| Descriptive Content Analysis |
|
|
| Advance instructions (N=136) |
|
|
| Described symptoms of impending mental health crisis |
|
|
| Any symptoms |
134 |
98.5 |
| Aggressive and anger-related symptoms |
26 |
19.1 |
| Self-harm or suicidal ideation |
41 |
30.2 |
| Preferences for hospitalization |
|
|
| Advance consent to one or more hospitals |
121 |
89.0 |
| Refusal of admission to one or more specific hospitals |
84 |
61.8 |
| Preferences for psychotropic medication or somatic treatments |
|
|
| Advance consent to one or more psychotropic medications |
127 |
93.4 |
| Refusal of one or more psychotropic medications |
105 |
77.2 |
| Refusal of electroconvulsive treatment |
79 |
58.1 |
| Refusal of all psychotropic medications |
0 |
0 |
| Other instructions |
|
|
| Any medical information or instructions |
53 |
39.0 |
| Request to be treated with respect |
104 |
76.5 |
| Directions to avert use of seclusion and restraints |
78 |
57.4 |
| Any crisis contacts |
134 |
98.5 |
| Therapist crisis contact |
88 |
64.7 |
| Psychiatrist crisis contact |
75 |
55.1 |
| Primary care physician contact |
33 |
24.3 |
| Health Care Power of Attorney (N= 105) |
|
|
| Primary health care agent identified |
|
|
| Sibling |
36 |
34.3 |
| Parent |
35 |
33.7 |
| Son or daughter |
20 |
19.0 |
| Friend |
18 |
17.1 |
| Spouse or significant other |
7 |
6.7 |
| Authority granted to health care agent |
|
|
| Consent to hospitalization |
102 |
97.1 |
| Consent to psychotropic medication |
105 |
99.0 |
| Review medical records |
104 |
93.7 |
| Hire and fire health care providers |
102 |
97.1 |
| Evaluative Content Analysis |
|
|
| Consistency of advance instructions with community practice standards |
|
|
| Medication preferences: consistent and feasible |
123 |
90.5 |
| Hospital preferences: consistent and feasible |
113 |
83.1 |
| Clinical information content: useful |
128 |
94.1 |
| Overall rating: consistent, feasible, and useful |
123 |
90.5 |
