Preferences for Psychiatric Advance Directives Among Latinos: Views on Advance Care Planning for Mental Health

doi:10.1176/appi.ps.60.10.1383

Psychiatr Serv 60:1383-1385, October 2009
doi: 10.1176/appi.ps.60.10.1383
© 2009 American Psychiatric Association



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	Articles by Van Dorn, R. A.
	Articles by Swartz, M. S.



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	Articles by Swartz, M. S.



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Brief Report

Preferences for Psychiatric Advance Directives Among Latinos: Views on Advance Care Planning for Mental Health

Richard A. Van Dorn, Ph.D., Jeffrey W. Swanson, Ph.D. and Marvin S. Swartz, M.D.

Dr. Van Dorn is affiliated with the Department of Mental Health Law and Policy, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 2718, Tampa, FL 33612 (e-mail: rvandorn{at}fmhi.usf.edu). Dr. Swanson and Dr. Swartz are with the Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina.

OBJECTIVE: Psychiatric advance directives allow people to planfor future mental health care. Little is known about how minoritygroups, particularly Latinos, view these legal mechanisms. Thisstudy examined demand for, and attitudes toward, psychiatricadvance directives among Latinos with mental illness (N=85),their family members (N=25), and their clinicians (N=30). METHODS:All participants were interviewed. RESULTS: Participants showedsubstantial interest in completing psychiatric advance directives,specifically involving family or other surrogates in the preparationand execution. There were few between-group differences in attitudestoward directives. CONCLUSIONS: Psychiatric advance directivesprovide an acceptable way to increase culturally appropriateservices and family involvement for Latinos with mental illness.Psychiatric advance directive interventions should capitalizeon the centrality of the family in Latino culture, which couldprovide an opportunity to reduce mental health crises in thispopulation.

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