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Duke University Program on
Psychiatric Advance Directives

  • This site provides basic facts and toolkits regarding psychiatric advance directives (PADs) in North Carolina. For more extensive information about PADs, state-by-state resources, and educational webcasts, please visit the National Resource Center on Psychiatric Advance Directives (NRC-PAD).
  • PADs are relatively new legal instruments that may be used to document a competent personís specific instructions or preferences regarding future mental health treatment, in preparation for the possibility that the person may lose capacity to give or withhold informed consent to treatment during acute episodes of psychiatric illness.
  • All states permit some form of legal advance directive (AD) for healthcare, which can be used in conjunction with at least some forms of psychiatric treatment. In the past decade, twenty-two states have adopted specific PAD statutes.
  • In this website, we provide toolkits and user friendly instructions for consumers, clinicians, and family members to complete psychiatric advance directives and health care power of attorney documents.
  • Also, we include background information about PADs, an analysis of the history behind the development of PADs, links to websites with information about PADs, and links to PAD statutes.
  • This site is supported by funding from the Greenwall Foundation and the MacArthur Foundation Research Network on Mandated Community Treatment.
    The information on this Web site is presented as a public service for educational purposes only. It is not a substitute for informed medical advice or training. Do not use this information to diagnose or treat a mental health problem without consulting a qualified health or mental health care provider. This Web site may provide links to other Internet sites for the convenience of users. The Duke Program on Psychiatric Advance Directives is not responsible for the availability or content of these external sites, nor does it endorse, warrant or guarantee the products, services or information described or offered at these other Internet sites. All information contained on these pages is in the public domain unless explicit notice is given to the contrary, and may be copied and distributed without restriction.