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Welfare Reform on the Web (December 2004): Mental Health Services - Overseas

ULYSSES DIRECTIVES IN THE NETHERLANDS: OPINIONS OF PSYCHIATRISTS AND CLIENTS

I. Varekamp

Health Policy, vol.70, 2004, p.291-301

Ulysses directives for mental health care allow patients to give advance permission for hospital admission and treatment if they become unwell. In-depth interviews about the directives were conducted with 18 patients and 17 psychiatrists. Many patients favoured the directives as a means of guaranteeing timely hospital admission and influencing treatment decisions. On the other hand, external pressure to execute a Ulysses directive and premature hospital admission were mentioned as risks. Crisis cards were seen as an alternative by many psychiatrists and some patients.

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