Duke University Program on
Psychiatric Advance Directives

  • Effectively Implementing Psychiatric Advance Directives
    (Jeff Swanson PI, Marvin Swartz Co-PI, Eric Elbogen, Richard Van Dorn, H. Ryan Wagner).
    Psychiatric advance directives (PADs) allow competent persons to declare their preferences and instructions for future mental health treatment, or appoint a surrogate decisionmaker through Health Care Power of Attorney, in advance of an incapacitating psychiatric crisis. This study examines the effectiveness of a facilitation process designed to implement PADs. The study also examines the content of PADs and their potential effects on working alliance, crisis management, information sharing, and other treatment processes. The project is funded by NIMH and the John D. and Catherine T. MacArthur Foundation. (2002-2006).

  • PADs for Improved Mental Health Care in the Veterans Affairs Health System
    (Mimi Butterfield-PI, Jeff Swanson, Marvin Swartz, Eric Elbogen)
    This study examines the effectiveness of Facilitated Psychiatric Advance Directives (F-PAD) in a sample of hospitalized veterans with severe mental illness or post-traumatic stress disorder. The project is funded by a grant from the Veterans Health Administration, Office of Research & Development, to the Durham Veterans Affairs Medical Center. The facilitation intervention and study design parallels that of the ongoing NIMH-funded study, Effectively Implementing Psychiatric Advance Directives. (2003-2007).

  • Duke Program on Psychiatric Advance Directives
    (Marvin Swartz PI, Jeff Swanson Co-PI, Eric Elbogen, Richard Van Dorn).
    This program has the following objectives: (1) Survey mental health clinicians' experience, knowledge, and attitudes regarding psychiatric advance directives (PADs) in practice in North Carolina; (2) Improve knowledge and awareness of PADs in North Carolina among multiple stakeholder groups through a statewide educational outreach program; (3) Develop and disseminate resource kits to assist mental health consumers and family members in preparing effective PADs, and to assist clinicians in providing appropriate consultation to their patients regarding PADs. By raising awareness and improving knowledge of PADs, the Duke program seeks to encourage the most effective use of these new legal instruments, which enable advance planning for treatment during mental health crises. This project is funded by a grant from the Greenwall Foundation. (2003-2005).

For questions and suggestions, please contact:
Eric Elbogen or Barbara McCauley
DUMC Box 3071, Durham NC, 27710
Phone: 919/682-8394, Fax: 919/682-1907
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