Advocates in the Storm: Hospice Chaplaincy With Patients With Severe Mental Illness

This paper explores the challenges of end-of-life spiritual care with patients who have severe mental health challenges. I argue that chaplains can play an important role as an advocate for these patients. I also argue that chaplains can approach their work with greater skill and care when they are aware of a patient's medical diagnosis, and can advocate with the medical team for the continued possibility of sustaining religious experience even amid severe mental illness. In addition, I explore how mental health challenges make it complicated if not impossible to adapt some standard models of end-of-life care, but that ways of caring for patients with mental health challenges can be found.