Use of Advance Directives to Facilitate Supported Decision-making in Mental Healthcare: Learnings From Aotearoa New Zealand
Date
Authors
Newton-Howes, Giles
Lenagh-Glue, Jessie
Thom, Katie
Gordon, Sarah
Glue, Paul
Tamatea, Armon
Supervisor
Item type
Journal Article
Degree name
Journal Title
Journal ISSN
Volume Title
Publisher
Cambridge University Press
Abstract
Mental health advance directives are one mechanism to enable individuals to have a voice in their treatment at a time when most legislative systems would consider them to lack the capacity to make informed choices. This honours their will and preferences while at the same time recognising the difficulties of the legislative framework. In this review we consider the use of such advance directives in New Zealand, in the form of a specialised advance agreement known as a mental health advance preference statement (MAPS). By evaluating their development and considering their ethics and cultural components we offer insights into one approach to the creation and implementation of MAPS for other jurisdictions.Description
Keywords
4203 Health Services and Systems, 42 Health Sciences, Mental Health, 3 Good Health and Well Being, Mental health law, ethics, advance directives, New Zealand, UNCRPD
Source
BJPsych International, ISSN: 2056-4740 (Print); 2058-6264 (Online), Cambridge University Press, 1-5. doi: 10.1192/bji.2026.10097
Rights statement
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. © The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists