- 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).
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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).
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