What kinds of mental health care details can go into an AD?
You can write preferences and instructions for all sorts of things, like:
That sounds like information I have in my crisis plan.
There is definitely some overlap between ADs with mental health care instructions and crisis plans. But ADs are more specific and aimed at giving doctors the targeted information they need. Also, ADs are legal documents but crisis plans usually are not.
What power will my agent have over inpatient hospitalization?
You can decide what power your agent will have. The law and AD forms assume that you want your agent to have power related to inpatient hospitalization. But you can cross out the power if you do not want your agent to have it.
Are there any limits on an agent’s power over inpatient hospitalization?
First, an agent cannot just decide that a person should be inpatient hospitalized for mental health care. Instead, it must be a case where doctors have decided that the person meets the conditions for inpatient hospitalization.
Second, there has to be a hospital or unit that is willing to admit the person.
Virginia Advance Directives
Health includes mental wellness. Over half of states have realized this and made laws that allow people to plan ahead for mental health care. Virginia is the only state that changed its laws to clearly reflect how mental health is one part of the whole person. So, in Virginia you can make one AD that covers all your health care, including mental health care.
Then, it comes time for the doctors to get consent from the agent. (And an agent could refuse consent if the agent does not think it is the best option or what the person would want.)
Finally, an agent’s consent is good for only 10 days. If the person is doing better before 10 days are done, the person could be found ready to leave the hospital. If the person still needs to be in the hospital, then the hospital will seek continued hospitalization based on the person’s consent or a court order.
Can I put mental health details in a separate AD?
Yes. The law makes it possible to put everything in one AD but it does not require you to do so. If you want to make a separate mental health advance directive, here are some things to plan for:
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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.