Psychiatric Advanced Directives Face Obstacles : Infrastructure to uphold plans' legitimacy oftendoes not exist or is circumvented by conflicting laws.

As a result, the patients with a joint crisis plan spent significantly fewer days on average as inpatients in compulsory detention than did control patients (14 days vs. 31 days). The control intervention consisted of leaflets containing information about local services, mental illness and treatments, England's Mental Health Act of 1983, and local provider organizations.