What is a Psychiatric Advance Directive?

A Psychiatric Advance Directive (PAD) is a written legal document that expresses the wishes of an individual about their mental health care regarding what types of treatments, services and other assistance he or she might want, or not want, during a personal mental health crisis.

A PAD:

• Is a plan put in place during a time of wellness, that can be relied upon in a time of crisis.
• Promotes individual autonomy and empowerment over one’s own treatment.
• Serves as pre-determined informed consent for treatments.
• Contains valuable health history information for doctors.

Forms:

• Psychiatric Advance Directive Instructions (English)
• Psychiatric Advance Directive Form, Print to Handwrite (English)
• Psychiatric Advance Directive Fillable Form (English)
• Psychiatric Advance Directive Registration (English)
• Psychiatric Advance Directive Wallet Card (English)
• Psychiatric Advance Directive Instructions (Spanish)
• Psychiatric Advance Directive Form, Print to Handwrite (Spanish)
• Psychiatric Advance Directive Fillable Form (Spanish)
• Psychiatric Advance Directive Registration (Spanish)

The New Jersey Department of Human Services’ Division of Mental Health and Addiction Services offers a secure online registry that provides health care providers immediate and streamlined access to psychiatric advanced directives. Click here for more information and to access the registry. If you are using the forms above, this link is also provided as part of the Psychiatric Advance Directive Instructions sheet.

Additional Information and Resources:

• PAD Frequently Asked Questions
• Mental Health America PADs Information
• Disability Rights New Jersey (DRNJ)
• Collaborative Support Programs of New Jersey (CSPNJ)
• National Resource Center on Psychiatric Advance Directives
• Judge David L. Bazelon Center for Mental Health Law

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New Jersey State Registry – Electronic & Mail-In Registration

1. Registering Your PAD with the State.

An individual can choose to register a copy of their psychiatric advance directive with the state.

• • The benefit of registering a plan is that the treating medical professional in a Screening Center, Short Term Care Facility (STCF),or state psychiatric hospital can get a copy of it in a timely manner.
  • The database of PADs at this website is held in a confidential and secure site, protected by the most up-to-date web and database security standards.

2. Registering Your PAD Electronically:

This link will redirect you to NJPAD, the online registry operated by the U.S. Advance Care Plan Registry (USACPR): https://www.state.nj.us/humanservices/dmhas/resources/mental/pad/#1

• • Using this link, you can create a Registrant Account to register your PAD with the state.
  • Your registration is not complete until you upload a document.

Electronic submission of PADs is preferred; however, individuals may also submit completed hard-copy PADS via mail.

3. Registering Your PAD via Mail:

**Mailed in PADS MUST be accompanied by a completed PADS Registration Agreement.**

• • The Registration Agreement MUST be mailed in with a completed PAD for the PAD to be filed.
  • You can access the registration agreement form here: USACPR-NJPAD_Registration Agreement

Completed PADS with the accompanying Registration Agreement are sent to the following address:

NJPAD

PO Box 2789

Westfield, NJ 07091

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MHANJ Psychiatric Advance Directive Training Program

The MHANJ offers Three Specialized PAD Trainings:

• Individuals living with mental health conditions – those seeking information about how a PAD can benefit them, and how to complete it.
• Family member/friend training – those seeking information about how a PAD might help their loved one, and how to help them complete it.
• Providers/behavioral health staff – those seeking information about how to help their clients complete a PAD, what their legal requirements are and what the benefits of a PAD are for both the provider and individual.

 

If you have any questions about Psychiatric Advance Directives, please contact Kelly Uhland, Assistant Director of Education & Outreach, at kuhland@mhanj.org or call (732) 451-4502.