Preferred Name

Anne Metz

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Graduation

Spring 2018

Document Type


Degree Name

Doctor of Philosophy (PhD)


Department of Graduate Psychology


Angela R. Staton

Cara Meixner

Michele Kielty


Psychiatric advance directives (PADs) are legal documents that allow individuals to express their wishes and desires regarding potential future psychiatric care. PADs have been theorized as a way to empower individuals through improved clinical outcomes, reduced coercion, and minimized involvement of individuals with mental illness in the criminal justice system. Since 2010, the Commonwealth of Virginia has had legislation in place to support the use of these advance planning documents. The purpose of this convergent parallel mixed methods study was to enhance our understanding of PADs in Virginia. Quantitative and qualitative data were collected concurrently via survey and follow-up interview procedures. Member checking, triangulation, and audit trail were used to ensure trustworthiness. These stands were analyzed separately and then mixed in the interpretation phase to provide a comprehensive understanding of PADs in Virginia and make recommendations for fostering their use in the state.



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