Cynthia Elledge, Ph.D.
Advance Directive Implementation Coordinator
DBHDS & UVa Institute of Law, Psychiatry and Public Policy
Comprehensive facilitation of Advance Directives for individuals with mental illness requires knowledge and practices beyond what is typically employed for wills and estate planning. In order to provide the best assistance possible, the facilitator must have a thorough understanding of the nuances that characterize the public mental health service delivery system, crisis response protocol, physician treatment decisions, and capacity determination, among other topics. Because of these intricacies, we recommend that attorneys who are interested in facilitating ADs seek additional training through relevant mechanisms, such as Virginia Advance Directive CLE program or the University of Virginia’s Facilitator Training.
Pro Bono Opportunities
There are many individuals around Virginia who have expressed interest in completing an Advance Directive but do not have the ability to pay for assistance. If you or your firm are interested in receiving training on facilitating ADs and being connected with individuals in your area who need assistance, please contact:
How ADs are Related to Prior Health Care Decision-Making Tools
In short, prior Virginia laws concerning living wills and health care powers of attorney have been repealed. Statutory powers to write instructions about end-of-life care and appoint a health care power of attorney are now subsumed in the Health Care Decisions Act (Va. Code § 54.1-2981 et seq.).
What is more, revisions to the HCDA in 2009 and 2010 expanded the coverage of ADs to cover all major domains of health care: general medical care, mental health care, and end-of-life care.
The HCDA does not prescribe what form an AD must take (§ 54.1-2984) beyond requiring a few procedural formalities (§54.1-2983).
Many agencies, health systems, and facilities have drafted AD forms. Three representative versions of the form can be found on our “Picking an AD Form” page.
Some highlights of the HCDA (and related statutes) are included here for easy access and review.
Virginia Advance Directives
This website is not intended to provide legal advice. It is merely a guide, and reflects one view of Advance Directives in Virginia. It can be beneficial to consult with an attorney regarding your Advance Directive. However, the intention of Virginia’s law on Advance Directives is to enable and encourage all capable adults to fill out an Advance Directive on their own.
This website is designed and administered by Mental Health America of Virginia (MHAV) and is funded through a grant by the Virginia Department of Behavioral Health and Developmental Services.
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