psychiatric advance directive
Legal document allowing individuals to specify preferences for mental health treatment during future crisis periods.
Full Definition
A psychiatric advance directive (PAD) is a legal document that enables individuals with mental illness to express their treatment preferences, including medication choices and hospitalization preferences, for times when they may lack decision-making capacity due to psychiatric crisis. Unlike traditional advance directives focused on medical care, PADs address specific mental health scenarios such as involuntary commitment or medication administration. These documents help preserve patient autonomy and can reduce conflict during crisis situations. The legal validity and scope of PADs vary by state jurisdiction.
Usage
Usage note: Distinguish from medical advance directives, which typically address end-of-life care rather than psychiatric treatment preferences.
In Context
- "The patient's psychiatric advance directive specifically refused haloperidol due to previous adverse reactions." — Emergency department note
- "Staff reviewed the psychiatric advance directive before initiating involuntary hold procedures." — Crisis intervention report