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Publications
| Power in Planning: Self Determination through Psychiatric Advance
Directives
A new pocket folder that builds on the Bazelon Center's earlier
work regarding advance psychiatric directives. Power in Planning
assesses the utility of advance directives generally and the Bazelon
Center's forms to prepare a psychiatric advance directive in
particular. [Item: AD1 - $4.50, plus shipping and handling]
(March 2003)
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Forms for Creating an Advance Psychiatric Directive
- A. Directions for using the forms.
- Part I. A statement of your intent in creating
an advance directive for mental health care decisionmaking. This emphasizes
your strong desire that providers respect your right to influence all
decisions about the your care.
- Part II. This form lets you name another person
to make decisions for you if you are determined to be legally incompetent
to make your own choices. Also, your instructions about the circumstances
under which you can change your agent and who should be appointed your
guardian if a court decides to name one.
- Part III. Your instructions about hospitalization
and alternatives to hospitalization, medications, electroconvulsive
therapy (ECT), emergency interventions (including seclusion, restraint
and medication) and experimental studies or drug trials.
- Part IV. Your instructions about who should
be notified immediately if you are admitted to a psychiatric facility,
who should be prohibited from visiting you and who should have temporary
custody of your child(ren).
- Part V. Here you may choose whether or not you
will have the right to suspend or terminate your advance directive while
you are incapacitated, if allowed by the law in your state. The section
includes space for any other instructions about mental health care.
- Part VI. Signature page, on which you and two
witnesses sign the advance directive before a notary, after you have
filled in the blanks and made any changes you wish.
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