Psychiatric Advance Directive (PAD) Policy and Implementation Guidelines

Purpose

This policy establishes guidelines for the implementation, documentation, and adherence to psychiatric advance directives within our facility.

Scope

Applies to all mental health professionals, clinical staff, and administrators involved in patient care.

Definitions

• Psychiatric Advance Directive (PAD): A legal document specifying a person's future mental health care preferences
• Healthcare Agent: Individual designated to make decisions when the patient is incapacitated
• Activation Criteria: Circumstances under which the PAD becomes effective

Policy Components

1. Documentation Requirements

• Patient's personal information
• Healthcare agent designation and contact information
• Specific mental health treatment preferences
• Medication preferences and restrictions
• Hospital facility preferences
• Crisis intervention instructions

2. Implementation Procedures

1. Verify PAD validity upon admission
2. Document PAD in electronic health record
3. Notify relevant healthcare team members
4. Follow specified treatment preferences when applicable

3. Staff Responsibilities

• Attending Psychiatrist: Review and implement PAD instructions
• Nursing Staff: Document PAD existence in patient records
• Social Workers: Assist patients in PAD completion
• Administrative Staff: Maintain PAD documentation

4. Legal Considerations

• State-specific requirements
• Capacity assessment documentation
• Witness requirements
• Notarization procedures

Review and Updates

• Annual policy review
• Staff training requirements
• Compliance monitoring
• Documentation audits

References

[State-specific mental health laws and regulations]