FINCH trial of 80 people showed crisis planning intervention was feasible to deliver in NHS settings. Results leaned towards fewer repeat detentions, but study not designed to prove effectiveness.
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The Co-Pact study uses powerful images and narratives from 48 people to reveal how compulsory admission under the Mental Health Act is experienced by racially minoritised communities. Participants described coercive care, institutional racism, and being “voiceless”, but also what could prevent crisis admissions.
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Rob Allison considers a French randomised controlled trial, which provides support for the use of peer worker–facilitated psychiatric advance directives to prevent compulsory rehospitalisation in people with severe mental illness.
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In his debut blog, Justin Chan appraises a meta-review on the moral barriers and facilitators that physicians encounter when talking about Advance Care Planning for people with dementia.
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