Effect of Psychiatric Advance Directives Facilitated by Peer Workers on Compulsory Admission Among People With Mental Illness: A Randomized Clinical Trial.

ABSTRACT:

Importance

Reducing the use of coercion in mental health care is crucial from a human rights and public health perspective. Psychiatric advance directives (PADs) are promising tools that may reduce compulsory admissions. Assessments of PADs have included facilitation by health care agents but not facilitation by peer workers.

Objective

To determine the efficacy of PADs facilitated by peer workers (PW-PAD) in people with mental disorders.

Design, setting, and participants

A multicenter randomized clinical trial was conducted in 7 French mental health facilities. Adults with a DSM-5 diagnosis of schizophrenia, bipolar I disorder, or schizoaffective disorder who had a compulsory admission in the past 12 months and the capacity to consent were enrolled between January 201

SUBMITTER: Tinland A 

PROVIDER: S-EPMC9171654 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature