None listed
Conditions
Brief summary
The overall aim is to see if ADs increase service users’ involvement in planning their mental health care, especially in crisis situations. There are three parts to the study. The first part involves the development of an AD instrument and associated policies and processes for its implementation. The second part will trial the AD instrument in selected Southern DHB mental health services, and evaluate the feasibility of a service wide implementation of ADs. The third part involves evaluation of clinicians' and service users' experiences of use of advance directives.
Interventions
The study will investigate the use of advance directives (AD) in mental health services. An advance directive protocol will be developed, by members of the research team. These are: a consumer advisor, a registered nurse who is also a doctorally qualified researcher, a research fellow with a legal qualification, a doctorally qualified researcher, a professor of psychiatry, a professor of law, and a registered nurse who is a professional advisor. The focus of the development of the protocol will
The study will investigate the use of advance directives (AD) in mental health services. An advance directive protocol will be developed, by members of the research team. These are: a consumer advisor, a registered nurse who is also a doctorally qualified researcher, a research fellow with a legal qualification, a doctorally qualified researcher, a professor of psychiatry, a professor of law, and a registered nurse who is a professional advisor. The focus of the development of the protocol will be the preferred content of the advance directive instrument, for example preferences for medication, community or inpatient care, notification of nominated support people and care of personal property. Development of the protocol will involve an online survey and focus groups. Development will take 6 months from the commencement of data collection. The protocol will be reviewed by members of the research team and by staff of the mental health service during training workshops. The protocol will then implemented in selected inpatient and community mental health services at Southern DHB, New Zealand. Clinical staff will receive training in use of the AD protocol by the research team described above. Training will involve workshops of approximately one hour in which the concept of an advance directive will be outlined and the protocol explained, with an opportunity for feedback and suggestions. Adherence to the protocol will be assessed by a planned evaluation of the implementation of advance directives in the second stage of the study. Service users will then be invited to complete an advance directive, with the support of a nominated person of their preference. Evaluation will be undertaken by review of completed AD protocols, and focus groups of service users, family members and clinicians. Requirements of ADs will be compared with care as documented in clinical notes.
Sponsors
University of Auckland
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Service users: Aged 18 - 65 years, currently enrolled with Southern District Health Board (SDHB) mental health service, have capacity to engage in creating an AD; have experience in creating an AD. Family members: Be identified by service users as being a family member of a service user currently enrolled in SDHB. Clinicians. Be a registered health professional employed by SDHB; have been involved in creating ADs.
Exclusion criteria
Lacking capacity to complete AD; capacity may fluctuate, therefore a service user lacking capacity at one point may be eligible for the study at a later point.
Outcome results
None listed