Tri-City Mental Health Authority

Enhancing hope, wellness and community for Claremont, La Verne and Pomona residents through behavioral health services and supports.

Make Sure Your Voice is Heard If You Have a Behavioral Health Crisis

A Psychiatric Advance Directive (PAD) is a legal document that allows you to share your treatment preferences before a mental health or substance use crisis occurs.

A PAD can help first responders, healthcare providers, and trusted supporters understand:

  • The treatment approaches you prefer
  • The medications, supports, or strategies that work best for you
  • The people you want involved in your care
  • What helps you feel safe, supported, and respected during a crisis

Creating a PAD is one way to plan ahead and make sure your voice remains at the center of your care, even during difficult moments.

Old PADs vs New PADs | From a Physical Document to a Web-Based Tool: The New Era of Psychiatric Advance Directives
History & Background. Old PADs (Paper): Began taking shape in California in the 1990s as part of the broader Patient Rights Directive. New PADs (Online): Through 2029,
Tri-City is participating in a California multi-county Innovation
project testing ways to make PADs easier to create and access. Map of California with participating counties highlighted, including Tri-City in Southern California.
Digital Access & Ease of Use. Old PADs (Paper): Approximately a 30-page paper document. Hard to locate in emergencies. New PADs (Online): Web-based; Gives real-time access to first-responders and hospitals based on the individual's consent. Smartphone with online PADs displayed.
Whole-Person Care. Old PADs (Paper): Mainly focused on medical care, medication support, and preferences for hospitalizations for lost capacity. New PADs (Online): Broader life planning that includes chronic health needs, hormone therapy continuation, pet care instructions during a mental health or substance use crisis.
Guidance in Creation. Old PADs (Paper): Often written alone with limited support or structure. New PADs (Online): A guided, in-person
experience led by trained peer
support staff from Project Return
Peer Support Network (PRPSN).
Scope of Treatment Preferences. Old PADs (Paper): Primarily focused on life saving decisions such as preferences for medication, organ
donation, and ventilation. New PADs (Online): Focused on your treatment and care preferences for mental and physical health, including medications, hospitalization, and other interventions.
Adoption & Awareness. Old PADs (Paper): Minimal awareness and limited adoption. New PADs (Online): Increasing multi-county awareness and state adoption as behavioral health systems modernize.
Key Takeaway. The new, web-based Psychiatric Advance Directives is: Comprehensive, Consent-based access with various crisis and health systems, Easier to access and use in a crisis. The online PADs elevate an individual’s voice and choice, ensuring their preferences guide care when it matters most. It’s a practical and accessible tool to communicate needs during a crisis and support better care.

Bringing Digital PADs to Claremont, La Verne and Pomona

A group of counties has joined together for an innovative pilot project to create a secure website for Psychiatric Advance Directives in California. This secure online tool makes it easier for individuals to create, store, and update their PADs while providing real-time access to supporters and professionals during a crisis.

Through this PADs Multi-County Collaborative, Tri-City Mental Health Authority (Tri-City) is bringing digital PADs to the communities of Claremont, La Verne, and Pomona, with a focus on strengthening crisis support and giving individuals more choice and greater control over their behavioral health care.

Digital PADs are now available to adults age 18 or older who want to document their preferences, supports, and treatment choices in advance.

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Learn More About Online PADs

What is a PAD?

How would you explain the benefits of an online PAD to a friend or family member?

5 Important Things to Include in Your PAD

The first word that comes to mind with a PAD is ‘safety’ as this is a voice for those who are often silenced. Giving them their voice back when they are unable to speak for themselves is empowering. This is so impactful in helping not only individuals, but their families as well. This could be a game changer for future generations and avoid some unnecessary traumas.

– Rachel S., Certified Peer Support Specialist

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The first word that comes to mind with a PAD is ‘safety’ as this is a voice for those who are often silenced. Giving them their voice back when they are unable to speak for themselves is empowering. This is so impactful in helping not only individuals, but their families as well. This could be a game changer for future generations and avoid some unnecessary traumas.

– Rachel S., Certified Peer Support Specialist

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Get Support Creating a PAD

You don’t have to create your digital PAD alone.

If you live or go to school in Claremont, La Verne or Pomona, you can access individualized, in-person peer support as you create your online PAD. Peer Support Specialists from Project Return Peer Support Network (PRPSN) can answer questions, provide guidance, and help you navigate the process at your own pace. They can help you:

  • Create an email account, if needed.
  • Login in and navigate the online PAD platform.
  • Prepare what you need for your in-person session. It’s helpful to have personal identification, medications, treatment preferences, and emergency contacts at the ready while you complete your PAD.
  • Understand each section and decide what you want to include.
  • Navigate contacts, signatures, and other steps needed to complete your PAD.
  • Review your plan and make sure it reflects your wishes, your needs, and your voice.

Get Help from Trained Peers at No Cost

Tri-City Wellness Center
1403 N Garey Ave, Pomona

Walk-in Hours:
Wednesdays & Fridays, 10 AM – 5 PM

For more information or to schedule an appointment:
Email: PADsinfo@prpsn.org
English: (323) 772-9736
Spanish: (323) 542-5139

Want to Create a PAD on Your Own?
You can create and manage your PAD independently through the My Plan My Voice platform.

My Plan My Voice →

How Peer Support Can Help You

What difference does it make to have someone who understands your lived experience guide you when creating a PAD?

PAD Tutorial: Leveling Up Your Wellness Plan 💫 

Stop by the Tri-City Wellness Center in Pomona for in‑person support.

Frequently Asked Questions

Click on the question or arrow to view answer.

Who Can Benefit from a PAD?
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Where can I meet with a Peer Support Specialist to create my PAD?
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Do I have to create my PAD with a Peer Support Specialist?
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I don't live in Claremont, La Verne, or Pomona. Can I still create a PAD?
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Can I create a PAD for my loved one?
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Do you offer presentations about PADs?
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Is Tri-City a county?
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About Tri-City Mental Health Authority
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Resources

Tri-City Mental Health Authority
tricitymha.ca.gov

For More Information
Paulina Ale
pale@tricitymha.ca.gov
(909) 326-4634

Need Immediate Help?
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If you or someone you care about is struggling, you are not alone. Help and support are available anytime by calling our 24/7 Mobile Crisis Care at (866) 623-9500 or by calling/texting 988 for the Suicide & Crisis Lifeline.

Tri-City PADs Outreach Flyer (English)Tri-City PADs Outreach Flyer (Espanol)