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Frontline Reports   |    
Psychiatric Advance Directives in Traditional Health Systems
Hunter L. McQuistion, M.D.; Abha Gupta, D.O.; Susan Palmgren, Ph.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.650702
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Dr. McQuistion is with the Department of Behavioral Health at Gouverneur Health, N.Y.C. Health and Hospitals Corporation, and the New York University Langone Medical Center, New York City (e-mail: hunter.mcquistion@nychhc.org). Dr. Gupta is with the New York State Psychiatric Institute and the College of Physicians and Surgeons, Columbia University, New York City. Dr. Palmgren is with Mount Sinai St. Luke's Hospital and the Icahn School of Medicine at Mount Sinai, New York City.

Copyright © 2014 by the American Psychiatric Association

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Psychiatric advance directives allow people with mental illnesses to state their mental health treatment preferences in advance of a psychiatric emergency when patients are unable to communicate their wishes. The directives facilitate mutual collaboration between consumer and provider even under the most stressful circumstances. The past ten years have seen mounting consumer demand, mental health advocacy, and public policy endorsement for psychiatric advance directives but limited implementation, particularly within general health care settings based on a traditional medical model.

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