1. Objectifs

Intentions :
«Au Canada, les personnes atteintes de maladie mentale ont le droit éthique et juridique de compléter des documents de planification de traitements anticipés. Une directive psychiatrique anticipée (DPA) est l’un des types de document juridique utilisé dans certaines régions des États-Unis qui permettent aux individus de spécifier leurs préférences de traitement advenant une incapacité mentale future. Cette thèse, constituée de sept chapitres, pose un regard critique quant au rapport entre les DPA et l’autonomie dans le contexte des lois canadiennes sur la santé mentale.» (p. vi)

2. Méthode

Échantillon/Matériau :
In the chapter three «[p]articipants were 65 individuals with serious mental illness living in Montréal, Québec.» (p.77) In the chapter four «[...] semi-structured interviews were conducted with individuals in the community living with schizophrenia, depression, and bipolar disorder (N= 12).» (p. 121)

Instruments :
- Questionnaires
- Guide d’entretien semi-directif

Type de traitement des données :
Analyse de contenu
Analyse statistique
Réflexion critique

3. Résumé

«This study has demonstrated that individuals with mental illness may be more inclined to use certain types of advance treatment plans, namely an instructional or proxy directive, depending on their illness diagnosis. Recovery from mental illness requires the coordinated support of family, friends, legal professionals, treatment teams, and government agencies (Davidson et al., 2007). This dissertation takes an interdisciplinary perspective to understand the clinical, ethical, and legal issues related to advance treatment planning for individuals with mental illness across Canada.» (p. 291) «Several individuals with mental illness in this study recognized that both instructional directives (PADs) and proxy directives (mandates) offer numerous advantages. [...] Individuals with specific forms of mental illness prefer certain types of advance directives to others. [...] Others do not want to burden family members with the responsibility of making all decisions. [...] Many individuals are alone in dealing with their mental illness. This research suggests that some of the factors related to feeling isolated may include stigma, a breakdown in relationships with family and friends, and not wanting to manifest publicly that one has an illness. Advance treatment planning requires a substantial degree of trust, reliance, and confidence that others will be supportive during times of increased vulnerability when one lacks mental capacity.» (p. 293-294)