Calina Ouliaris1, Warren Kealy-Bateman2. 1. Medical Student, University of Sydney, Sydney, NSW, Australia. 2. Clinical Senior Lecturer, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, NSW, and; Senior Staff Specialist Psychiatrist, Department of Psychiatry, Professor Marie Bashir Centre, Royal Prince Alfred Hospital, Camperdown, NSW, and; Graduate Student, College of Global Public Health, New York University, New York, NY, USA.
Abstract
OBJECTIVE: Following the recent widespread reform of mental-health legislation in Australia, psychiatric advance directives (PADs) have now been incorporated in four jurisdictions. We contextualise the potential role for PADs within the Australian legal framework and note their varying introduction across jurisdictions, with a focus on progressive legislation in the Australian Capital Territory (ACT). CONCLUSION: The formal recognition of PADs effectively shifts the trajectory of mental-health law towards a stronger recognition of consumer autonomy, albeit to varying degrees across jurisdictions. The most inspiring of these changes may be seen in the ACT Act, where an innovative framing of PAD provisions creates a safe space for clinicians and patients to engage, build therapeutic alliances and develop appropriate frameworks for further change.
OBJECTIVE: Following the recent widespread reform of mental-health legislation in Australia, psychiatric advance directives (PADs) have now been incorporated in four jurisdictions. We contextualise the potential role for PADs within the Australian legal framework and note their varying introduction across jurisdictions, with a focus on progressive legislation in the Australian Capital Territory (ACT). CONCLUSION: The formal recognition of PADs effectively shifts the trajectory of mental-health law towards a stronger recognition of consumer autonomy, albeit to varying degrees across jurisdictions. The most inspiring of these changes may be seen in the ACT Act, where an innovative framing of PAD provisions creates a safe space for clinicians and patients to engage, build therapeutic alliances and develop appropriate frameworks for further change.
Entities:
Keywords:
consumer autonomy; human rights; legislation; psychiatric advance directives
Authors: Daniel Poremski; Mark Alexander; Tina Fang; Giles Ming-Yee Tan; Samantha Ong; Alex Su; Daniel Fung; Hong Choon Chua Journal: Asia Pac Psychiatry Date: 2019-12-23 Impact factor: 2.538
Authors: Vania Novelli Domingues; Luísa Castro; Monica Domingues Monteiro; José Antonio Cordero da Silva; Francisca Rego; Guilhermina Rego Journal: Front Public Health Date: 2022-02-23