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Dr. Bob is Robert Hsiung, MD,
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Posted by responsiblek9 on November 20, 2003, at 14:29:27
http://www.bazelon.org/issues/advancedirectives/index.htm
I found this and want to know what any of you know about the advanced Psychiatric forms . I have been thinking about doing this but I have found even though it is in the state medicaid laws and federal laws and recognized as valid under Title II of the ADA as valid as a medical advanced directive the mental health systems are very resistant to the idea of this. So wanted to see what all you knew on this . I want to be able to self advocate because of the problem of the psych facilities often ignoring the documented bad reactions to medications my medical doctor has warned them of I have had . And when I went in for treatment involuntary twice I almost paid for this problem with my life! I dont want another repeat . I could have sued the mental health system that did that to me . But they lost the dad gum records I needed to prove my case. But My med doc does know what happened and is all for this advanced psych directive and so it the therapist. But I need more info before i wade in. Anyone ???
Posted by Susan J on November 21, 2003, at 12:26:58
In reply to I found a Psych advance directive form, posted by responsiblek9 on November 20, 2003, at 14:29:27
Wow, that's really interesting. I've been dealing with advance health care directives for years -- at least ones that concern physical situations. I never even thought of one directing psychiatric care.
I'm afraid I don't know anything about them, however. I think hospitals like advance health care directives when it helps make them immune to suit (i.e., if they pull the plug at my (written) direction, my relatives will have a hard time winning a malpractice case against them for *letting* me die).
In the case of psychiatric care, this might work to your advantage as well. I *don't* know how effective it would be in cases where a doctor decided to restrain a person (seclusion/meds/physical restraint), since I think that is such an exigent situation. There's really no time to *see* if someone has an advance psychiatric health care directive or not.
BUT, if you have had bad reactions in the past to a certain med, and if your directive specifically states that and forbids that drug's future use, then there is a documented record that your docs *should* have known a certain med is dangerous for you. I think that would be helpful in any legal action against the hospital/docs, although I sincerely hope you never have to find out.
If you can appoint a health care agent, I think that would be most effective. A health care agent can discuss your treatment with the docs and advise them of your needs, and show them the health care directive as necessary.
I have a copy of mine, as does my mother (my agent) and my brother. And I tell them time and time again what I want done if I'm seriously injured/sick.
Good luck. I'd be interested to know what you find out.
Susan
> http://www.bazelon.org/issues/advancedirectives/index.htm
> I found this and want to know what any of you know about the advanced Psychiatric forms . I have been thinking about doing this but I have found even though it is in the state medicaid laws and federal laws and recognized as valid under Title II of the ADA as valid as a medical advanced directive the mental health systems are very resistant to the idea of this. So wanted to see what all you knew on this . I want to be able to self advocate because of the problem of the psych facilities often ignoring the documented bad reactions to medications my medical doctor has warned them of I have had . And when I went in for treatment involuntary twice I almost paid for this problem with my life! I dont want another repeat . I could have sued the mental health system that did that to me . But they lost the dad gum records I needed to prove my case. But My med doc does know what happened and is all for this advanced psych directive and so it the therapist. But I need more info before i wade in. Anyone ???
Posted by responsiblek9 on November 22, 2003, at 1:07:26
In reply to Re: I found a Psych advance directive form » responsiblek9, posted by Susan J on November 21, 2003, at 12:26:58
On restraints I have a heart condition and a PTSD issue that can cause me to die because of restraints . And it is documented in state hospital records to never use restraints because the risk of my death was too high. Plus they also saw I was not one to be an imminent risk to people even when completely out of it. I was more into avoidance LOL. But it was brought to my attention then that this would have been a very dangerous situation for me. And now ten years later my heart is even weaker than it was then and I suffocate easily . Already have had one heart attack. So that was one of the reasons along with the med issues I was even looking at it. I knew two people while I was in the state hospital who died in restraints because of unknown heart issues. One died within one hour of the implementation and the other after having been left in there 18 hours strait. She was dehydrated and when they went in there and stood her up she was dead before she hit the ground. They commented then that that was just one less crazy the state would have to support now. One client called the police and reported it. They showed up and saw and said state problem not ours and left without even writing anything down. No one cares about the mentally ill and if they die. Most dont have family so the states walk scott free many times on this stuff. That is why I was interested in the advanced directive . I dont want to end up a statistic . I have no family to fight for me at all. and the state knows this. So I have to make precautions so I can in full confidence get treatment and know I can do so without endangering my life. This APD may be a way to do so. Takes away the fear if the rules are set in stone when you are first admitted. And is easier to cooperate when you dont feel at the mercy of any whim of a pissed off Psych worker having a bad day displaces the anger and takes it out on you the patient at their mercy. I have seen some major nightmares with mental health treatment . I dont want any more traumatizing problems from treatment that is supposed to help me but instead caused more trauma.
This is the end of the thread.
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