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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0670

Implementing psychiatric advance directives in a community mental health setting: A pilot program aligned with WHO QualityRights standards in Sant Boi de Llobregat

IMPLEMENTING PSYCHIATRIC ADVANCE DIRECTIVES IN A COMMUNITY MENTAL HEALTH SETTING: A PILOT PROGRAM IN SANT BOI DE LLOBREGAT ALIGNED WITH WHO QUALITYRIGHTS STANDARDS

Mental health advance care planning has the potential to strengthen autonomy and active participation in decision-making; however, the pilot implementation is ongoing, and the lack of legal enforceability and interoperability issues across systems remain major limitations.

The aim is to implement Mental Health Advance Care Planning (MH-ACP) in a community mental health setting to protect service users' rights and well-being, identify early warning signs of relapse, enable timely crisis intervention, and improve the quality of care. The poster notes that psychiatric advance directives have been incorporated into systems to varying degrees in the United Kingdom, Australia, Canada, and the United States, while implementation in Europe and Spain remains at an early stage. In terms of methodology, MH-ACP is developed collaboratively through a consensus-building process involving the service user, their support network, and the healthcare team; the document includes personal information, identification of warning signs of relapse, and preferences regarding treatment and support during a crisis. The pilot study is still underway, with participant recruitment and data collection continuing; 15 patients at the center are receiving MH-ACP training, and all psychiatrists, along with professionals in nursing, psychology, and social work, have completed the relevant training. The table in the poster lists potential benefits as increased autonomy and participation, a stronger therapeutic alliance, reductions in coercive practices, involuntary admissions, and length of hospital stay, and more person-centered care. Limitations include the document's lack of legal enforceability, resource constraints within healthcare systems, limited time and training for professionals, paternalistic attitudes, and interoperability issues across systems. In conclusion, the poster reports that MH-ACP supports autonomy and active patient participation in decision-making and contributes to more personalized, recovery-oriented care; however, limited interoperability across systems hinders access and continuity, highlighting the need for better dissemination, training, and institutional support. The poster presents no outcome data or statistical analyses.

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