The content of Mental Health Advance Preference statements (MAPs): An assessment of completed advance directives in one New Zealand health board

Lenagh-Glue, Jessie; Thom, Katey; O’Brien, Anthony; Potiki, Johnnie; Casey, Heather; Dawson, John; Glue, Paul

doi:10.1016/j.ijlp.2019.101537

Cited by 4 publications

(6 citation statements)

References 21 publications

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“…Engagement is also more presented in advance directives and the safety plan used in suicide prevention. In the case of advance directives, they generally aim to increase service users' participation throughout their care experience (James et al, 2021; Lenagh‐Glue et al, 2020; Swanson et al, 2000; Thom et al, 2019; Wilder et al, 2013). On the safety plan side, there is more emphasis on engagement, specifically in crisis situations, through the identification and application of personal coping strategies (Melvin et al, 2019; Stanley & Brown, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…The dimension of support for autonomy aims, through anticipatory decision‐making, to ensure that the service user's choices and preferences in their care and treatment are prioritized by healthcare providers in situations of incapacity (Avila & Leeper, 2022; Bartolomei et al, 2012; Drolet‐Dostaler, 2016; Lenagh‐Glue et al, 2020; Radenbach et al, 2014; Swanson et al, 2000; Thom et al, 2019). It is more commonly identified with the joint crisis plan.…”

Section: Resultsmentioning

confidence: 99%

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Crisis plans in mental health: A scoping review

Cassivi

Sergerie-Richard

Saint-Pierre

et al. 2023

Int J Mental Health Nurs

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Crisis situations are frequent among people with mental health disorders. Several interventions have been developed to act in prevention, including crisis plans recognized as particularly effective in reducing coercive measures. In the literature, several models of crisis plans are proposed with similar aims and contents. Based on the methodology proposed by the Joanna Briggs Institute, a scoping review was conducted to map the state of knowledge on crisis plans in adult mental health settings. The literature search conducted on six databases (CINAHL, PubMed, Medline, EMBASE, PsychINFO and Cochrane) yielded 2435 articles. Of these, 122 full‐text articles were assessed for eligibility, and 78 met the inclusion criteria. Studies were critically appraised using the Joanna Briggs Institute appraisal tools, and data were extracted by two independent reviewers. Content analysis identified a typology of crisis plans: (1) the legal crisis plan and (2) the formal crisis plan. Five modalities were identified for its completion: the sections, the moment, the completion steps, the people involved and the training of key actors. Most identified outcomes are consistent with the main purpose of the intervention, which is crisis prevention. However, the most identified outcomes focused on the service user's recovery and indicated that crisis plans could provide an opportunity to operationalize recovery in mental healthcare, thus suggesting an evolution in the aim of the intervention. Future research should further focus on the modalities of crisis plans to guide the implementation in clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Crisis plans in mental health: A scoping review

Cassivi

Sergerie-Richard

Saint-Pierre

et al. 2023

Int J Mental Health Nurs

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“…Initially, we confronted difficulty in making the document electronically accessible and eventually found it crucial to have a specialist IT person join the implementation team. This person now uploads completed ADs into the individual's electronic medical file within the DHB's services, with an electronic alert attached to identify the AD's presence to clinicians (Lenagh-Glue et al, 2020).…”

Section: Additional Practices That Support the Use Of Adsmentioning

confidence: 99%

“…This support should be from people they have chosen to involve in the process, and who are familiar with its requirements, including, preferably, having a good understanding of the legal implications. We have found that over half of those completing an AD have chosen to do so with the support of a health professional (Lenagh-Glue et al, 2020).…”

Section: Additional Practices That Support the Use Of Adsmentioning

confidence: 99%

Use of advance directives to promote supported decision-making in mental health care: Implications of international trends for reform in New Zealand

Lenagh-Glue

Dawson

Potiki

et al. 2022

Aust N Z J Psychiatry

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Advance directives are advocated, in many jurisdictions, as a way to promote supported decision-making for people who use mental health services and to promote countries’ compliance with their obligations under the United Nations Convention on the Rights of Persons with Disabilities. The United Nations Convention on the Rights of Persons with Disabilities promotes the use of tools to further personal autonomy which would include integrating the use of advance directives into mental health law, to clarify the effect (or force) an advance directive carries when its maker comes under the relevant mental health legislation. In addition, securing the active use of advance directives requires adoption of certain supportive practices and policies within health services. Here, we discuss a number of approaches taken to advance directives in revised mental health legislation, and the associated practices we think are required.

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“…New Zealand's 2018 review of mental health and addiction services (3) emphasized the need for consumer-centric and rightsbased initiatives and recommended revised mental health legislation to incorporate the use of psychiatric advance directives (PADs). Unlike medical advance directives, which focus on end-of-life care and withholding treatment, PADs allow service users to express preferences that support their autonomy and provide them a voice in their care choices when they may not have the capacity to give informed consent (4).…”

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confidence: 99%

Help and Hindrances to Completion of Psychiatric Advance Directives

Lenagh-Glue

Potiki

O’Brien

et al. 2021

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Psychiatric advance directives (PADs) allow service users to participate in their own mental health care in the event that they have a future mental health crisis and are deemed incompetent to make decisions, but few patients complete these documents. This Open Forum reports on factors that have helped or hindered completion of PADs in New Zealand. Perceived barriers to completion include resource limitations, procedural issues, access and storage problems, and mistrust between clinicians and service users regarding implementation. Having management and nursing "champions" of the process and organizing outreach meetings for all interested parties appear to aid completion. Targeted education and training promote creation and use of PADs, address negative attitudes, and assist service users in creating these documents. Information technology support is vital to having PADs uploaded and accessed in medical records.

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The content of Mental Health Advance Preference statements (MAPs): An assessment of completed advance directives in one New Zealand health board

Cited by 4 publications

References 21 publications

Crisis plans in mental health: A scoping review

Crisis plans in mental health: A scoping review

Use of advance directives to promote supported decision-making in mental health care: Implications of international trends for reform in New Zealand

Help and Hindrances to Completion of Psychiatric Advance Directives

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