The 40 subjects included 30 consumers who prepared PADs and 10 who did not. Seventy percent of subjects in each group, PAD and no-PAD had a diagnosis of schizophrenia. Six of the 10 no-PAD group subjects reported that they did not get enough help with PAD preparation. No one used the PAD to refuse all treatment. The majority of all respondents agreed that there was a need for a central PAD registry, and agreed to placing PAD information in a state computerized database.
PADs are acceptable to many patients, family members, and providers.
However, without supplemental interventions the study reveals that the Oregon PAD is, for the most part, ignored by clinicians in outpatient and inpatient treatment facilities. To effect adequate PAD use, states should establish PAD standards of care.