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The Medico-Legal, Ethical, and Clinical Challenges of Psychiatric Advance Directives

Sivashanker, Karthik, MD*; Berkoff, Sarah, MSW, LICSW*; Reddy, Sparsha, MD; Breu, Anthony C., MD; Jones, Katie, ANP-BC; Festin, Fe, MD

Section Editor(s): Stoklosa, Joseph MD

doi: 10.1097/HRP.0000000000000223
Clinical Challenge

From Harvard Medical School (Drs. Sivashanker, Reddy, Breu, and Festin); Boston University School of Medicine (Dr. Sivashanker); Departments of Psychiatry (Drs. Sivashanker and Festin), Social Work (Ms. Berkoff), Medicine (Dr. Breu), and Palliative Care (Ms. Jones), VA Boston Healthcare, Boston, MA; Bedford VA Hospital, Bedford, MA (Dr. Reddy).

Correspondence: Karthik Sivashanker, MD, 1620 Tremont St., 2nd floor, Boston, MA 02120. Email:

*Dr. Sivashanker and Ms. Berkoff contributed equally to this work.

© 2019 President and Fellows of Harvard College
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