title: Crisis plans facilitated by patient advocates are better than those drawn up by clinicians: results from an RCT.
abstract: This study compared quality aspects of crisis plans made with the help of a patient advocate (PACP) with those of plans made with the patient's clinician (clinician crisis plan, CCP). Patients were randomized into PACP and CCP conditions. The quality of crisis plan checklist was used to compare quality aspects of PACP and CCP crisis plans. The quality scores were significantly higher in the PACP group than in the CCP group (Cohen's d = 0.78 for the quality checklist total score). Patient advocates may be important to the successful development of crisis plans.
authors.affiliation: O3 Research Center, Department of Psychiatry, Erasmus University Medical Centre, Dr. Molewaterplein 50, 3015 GE, Rotterdam, The Netherlands, j.ruchlewska@erasmusmc.nl.
authors.forename: A
authors.initials: A
authors.lastname: Ruchlewska
authors.forename: C L
authors.initials: CL
authors.lastname: Mulder
authors.forename: R
authors.initials: R
authors.lastname: Van der Waal
authors.forename: A
authors.initials: A
authors.lastname: Kamperman
authors.forename: M
authors.initials: M
authors.lastname: Van der Gaag
mesh_terms: D000328:Adult; D032722:Advance Care Planning / Q000592:standards*; D001714:Bipolar Disorder / Q000628:therapy*; D003419:Crisis Intervention / Q000379:methods*; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010344:Patient Advocacy / Q000592:standards*; D010358:Patient Participation; D011568:Psychiatric Nursing / Q000592:standards*; D011618:Psychotic Disorders / Q000628:therapy*