Psychiatric Advance Directives (PADS) are legal documents that permit persons with mental illnesses to declare their preferences, instructions and consent for future mental health treatment, or appoint a surrogate decision maker in advance of an incapacitating psychiatric crisis. Twenty-seven states have enacted statutes supporting these directives since the 1990's and implementation of these laws is a federal requirement for mental health facilities and clinics receiving federal funding. Despite this, education about PADs and resources to assist with implementation have been scarce. This presenation will introduce the concept of PADs, present information on their potential use and resources to aid in implementation.

*Offered in collaboration with the Mental Health Technology Transfer Center (MHTTC) Network 

Learning Objectives

• List the potential benefits of Psychiatric Advance Directives.
• Summarize the origins and rationale for Psychiatric Advance Directives.
• Discuss approaches to overcome barriers to implementation of Psychiatric Advance Directives.

Target Audience

Instructional Level

Introductory; Intermediate; Advanced

Estimated Time to Complete

Estimated Duration: 1.0 hour 
Program Start Date: June 28, 2019 
Program End Date: June 28, 2022

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™, CE credit or a certificate of participation may do so by completing all sections of the course, including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 75% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), CE certificate (psychologists), or certificate of participation (non-physicians) showing the completion date and hours earned.

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this live event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Psychologists

The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content.

Continuing education requirements vary from state to state. Many state boards grant reciprocity with national accrediting organizations and other state boards. It is the responsibility of each professional to understand the requirements for license renewal or check with the state or national licensing board and/or professional organization to become more familiar with their policies for acceptable continuing education credit. Social workers and Psychologists should contact their regulatory board to determine course approval.

Faculty and Planner Disclosures

Instructors

• Marvin Swartz, MD, is professor and head, division of social and community psychiatry at the Duke University School of Medicine and co-director of the Services Effectiveness Research Program. Dr. Swartz is co-developing a web-based facilitation tool for completing psychiatric advance directives. Dr. Swartz reports no financial relationships with commercial interests.
• Bebe Smith, MSW, LCSW is the director of mental health and project coordinator for the Crisis Navigation Project at Southern Regional AHEC. Ms. Smith's clinical practice focused on persons living with psychotic disorders and included psychotherapy, family therapy, and clinical case management. Ms. Smith reports no financial relationships with commercial interests. 

Planners

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.
• Amy N. Cohen, PhD, University of California, Los Angeles. Reports no financial relationships with commercial interests. 
• Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.
• Donna Rolin, PhD, APRN, University of Texas at Austin. Reports no financial relationships with commercial interests. 

Reviewers

• John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose. (Reviewed on 6/16/22)
• Amy N. Cohen, PhD, American Psychiatric Association. Dr. Cohen has no relevant financial relationships to disclose. (Reviewed on 6/26/22)
• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Dr. Brister has no relevant financial relationships to disclose. (Reviewed on 6/23/22)

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIAdviserHelp@psych.org for technical assistance