The report indicates that many people receive more aggressive care
than they desire at end-of-life and that advance directives are under
used, with only 18% to 36% of adults having completed the document.
"Whether persons with mental illness have the capacity to engage in
advance care planning and complete an advance directive is controversial. "
<http://aspe.hhs.gov/daltcp/reports/2008/ADCongRpt.htm>http://aspe.hhs.gov/daltcp/reports/2008/ADCongRpt.htm
"People Who experience mood swings, fear, voices and visions"