How Advance Directives Help When Patients Refuse Life-saving Treatment Because of Their Substance Use

Paul Tobias
Journal of Addiction Medicine 2021 January 20
Patients with substance use disorder have higher rates of discharge against medical advice, despite frequently presenting to emergency departments with significant and life-threatening comorbid conditions. A Ulysses contract, in the form of a substance use advance directive, would allow these patients to maintain their autonomy while providing a means for them to complete treatment for these comorbid conditions.

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