scholarly journals How should advance statements be implemented?

2003 ◽  
Vol 182 (6) ◽  
pp. 548-549 ◽  
Author(s):  
P. Thomas
Keyword(s):  
Advance Statements

Psychiatrists’ views on different types of advance statements in mental health care in Germany

2018 ◽  
Vol 64 (8) ◽  
pp. 737-744 ◽  
Author(s):  
Astrid Gieselmann ◽  
Alfred Simon ◽  
Jochen Vollmann ◽  
Bettina Schöne-Seifert
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Different Types ◽  
Advance Statements

Advance decisions and advance statements

2010 ◽  
pp. 197-204 ◽  
Author(s):  
Jane Lynch ◽  
Louise M Terry ◽  
Sue Battersby ◽  
Colum J Smith
Keyword(s):  
Advance Statements ◽  
Advance Decisions

scholarly journals Least restrictive alternative – advance statements and the new mental health legislation

2002 ◽  
Vol 26 (7) ◽  
pp. 246-247 ◽  
Author(s):  
J. M. Atkinson ◽  
H. C. Garner
Keyword(s):  
Mental Health ◽  
Home Office ◽  
Policy Makers ◽  
Department Of Health ◽  
Mental Health Legislation ◽  
Advance Statements ◽  
Restrictive Environment ◽  
The Patient’S View ◽  
Health Legislation ◽  
Least Restrictive Alternative

Proposals for new mental health legislation make the case for using the ‘least restrictive alternative’ (Scottish Executive, 2001) and the ‘least restrictive environment’ (Department of Health & Home Office, 2000) as guiding principles in deciding the management and treatment of the patient. This appears to be the case made for introducing compulsory treatment in the community. The patient living in the community, while maintained on medication, rather than the hospital would appear to be defined as on the ‘least restrictive alternative’. This, however, takes only a limited approach to what is ‘restrictive’, which should be interpreted more widely, including the patient's view as well as that of clinicians and policy makers. Thus, a patient may see it as less restrictive during an acute phase to be in hospital and not on medication, than in the community but on medication. It is likely, given our knowledge of patients' attitudes to medication (Eastwood & Pugh, 1997), that many patients will prefer to be on oral medication rather than depot, which they see as less restrictive.

Psychiatric advance statements: An Indian experience

2012 ◽  
Vol 59 (6) ◽  
pp. 531-534 ◽  
Author(s):  
TC Ramesh Kumar ◽  
Sujit John ◽  
Subhashini Gopal ◽  
Greeshma Mohan ◽  
Jainey Joseph ◽  
...  
Keyword(s):  
Indian Experience ◽  
Advance Statements

Emergencies, general medicine, ‘community treatment orders’, and ‘psychiatric advance statements’

2017 ◽  
Author(s):  
George Szmukler
Keyword(s):  
Decision Making ◽  
Psychiatric Treatment ◽  
Good Practice ◽  
General Medicine ◽  
Mental Illnesses ◽  
Community Treatment ◽  
Best Interests ◽  
Important Place ◽  
Decision Making Capacity ◽  
Advance Statements

The implications of the Fusion Law for general medicine, especially inpatient care when non-consensual and involuntary treatment is being considered, are examined in this chapter. The new burdens posed by regulation can be minimized by making requirements essentially parallel ‘good practice’. Involuntary psychiatric treatment in the community under the ‘decision-making capability–best interests (will and preferences)’ principles of the Fusion Law would be substantially different from the way it is commonly instituted today. The Fusion Law offers an important place for ‘advance statements’ and ‘advance directives’, supporting respect for a patient’s beliefs and values (or ‘will and preferences’). Illnesses that impair decision-making capacity, but that are relapsing-remitting—such as the majority of mental illnesses—are good candidates for such advance planning, yet such measures have rarely been employed to date.

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