Final published version
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - National survey of training of psychiatrists on advance directives to refuse treatment in bipolar disorder
AU - Morriss, Richard
AU - Mudigonda, Mohan
AU - Bartlett, Peter
AU - Chopra, Arun
AU - Jones, Steven Huntley
PY - 2017/12/1
Y1 - 2017/12/1
N2 - Aims and methodTo determine features associated with better perceived quality of training for psychiatrists on advance decision-making in the Mental Capacity Act 2005 (MCA), and whether the quality or amount of training were associated with positive attitudes or use of advance decisions to refuse treatment (ADRTs) by psychiatrists in people with bipolar disorder. An anonymised national survey of 650 trainee and consultant psychiatrists in England and Wales was performed.ResultsGood or better quality of training was associated with use of case summaries, role-play, ADRTs, assessment of mental capacity and its fluctuation. Good or better quality and two or more sessions of MCA training were associated with more positive attitudes and reported use of ADRTs, although many psychiatrists would never discuss them clinically with people with bipolar disorder.Clinical implicationsConsistent delivery of better-quality training is required for all psychiatrists to increase use of ADRTs in people with bipolar disorder.
AB - Aims and methodTo determine features associated with better perceived quality of training for psychiatrists on advance decision-making in the Mental Capacity Act 2005 (MCA), and whether the quality or amount of training were associated with positive attitudes or use of advance decisions to refuse treatment (ADRTs) by psychiatrists in people with bipolar disorder. An anonymised national survey of 650 trainee and consultant psychiatrists in England and Wales was performed.ResultsGood or better quality of training was associated with use of case summaries, role-play, ADRTs, assessment of mental capacity and its fluctuation. Good or better quality and two or more sessions of MCA training were associated with more positive attitudes and reported use of ADRTs, although many psychiatrists would never discuss them clinically with people with bipolar disorder.Clinical implicationsConsistent delivery of better-quality training is required for all psychiatrists to increase use of ADRTs in people with bipolar disorder.
U2 - 10.1192/pb.bp.116.055343
DO - 10.1192/pb.bp.116.055343
M3 - Journal article
VL - 41
SP - 320
EP - 324
JO - BJPsych Bulletin
JF - BJPsych Bulletin
SN - 2056-4694
IS - 6
ER -