title: Support needed to create psychiatric advance directives.
abstract: Psychiatric advance directives (PADs) inform treatment during periods of compromised decision-making. We report consumer desire and need for support to create PADs among 106 adult outpatients with severe and persistent mental illness. PADs were completed using computer software and flexible peer support. All participants were able to complete PADs. However, nearly all participants needed support using the software, or clarification of PAD information. Types of support needed may vary depending on PAD creation methods. While one-third of participants wanted support from case managers to complete PADs, the appropriate level of clinician support is not clear-cut, and should be at consumers' discretion.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 359911, USA.
authors.forename: Tracy
authors.initials: T
authors.lastname: Peto
authors.forename: Debra
authors.initials: D
authors.lastname: Srebnik
authors.forename: Ellen
authors.initials: E
authors.lastname: Zick
authors.forename: Joan
authors.initials: J
authors.lastname: Russo
mesh_terms: D000328:Adult; D016223:Advance Directives / Q000331:legislation & jurisprudence*; D019090:Case Management / Q000331:legislation & jurisprudence; D002908:Chronic Disease; D003197:Computer Literacy; D003200:Computer User Training; D003657:Decision Making; D004493:Education; D005260:Female; D006801:Humans; D008297:Male; D016743:Mental Competency / Q000331:legislation & jurisprudence*; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D008838:Microcomputers; D008875:Middle Aged; D011570:Psychiatry / Q000331:legislation & jurisprudence*; D012944:Social Support; D012984:Software; D014861:Washington