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Mental Health Surrogate Decision Making

Mental Health Surrogate Decision Making. What is in a name. Power of attorney Health Care Surrogate Proxy Advance Directive “Mental Health”_________ Psychiatric Advance Directive Different states use opposite names with different rights. State Individualism.

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Mental Health Surrogate Decision Making

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  1. Mental Health Surrogate Decision Making

  2. What is in a name • Power of attorney • Health Care Surrogate • Proxy • Advance Directive • “Mental Health”_________ • Psychiatric Advance Directive • Different states use opposite names with different rights

  3. State Individualism • Each State has different minimum requirements for validity • Written w/ 2 disinterested witnesses and notary • Each State chooses whether to accept document signed by other state standards • Remember name confusion and affect on medical providers • Varying standards for forced treatment

  4. Resources • Local Attorney • NAMI • www.nami.org • Bazelon Center for Mental Health • www.bazelon.org • National Resource Center on Psy A.D. • www.nrc-pad.org • Treatment Advocacy Center • www.treatmentadvocacycenter.org

  5. Goal • Empower you to direct and at the very least inform of your preferences in treatment when you are least able.

  6. Roadblocks to success • Never expressing your preferences in writing • No common system to communicate the existence of your preference • Issues of competence at time of creation • Issues of competence at time of need to revoke or modify • Limits to deny all treatment

  7. Steps to Success • Put treatment preference in written form and name a “surrogate/agent” you trust. • 2 witnesses • Doctor statement of competency at time • Communicate your action • Surrogate gets copy • Put laminated card in wallet • Store in online registry • MedicAlert Bracelet

  8. Things to put in • Name of surrogate/advocate • Any and all Specific medical preference • Medicine preference • Physical settings that help or hurt your treatment • Other triggers to avoid or that add to treatment such as music and lighting

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