Medication Preferences and Adherence Among Individuals With Severe Mental Illness and Psychiatric Advance Directives
Creator
Wilder, Christine M
Elbogen, Eric B
Moser, Lorna L
Swanson, Jeffrey W
Swartz, Marvin S
Bibliographic Citation
Psychiatric services (Washington, D.C.) 2010 Apr ; 61(4): 380-5
Abstract
OBJECTIVE: Psychiatric advance directives allow patients with severe mental illness to document their preferences for particular medications. This study investigated the role of psychiatric advance directives in treatment choice and medication adherence. METHODS: A total of 123 persons with severe mental illness recorded medication preferences in psychiatric advance directives. The authors compared medication preferences to prescribed medications over 12 months, determined concordance between preferred and prescribed medications, and examined the effect of concordance on medication adherence at 12 months. RESULTS: Participants requested a median of two medications in their psychiatric advance directives (range from zero to six) and refused a median of one medication (range from zero to ten). Between baseline and follow-up there was a 27% increase in the number of medications prescribed that had been requested on the psychiatric advance directive (Wilcoxon matched pairs, p
Date
2010-04Collections
Metadata
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Facilitated Psychiatric Advance Directives: A Randomized Trial of an Intervention to Foster Advance Treatment Planning Among Persons With Severe Mental Illness
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