National survey of training of psychiatrists on advance directives to refuse treatment in bipolar disorder

Morriss, Richard and Mudigonda, Mohan and Bartlett, Peter and Chopra, Arun and Jones, Steven Huntley (2017) National survey of training of psychiatrists on advance directives to refuse treatment in bipolar disorder. BJPsych Bulletin, 41 (6). pp. 320-324. ISSN 2056-4694

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Abstract

Aims and method To determine features associated with better perceived quality of training for psychiatrists on advance decision-making in the Mental Capacity Act 2005 (MCA), and whether the quality or amount of training were associated with positive attitudes or use of advance decisions to refuse treatment (ADRTs) by psychiatrists in people with bipolar disorder. An anonymised national survey of 650 trainee and consultant psychiatrists in England and Wales was performed. Results Good or better quality of training was associated with use of case summaries, role-play, ADRTs, assessment of mental capacity and its fluctuation. Good or better quality and two or more sessions of MCA training were associated with more positive attitudes and reported use of ADRTs, although many psychiatrists would never discuss them clinically with people with bipolar disorder. Clinical implications Consistent delivery of better-quality training is required for all psychiatrists to increase use of ADRTs in people with bipolar disorder.

Item Type: Journal Article
Journal or Publication Title: BJPsych Bulletin
Departments: Faculty of Health and Medicine > Health Research
ID Code: 126817
Deposited By: ep_importer_pure
Deposited On: 10 Aug 2018 10:08
Refereed?: Yes
Published?: Published
Last Modified: 10 Jun 2019 16:54
URI: https://eprints.lancs.ac.uk/id/eprint/126817

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