What is a mental health advance directive?

A mental health advance directive (MHAD) is a legal document that allows individuals to plan for their mental health care in the event of a mental health crisis. It specifies the desired treatment, and who should provide it, in the event that the individual is unable to make decisions for themselves. In Alaska, the MHAD is described in Alaska Statute 18.19.210-18.19.280. An MHAD contains specific instructions regarding the care and treatment that an individual wishes to receive in the event of a mental health crisis. This includes the types of treatments or medications that an individual wishes to receive, as well as who should provide the treatment. It also allows individuals to name a mental health proxy – an individual who can make decisions on their behalf in the event that they are unable to do so. A MHAD is especially helpful for individuals who are prone to mental health crises, such as those with serious mental health illnesses or substance abuse problems. It can provide individuals with peace of mind, knowing that their wishes will be respected in the event of a crisis. In Alaska, anyone who is eighteen years of age or older can create a MHAD. The document must be signed by two witnesses who are not related to the individual, or a notary public. Once the document is signed and notarized, it is valid for five years, after which time it must be renewed. Overall, a mental health advance directive is an important legal document that can provide individuals with greater control over their mental health care and ensure that their wishes are respected in the event of a mental health crisis.

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