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National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder

Morriss, Richard; Mudigonda, Mohan; Bartlett, Peter; Chopra, Arun; Jones, Steven

Authors

RICHARD MORRISS richard.morriss@nottingham.ac.uk
Professor of Psychiatry and Community Mental Health

Mohan Mudigonda

PETER BARTLETT peter.bartlett@nottingham.ac.uk
Nottingham Healthcare Nhs Trust Professor of Mental Health Law

Arun Chopra

Steven Jones



Abstract

Aims and Methods: To determine features associated with better perceived quality of training for psychiatrists on advance decision-making in the Mental Capacity Act (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 (BD). An anonymised national survey of 650 trainee and consultant psychiatrists in England and Wales was performed.
Results: Good 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 MCA training were associated with more positive attitudes and reported use of ADRTs, although many psychiatrists would never discuss them clinically with people with BD.
Clinical implications: Consistent delivery of better quality training is required for all psychiatrists to increase use of ADRTs in people with BD.

Citation

Morriss, R., Mudigonda, M., Bartlett, P., Chopra, A., & Jones, S. (2017). National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder. BJPsych Bulletin, 41(6), 320-324. https://doi.org/10.1192/pb.bp.116.055343

Journal Article Type Article
Acceptance Date Apr 4, 2017
Online Publication Date Jan 2, 2017
Publication Date Dec 1, 2017
Deposit Date May 10, 2017
Publicly Available Date Mar 28, 2024
Journal BJPsych Bulletin
Print ISSN 2056-4708
Electronic ISSN 2056-4708
Publisher Cambridge University Press
Peer Reviewed Peer Reviewed
Volume 41
Issue 6
Pages 320-324
DOI https://doi.org/10.1192/pb.bp.116.055343
Public URL https://nottingham-repository.worktribe.com/output/854413
Publisher URL https://www.cambridge.org/core/journals/bjpsych-bulletin/article/national-survey-of-training-of-psychiatrists-on-advance-directives-to-refuse-treatment-in-bipolar-disorder/87A108570549728BEDA07716DB5101A1

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MCA training and Psychiatrist accepted version.pdf (193 Kb)
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AM - Accepted Manuscript





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