance Directives (PADs) are legal documents that allow competent persons to declare their treatment preferences in advance of a mental health crisis, when they may lose capacity to make reliable health care decisions. The use of PADs is consistent with recommendations of the President�s New Freedom Commission on Mental Illness and the Patient Self-Determination Act; 25 states have now adopted PAD legislation. VA does not have a specific policy for PADs or mechanisms to notify veterans of their right to prepare PADs. The downstream effects of PADs on patient care, crisis management, service use, and clinical outcomes are unknown.
Conditions
- Schizophrenia
- Schizoaffective
- Bipolar Disorder
- Stress Disorders, Post-traumatic
- Psychotic Disorders
Interventions
- PROCEDURE
-
Psychiatric Advance Directives intervention
Sponsors & Collaborators
-
US Department of Veterans Affairs
lead FED
Principal Investigators
-
Jennifer L. Strauss, BA MS PhD · Durham VA Medical Center, Durham, NC
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2004-03-31
- Completion
- 2007-06-30
Countries
- United States
Study Locations
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