Psychiatric advance directives, or directives for mental health treatment (DMHTs), are consistent with the principles of psychiatric rehabilitation, self-determination, and a recovery orientation. DMHTs have promise as a consumer-empowering part of a relapse prevention plan. In the context of state psychiatric hospitals, where successful community reintegration is crucial, they have particular relevance. However, DMHTs tend to be underutilized, despite the existence of consumer-friendly laws and consumer interest. Mental health providers (n = 225) were surveyed to assess knowledge of and attitudes toward more comprehensive implementation of DMHTs to test the hypothesis that at least an initial barrier to implementation is provider familiarity with DMHTs. Results of the survey indicate a lack of familiarity with DMHTs, which was addressed by a brief educational intervention embedded in the survey. Prior to education, providers demonstrated a sense of futility and low confidence in their ability to help families plan ahead for future episodes of psychosis. After brief education, they reported more confidence in their ability to effectively intervene and more confidence a DMHT would be a useful intervention. Furthermore, they reported attitudes more supportive of DMHT use as well as an increased likelihood to use DMHTs in their own practice. These findings suggest that an initial barrier to implementation of DMHTs may often be provider familiarity and understanding. Future directions, including broader interventions to increase familiarity, and limitations are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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评估有效使用精神病预先指示的障碍：提供者的知识和态度。

精神科预先指示或精神健康治疗指示 (DMHT) 符合精神科康复、自我决定和康复导向的原则。DMHT 有望成为预防复发计划中赋予消费者权力的一部分。在州立精神病院的背景下，成功的社区重新融合至关重要，它们具有特别的相关性。然而，尽管存在对消费者友好的法律和消费者利益，但 DMHT 往往未被充分利用。对心理健康提供者 (n = 225) 进行了调查，以评估他们对更全面实施 DMHT 的知识和态度，以检验以下假设，即实施的最初障碍是提供者对 DMHT 的熟悉程度。调查结果表明缺乏对 DMHT 的了解，调查中嵌入了简短的教育干预措施来解决这个问题。在接受教育之前，提供者对他们帮助家庭为未来的精神病发作提前计划的能力表现出一种徒劳和低信心。经过简短的教育，他们报告说对自己有效干预的能力更有信心，并且更有信心 DMHT 将是一种有用的干预措施。此外，他们报告了更支持使用 DMHT 的态度以及在自己的实践中使用 DMHT 的可能性增加。这些发现表明，实施 DMHT 的最初障碍通常可能是提供者的熟悉度和理解力。讨论了未来的方向，包括更广泛的干预以增加熟悉度和局限性。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。