12-08-2019 03:47 PM
I'm not sure where to put this but I am wondering whether anyone has written an advance statement, what you've included in it if you have one, and whether anyone has ever used one/found it useful to have one?
12-08-2019 07:13 PM
We are looking at doing advance care directives in the near future.
Rules in relation to ACDs vary from state to state and I think (but may be wrong) that in Victoria you can do a specific mental health ACD. Note: An involuntary treatment order overrides an ACD (and you cannot decline involuntary treatment in an ACD). I know SA has specific mention of ECT in ACD information and enduring guardians are appointed in the SA ACD whilst this is separate in some other states. Some states recognise interstate ACDs/guardians, others do not.
I have looked up a few state examples of ACDs, think it is either NSW or Qld that has tick boxes for a number of scenarios in their proforma.
ACDs can be updated and as we have recently moved interstate we might look at something basic to ensure our enduring guardian information is locked in as well as DNR/serious injury preferences. I think Mr Darcy would like to put some specific mental health items in there too.
My mum has made one and hers includes things like organ donation, serious injury and preferred living arrangements.
12-08-2019 07:14 PM
12-08-2019 07:17 PM
12-08-2019 07:18 PM
@CheerBear Sounds like a really good idea. I will be interested to what people have to say about it and do one myself most probably .
12-08-2019 07:30 PM
In most states an ACD covers all medical including psych. If you put in anything in your ACD that contravenes your state Mental Health Act, the MH Act will override it.
12-08-2019 07:40 PM
12-08-2019 07:45 PM
It is my understanding that a psychiatrist can only override an ACD if you are on a treatment order @CheerBear . As with any treatment order, a specific tribunal order is required for ECT.
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