Psychiatrists’ views on different types of advance statements in mental health care in Germany

2018 ◽  
Vol 64 (8) ◽  
pp. 737-744 ◽  
Author(s):  
Astrid Gieselmann ◽  
Alfred Simon ◽  
Jochen Vollmann ◽  
Bettina Schöne-Seifert
1997 ◽  
Vol 21 (11) ◽  
pp. 687-691
Author(s):  
Neil Craig ◽  
Cameron Stark

This paper is the second in a series explaining key concepts and techniques used in health economics in the context of mental health care. The paper describes the different types of economic analysis and the circumstances in which they should be used. It explains key aspects of the methods used in economic evaluation to measure costs and benefits. The purpose of the paper is not to enable clinicians to undertake economic analysis, but to familiarise them with the methods used in economic evaluation and to enable them to assess the rigour and results of published studies.


2016 ◽  
Vol 67 (8) ◽  
pp. 858-863 ◽  
Author(s):  
Asia Ruchlewska ◽  
Astrid M. Kamperman ◽  
André I. Wierdsma ◽  
Mark van der Gaag ◽  
Cornelis L. Mulder

2010 ◽  
Vol 16 (6) ◽  
pp. 456-458 ◽  
Author(s):  
Jacqueline M. Atkinson

SummaryAdvance statements in Scotland have a specific legal meaning and come into effect when someone is subject to the Mental Health (Care and Treatment) (Scotland) Act 2003. This Act requires a person being compulsorily treated to have significantly impaired decision-making ability in respect of medical decisions. The advance statement is intended to cover treatment wishes – both refusal and acceptance of treatment. In addition, a personal statement can be made which covers wider issues. There is evidence that in many statements these are being combined, raising questions about what is meant by treatment. Issues of revoking advance statements are also considered.


2008 ◽  
Vol 59 (1) ◽  
pp. 63-71 ◽  
Author(s):  
Claire Henderson ◽  
Jeffrey W. Swanson ◽  
George Szmukler ◽  
Graham Thornicroft ◽  
Martin Zinkler

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


2020 ◽  
Author(s):  
Nosheen Akhtar ◽  
Cheryl Forchuk ◽  
Katherine McKay ◽  
Sandra Fisman ◽  
Abraham Rudnick

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.


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