Psychiatric advance directives and social workers: an integrative review.
Psychiatric advance directives and social workers: an integrative review.
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DOI：
10.1093/sw/55.2.157
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发表时间：
2010-04
期刊：
影响因子：
2.9
通讯作者：
Swartz MS
中科院分区：
文献类型：
--
作者：
Van Dorn RA;Scheyett A;Swanson JW;Swartz MS
精神病学预先指示（PAD）是法律的文件，允许个人表达他们对未来精神病护理的愿望，并授权合法指定的代理人在丧失能力的危机期间代表他们做出决定。PAD被视为一种替代强制性干预措施，有时伴随着精神疾病患者的心理健康危机。尽管胁迫性干预可能会削弱服务对象的自主权和自决权-《职业道德守则》所支持的价值观-但社会工作者在寻求减少胁迫和增加其实践中的自主权和自决权方面有着既得利益。然而，PAD也被视为具有积极影响各种其他临床结局的潜力，包括但不限于治疗参与度、治疗满意度和工作联盟。本文回顾了PAD的临床和法律的历史以及其实施和有效性的经验证据。尽管什么应该是一个内在的兴趣在PAD，并授权PAD的法律在过去十年中激增的事实，有很少的理论或实证研究的社会工作文献。
Psychiatric Advance Directives (PADs) are legal documents that allow individuals to express their wishes for future psychiatric care and to authorize a legally appointed proxy to make decisions on their behalf during incapacitating crises. PADs are viewed as an alternative to the coercive interventions that sometimes accompany mental health crises for persons with mental illness. Insofar as coercive interventions can abridge clients’ autonomy and self-determination -- values supported by the Profession’s Code of Ethics -- social workers have a vested interest in finding ways to reduce coercion and increase autonomy and self-determination in their practice. However, PADs are also viewed as having the potential to positively affect a variety of other clinical outcomes, including but not limited to treatment engagement, treatment satisfaction, and working alliance. This article reviews the clinical and legal history of PADs and empirical evidence for their implementation and effectiveness. Despite what should be an inherent interest in PADs, and the fact that laws authorizing PADs have proliferated in the past decade, there is little theoretical or empirical research in the social work literature.
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