Psychiatric Advance Directives: A Compelling Tool to Support Crisis Care-Presentation Slides

Presentation Slides

Pdf Summary

This document summarizes a webinar on psychiatric advance directives (PADs) as a tool to support crisis care. PADs are legal documents that allow individuals to consent to or refuse future psychiatric treatment. They can also authorize another person to make treatment decisions on their behalf if they become incapacitated. The document describes the benefits of PADs, such as authorizing permission for family members to consult with providers during crises, providing a history and crisis plan, and avoiding involuntary admission. The origins of PADs are discussed, including their origins in end-of-life directives and the implementation of medical advance directives. The spread of PADs across states is outlined, with 27 states passing new PAD laws since 1991. The document addresses the importance of PADs in supporting patient autonomy, reducing involuntary treatment, and improving continuity of care. It highlights that honoring PADs is a requirement for treatment facilities participating in Medicaid and Medicare. The two parts of a PAD, advance instructions, and health care power of attorney, are explained, along with the process for making and implementing these documents. The document also discusses the barriers to the widespread use of PADs, including a lack of awareness, difficulty in completing the documents, and the need for education and support for providers. Additional resources on PADs are provided, along with information on how to request consultations and upcoming webinars on related topics.

Keywords

psychiatric advance directives

PADs

crisis care support

consent to treatment

refusal of treatment

incapacity decision-making

family consultation authorization

involuntary admission avoidance

patient autonomy support

Medicaid and Medicare requirement