TABLE 5. Effect of Facilitated Psychiatric Advance Directive on Perception of Whether Need for Mental Health Services Has Been Met at 1-Month Follow-Up (N=381).

	Model 1a		Model 2b		Model 3c
	Odds Ratio	95% CI	Odds Ratio	95% CI	Odds Ratio	95% CI
Baseline perception of whether need for mental
health services has been met	3.95	2.40–6.50***	4.55	2.63–7.88***	4.38	2.54–7.54***
Control group (comparison)	1.00		1.00
Intervention group	1.57	1.03–2.39*	1.42	0.89–2.27
Mediating variables
Improvement in working alliance			1.67	1.24–2.26***
Increase in outpatient service utilization			4.87	3.03–7.81***	5.11	3.20–8.17***
Interaction of completion of psychiatric advance di-  rective with working alliance
Completed facilitated intervention, no improve-  ment in working alliance (comparison)					1.00
Completed facilitated intervention without im-  provement in working alliance					1.14	0.64–2.04
Improved working alliance without completing  facilitated intervention					1.01	0.51–2.01
Completed facilitated intervention with improved  working alliance					2.47	1.24–4.87**

^aModel statistics: N observations=381; log likelihood: χ²=32.86, df=2, p<0.001; pseudo R²=0.07; Somer’s D=0.30.

^bModel statistics: N observations=381; log likelihood: χ²=109.18, df=4, p<0.001; pseudo R²=0.21; Somer’s D=0.59.

^cModel statistics: N observations=381; log likelihood: χ²=102.55, df=5, p<0.001; pseudo R²=0.20; Somer’s D=0.56.

^*p<0.05

^**p<0.01

^***p<0.001.