How do Our Patients Respond to the Concept of Psychiatric Advance Directives? An Exploratory Study From India
| Autor: | Sandeep Patil, Sameeran S Chate, Veerappa Y Patil, Nanasaheb M Patil, Ramling Dhabale, Bheemsain Tekkalaki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Psychiatry
medicine.medical_specialty business.industry RC435-571 Exploratory research Treatment options Physical restraints Feasibility Mental illness medicine.disease Mental Health Care Act 030227 psychiatry 03 medical and health sciences Clinical Psychology Psychiatry and Mental health Patient population 0302 clinical medicine psychiatric advance directives medicine Mental health care Original Article 030212 general & internal medicine business |
| Zdroj: | Indian Journal of Psychological Medicine Indian Journal of Psychological Medicine, Vol 40, Iss 4, Pp 305-309 (2018) |
| ISSN: | 0975-1564 0253-7176 |
| Popis: | Background: Psychiatric advance directives have been incorporated in the Mental Health Care Act 2017 despite strong concerns about their feasibility and utility in the Indian patient population. Data on its utility in India is very scarce. Aims: To determine the possible treatment options our clients make as a part of psychiatric advance directives. Materials and Methods: Fifty consecutive individuals with severe mental illness were interviewed using a self-designed semi-structured tool to find out the possible choices they make as part of advance directives and the factors affecting their choices. Results: About 10% of the participants failed to understand the concept of advance directives. Of those who understood, 89% were willing to make advance directives, 15% refused future hospitalizations, 47% refused future electroconvulsive therapies (ECTs), and 62% refused physical restraints in future. Conclusion: The majority of the participants agreed to make advance directives. The majority of those who agreed to make advance directives refused to undergo ECTs and physical restraints in future episodes of illness. Approximately 10% of the patients could not understand the concept of advance directives. |
| Databáze: | OpenAIRE |
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