National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder
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 trea...
| Main Authors: | , , , , |
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| Format: | Article |
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Royal College of Psychiatrists
2017
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| Online Access: | https://eprints.nottingham.ac.uk/42705/ |
| _version_ | 1848796548437114880 |
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| author | Morriss, Richard Mudigonda, Mohan Bartlett, Peter Chopra, Arun Jones, Steven |
| author_facet | Morriss, Richard Mudigonda, Mohan Bartlett, Peter Chopra, Arun Jones, Steven |
| author_sort | Morriss, Richard |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T19:49:44Z |
| format | Article |
| id | nottingham-42705 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:49:44Z |
| publishDate | 2017 |
| publisher | Royal College of Psychiatrists |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-427052020-05-04T18:40:46Z https://eprints.nottingham.ac.uk/42705/ 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 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. Royal College of Psychiatrists 2017-04-04 Article PeerReviewed Morriss, Richard, Mudigonda, Mohan, Bartlett, Peter, Chopra, Arun and Jones, Steven (2017) National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder. BJPsych Bulletin . ISSN 2056-4708 (In Press) |
| spellingShingle | Morriss, Richard Mudigonda, Mohan Bartlett, Peter Chopra, Arun Jones, Steven National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder |
| title | National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder |
| title_full | National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder |
| title_fullStr | National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder |
| title_full_unstemmed | National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder |
| title_short | National survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder |
| title_sort | national survey of training of psychiatrists on advance directives to refuse treatment in relation to bipolar disorder |
| url | https://eprints.nottingham.ac.uk/42705/ |