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

Tobias, Paul · J Addict Med

editorial · Level V

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Abstract

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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