Man and daughter sitting in a living room, using a laptop, filling out a PAD.

A multi-county collaborative has joined together in a Mental Health Services Act Innovations Project to develop and test the feasibility of Psychiatric Advance Directives (PADs) in California.

Each county is identifying priority populations to focus on during this pilot project, such as foster youth, older adults, or people who experience homelessness. Priority populations are determined based on their robust stakeholder processes.

Man and daughter sitting in a living room, using a laptop, filling out a PAD.
Over-the-shoulder photo of a woman using the PADs technology platform on her phone.Over-the-shoulder photo of a woman using the PADs technology platform on her phone.

Technology

A key part of this project is the development of a user-friendly and secure online tool for Psychiatric Advance Directives in California.

With this interactive app, people will be able to learn about, complete, and store their Psychiatric Advance Directives.

Two friends at a kitchen table looking at a tablet device filling out a PAD.Two friends at a kitchen table looking at a tablet device filling out a PAD.

Peers

Ongoing collaboration with peers, individuals self-identified as having lived experience with the recovery process, is integral to the development approach of this project.

A Psychiatric Advance Directive is a valuable tool empowering a person's voice and personal choices. The purpose is to assist in a quick recovery from a crisis situation. However, it benefits overall recovery as well, encouraging listening, being seen as a whole person, supporting self-direction and wellness.

Man and doctor looking at a tablet, filling out a PAD.Man and doctor looking at a tablet, filling out a PAD.

What is a Psychiatric Advance Directive (PAD)?

A PAD is a legal document with an individual’s specific instructions or preferences regarding treatment, in case of a future mental health crisis in which they might not be able to make their own decisions.

Psychiatric Advance Directives are a means for increasing self-determination by encouraging and empowering people to make decisions about their lives to the maximum extent possible.

Collaborating Counties

Click to learn more about each county.

Contra Costa Health Services LogoThe County of Fresno Department of Behavioral Health LogoMariposa County Health & Human Services Agency LogoMonterey County Behavioral Health logoCounty of Orange Health Care Agency logoShasta County Health & Human Services Agency LogoTri-City Mental Health Agency logo

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