Editing Advance healthcare directive (section)

====Clinical benefits====

A NIH-funded study conducted by researchers at [[Duke University]] has shown that creating a PAD with a trained facilitator increases therapeutic alliance with clinicians, enhances involuntary patients' treatment satisfaction and perceived autonomy, and improves treatment decision-making capacity among people labeled with severe mental illness.<ref>"Facilitated Psychiatric Advance Directives: A Randomized Trial of an Intervention to Foster Advance Treatment Planning Among Persons with Severe Mental Illness" Jeffrey W. Swanson, Marvin S. Swartz, Eric B. Elbogen, Richard A. Van Dorn, Joelle Ferron, H. Ryan Wagner, Barbara J. McCauley, [[Mimi Kim]]. American Journal of Psychiatry, Volume 163, Number 11: 1943-1951, November 2006</ref>

PADs also provide a transportable document—increasingly accessible through electronic directories—to convey information about a detainee's treatment history, including medical disorders, emergency contact information, and medication side effects. Clinicians often have limited information about citizens detained and labeled as psychiatric patients who present or are coercively presented and labeled as in crisis.  A PAD may help clinicians gain prompt access to relevant information about individual cases and thus improve the quality of clinical decision-making, and enhance patient safety and long-term [[autonomy]].