#20 Uplifting Voice and Choice with Psychiatric Advanced Directives

The Center Collaborative: Creative Solutions in Behavioral Health and Criminal Justice

Dr. Ericia Leeper and Dr. Andrea Avila, Psychologists and Certified Forensic Evaluators, discuss:

• How Psychiatric Advanced Directives, or as they are known in Oregon, Declarations of Mental Health Treatment (DMHTs) can direct treatment when a person is within a crisis;
• DMHTs communicate in writing what treatment works or doesn't work for a consumer;
• Consumers can appoint a trusted representative to carry out decisions outlined in the DMHT while the person is in crisis, but it ends when the crisis ends;
• Anyone can talk about DMHTs with a consumer, but there are restrictions around who can be witnesses or representatives;
• Dissemination of the DMHT is up to the consumer;
• Supports continuity of care with the consumer's voice;
• The research around DMHTs;
• DMHTs as tools for supporting diversion from the criminal justice system; and
• How to find the paperwork on the web.

For more information about the intersection between criminal justice and behavioral health in Oregon, please reach out to us through our website at http://www.ocbhji.org/podcast and Facebook page at https://www.facebook.com/OCBHJI/. We’d love to hear from you.

For information regarding the statutes about DMHT in Oregon, please visit: https://oregon.public.law/statutes/ors_127.736

For information about the Voluntary Mental Health Database, please visit: https://www.oregon.gov/oha/HSD/AMH/Pages/Voluntary-MH-Database.aspx

For information about OHA’s DMHT FAQ and form, please visit: https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le9550.pdf

Manuscript: https://psycnet.apa.org/record/2021-28249-001

Notice to listeners:http://www.ocbhji.org/podcast/#notice