Table 2 Overview of results
Benefits | Risks |
|---|---|
increased service user autonomy | infeasibility of SBDs |
improvement of the therapeutic relationship | difficulty in decision-making about SBD activation |
possibility of timely intervention and prevention of harm | limited accessibility of SBDs in mental health crises |
prevention of compulsory care | disappointment of service users due to professionals’ non-compliance with SBDs |
reduction of the duration of compulsory care and recovery | limited evaluation and updates of SBD content |
mitigation of negative experiences around compulsory care | |
guidance for professionals in providing compulsory care | |
Facilitators | Barriers |
support for SBD completion | lack of knowledge of SBDs among professionals |
involvement of relatives and peer experts | lack of motivation or insight among service users |
specification of SBD content | lack of professional support for SBD completion |
evaluation of compulsory care and SBD content | |
Positive effects of the new law | Negative effects of the new law |
stronger emphasis on service user autonomy | no clear added value of SBDs compared to other instruments for documenting service users’ preferences |
legal provisions for several instruments that provide a starting point for SBD completion | lengthy and complex legal procedures for SBD activation |