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19 - Psychiatric Advance Directives and Supported Decision-Making: Preliminary Developments and Pilot Studies in California

Published online by Cambridge University Press:  20 August 2021

Michael Ashley Stein
Affiliation:
Harvard Law School
Faraaz Mahomed
Affiliation:
Wits University
Vikram Patel
Affiliation:
Harvard Medical School
Charlene Sunkel
Affiliation:
Global Mental Health Peer Network
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Summary

The Saks Institute for Mental Health Law, Policy, and Ethics at USC Gould School of Law is engaged in an innovation planning project in California to pilot programs and test the feasibility of using psychiatric advance directives (PADs) within the supported decision-making (SDM) paradigm. The project is supported by California’s Mental Health Services Oversight and Accountability Commission. This chapter provides an overview of the preliminary developments and pilot studies in the California PADs/SDM project. The project is a first-of-its-kind effort to explore the efficacy of the PADs/SDM paradigm across behavioral health county systems in the State of California. This chapter presents an overview of the pilot project and describes its research questions and implications, and ways in which the project and SDM paradigm embodies the principles of the United Nations Convention on the Rights of Persons with Disabilities.

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Publisher: Cambridge University Press
Print publication year: 2021

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