Psychiatric Advance Directive
A legal document in which individuals specify their treatment preferences for future psychiatric care when they may lack decision-making capacity during acute mental health episodes.
Full Definition
A psychiatric advance directive (PAD) allows individuals to document their preferences regarding psychiatric treatment, including medications, hospitalization, and specific interventions, while they have decision-making capacity. These directives become active during psychiatric emergencies when the person cannot make informed treatment decisions. PADs may include preferred medications, treatments to avoid, designated decision-makers, and instructions for crisis situations. The legal status and enforceability of psychiatric advance directives varies by state jurisdiction. Clinical documentation must clearly reference existing advance directives and demonstrate how treatment decisions honor patient preferences when possible.
Usage
Usage note: May be abbreviated as PAD after first use. Verify state-specific legal requirements when documenting.
In Context
- "The patient's psychiatric advance directive specifically prohibits the use of haloperidol during crisis intervention." — Emergency department note
- "Social work completed psychiatric advance directive counseling during the stabilization period." — Discharge planning documentation