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Developing a care pathway for advance decisions and powers of attorney: qualitative study

Bisson, Jonathan Ian, Hampton, Victoria L., Rosser, Anne Elizabeth and Holm, Søren 2009. Developing a care pathway for advance decisions and powers of attorney: qualitative study. British Journal of Psychiatry 194 (1) , pp. 55-61. 10.1192/bjp.bp.107.048900

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Background. The Mental Capacity Act for England and Wales empowers individuals to plan ahead for when they may lack capacity. Aims. To develop a care pathway for advance decisions and powers of attorney using Huntington’s disease as an exemplar. Method. Qualitative study using in-depth individual interviews with service users and carers, and focus groups with professionals. Inductive qualitative analysis was used to develop themes to construct a care pathway that was then piloted and further evaluated to achieve a final pathway. Results. A care pathway was developed that incorporated an early introduction through a formal education session and a minimum of two sessions separated by at least 2 weeks before advance decision completion. Optimal delivery of this intervention requires significant clinical and administrative commitment. Conclusions. We have developed a simple, easy-to-follow care pathway that was acceptable to users and providers.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Law
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Neuroscience and Mental Health Research Institute (NMHRI)
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Publisher: Royal College of Psychiatrists
ISSN: 0007-1250
Last Modified: 03 Jul 2020 14:30

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