ArticleWellcome open research2022
Preparing for Mental Health Act reform: Pilot study of co-produced implementation strategies for Advance Choice Documents.
Article in Wellcome open research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Advance directives as a care planning tool for patients with complex mental health needs: service evaluation.BJPsych bulletin · 2026Article
- Participatory approaches for tailoring implementation strategies in healthcare settings: a scoping review of contemporary literature (2019-2024).Implementation science communications · 2026Review
- Integration of Psychiatric Advance Directives Into the Patient-Accessible Electronic Health Record: Exploring the Promise and Limitations.Journal of medical Internet research · 2025Article
- Digital advance care planning with severe mental illness: a retrospective observational cohort analysis of the use of an electronic palliative care coordination system.BMC palliative care · 2024Observational
- Advance statements in mental healthcare: time to close the evidence to practice gap.Epidemiology and psychiatric sciences · 2023Article
- Opportunities and challenges of self-binding directives: A comparison of empirical research with stakeholders in three European countries.European psychiatry : the journal of the Association of European Psychiatrists · 2023Article
- Implementation of self-binding directives: recommendations based on expert consensus and input by stakeholders in three European countries.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023Article
- Advance Statements for Black African and Caribbean people (AdStAC): protocol for an implementation study.BMC psychiatry · 2023Article
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Authors and funding
5 authors.
Funding
Abstract
Background Advance Decision Making (ADM) is strongly supported by stakeholders but implementation remains challenging. In England and Wales, implementation strategies are urgently required to prepare for the introduction of mental health 'Advance Choice Documents' (ACDs) as part of Mental Health Act reforms. We report on a pilot project which aimed to co-produce and evaluate implementation strategies for ACDs with those who experience fluctuating mental capacity in the context of bipolar. Methods A co-produced prototype ACD template was piloted in 'Plan, Do, Study Act' (PDSA) cycles. Implementation strategies were co-produced with participants and mapped onto the Expert Recommendations for Implementing Change (ERIC) framework. Strategies were evaluated during thematically analysed qualitative interviews. Results We piloted the template with 17 service users during 5 successive PDSA cycles and conducted 75 in depth interviews with stakeholders. Key strategies identified as accessible, appropriate and feasible were: interactive assistance from an independent 'supporter', a structured template and active offers of involvement to service users and informal carers. Conclusions Mental health professionals and organisations must prepare for increased expectations around mental health ADM. We recommend further pilot projects and the establishment of 'ACD workshops'. Resource is essential to fund independent 'supporters', training, network building and embedding ADM in clinical pathways.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.