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Advance agreements for mental health care: An examination of process and outcomes

Wauchope, Bronwyn; O'Kearney, Richard; Bone, Lynette; Urbanc, Amanda

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Objective: Despite high demand for anticipatory planning tools in mental health there is little Australian research about their implementation. This study examines the processes and outcomes of the introduction of structured mental health advanced agreements in the Australian Capital Territory. Method: Thirty-three patients with serious mental illness collaborated with a key clinician to develop an advanced agreement. Patients and clinicians were provided with appropriate education, workbooks...[Show more]

dc.contributor.authorWauchope, Bronwyn
dc.contributor.authorO'Kearney, Richard
dc.contributor.authorBone, Lynette
dc.contributor.authorUrbanc, Amanda
dc.date.accessioned2015-12-10T23:31:21Z
dc.identifier.issn0004-8674
dc.identifier.urihttp://hdl.handle.net/1885/68584
dc.description.abstractObjective: Despite high demand for anticipatory planning tools in mental health there is little Australian research about their implementation. This study examines the processes and outcomes of the introduction of structured mental health advanced agreements in the Australian Capital Territory. Method: Thirty-three patients with serious mental illness collaborated with a key clinician to develop an advanced agreement. Patients and clinicians were provided with appropriate education, workbooks and materials. The process and outcomes associated with developing and completing an agreement were evaluated with patient and clinician interviews and self-report measures. Results: The process was strongly accepted by the patients with only 16% discontinuing for reasons related to the advanced agreement. Participants strongly endorsed benefits both to themselves and to the management of patients' illnesses. Service level impediments, particularly clinician acceptance, limited treatment options, and the lack of legal force of the agreement were identified. Conclusions: When supported, mental health patients can work collaboratively with clinicians to produce anticipatory treatment requests which are beneficial, feasible and consistent with good care. Implementation of anticipatory planning in mental health will require service-level changes to promote clinician acceptance and to embed practices which facilitate these tools as part of routine care.
dc.publisherSAGE Publications
dc.sourceAustralian and New Zealand Journal of Psychiatry
dc.subjectKeywords: article; Australia; bipolar disorder; borderline state; clinical article; controlled study; feasibility study; health education; human; major depression; mental health care; outcome assessment; process development; schizophrenia; self report; Adult; Advan advanced directives; Anticipatory planning; consumer involvement
dc.titleAdvance agreements for mental health care: An examination of process and outcomes
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume45
dc.date.issued2011
local.identifier.absfor111714 - Mental Health
local.identifier.ariespublicationf2965xPUB1764
local.type.statusPublished Version
local.contributor.affiliationWauchope, Bronwyn, no formal affiliation
local.contributor.affiliationO'Kearney, Richard, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationBone, Lynette, ACT Health
local.contributor.affiliationUrbanc, Amanda, Mental Health ACT
local.description.embargo2037-12-31
local.bibliographicCitation.issue4
local.bibliographicCitation.startpage281
local.bibliographicCitation.lastpage288
local.identifier.doi10.3109/00048674.2010.534072
local.identifier.absseo920410 - Mental Health
dc.date.updated2016-02-24T08:16:52Z
local.identifier.scopusID2-s2.0-79952783813
local.identifier.thomsonID000288503800003
CollectionsANU Research Publications

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