A Psychiatric Advance Directive allows an individual to specify instructions about his or her mental health care treatment and/or appoint a representative who may make decisions about treatment in the event of a mental health crisis. The following Psychiatric Advance Directive form and Registration form (to register the directive with the state) may be downloaded, printed, filled out and mailed to the New Jersey Division of Mental Health and Addiction Services so that they may be accessed in case of emergency. Please note that there are two versions of the form, one for those who prefer to type their Advance Directives on the computer and the other for those who prefer to handwrite their Advance Directives. It important to carefully review and follow the instructions. There is also a downloadable wallet card that may be shown to indicate that an individual has a Psychiatric Advance Directive registered with the state and how to attain a copy.
If you chose to register your advance directive, print out and complete the registration form below and send with a copy of your psychiatric advance directive to DMHAS – PAD REGISTRY, PO Box 700, Trenton, NJ 08625-0700
The phone number for the Division of Mental Health and Addiction Services is 800-382-6717.
If you have any questions about the forms below or to schedule a presentation on psychiatric advance directives for your agency, please contact Laverne Williams at firstname.lastname@example.org or 973-571-4100, ext. 130.
PSYCHIATRIC ADVANCE DIRECTIVE FORMS:
Psychiatric Advance Directive Form (Save and Type) Before filling out this form you must download the file to your computer and open it in Acrobat Reader. Remember to save it to your computer before printing. Please note that some older types of software may inhibit ability to type and save the document. Click here to download the most current version of Acrobat Reader for your computer: http://get.adobe.com/reader
PSYCHIATRIC ADVANCE DIRECTIVE INSTRUCTIONS AND WALLET CARD:
Consumer Connections Core Training is the oldest and most well-known Consumer Connections program. It is designed to offer consumer participants with a broad spectrum of training and education in areas that are fundamental to providing non-clinical services to other mental health consumers.
New Jersey Resources
Collaborative Support Programs of New Jersey, Inc. is a private not-for-profit organization. The agency is directed, managed and staffed through the collaborative efforts of mental health consumers, survivors and non-consumers. CSP-NJ strives to provide individualized, flexible community based services that promote responsibility, recovery and wellness. This is done through the creation and administration of self-help centers, supportive housing, advocacy, and entrepreneurial programs for adults with mental health issues and other special needs.
The Governor’s Council on Mental Health Stigma was formed to combat mental health stigma as a top priority in New Jersey’s effort to create a better mental health system. Through outreach and education, the Council will send a message that mental health stigma must no longer be tolerated.
The New Jersey Division of Mental Health and Addiction Services serves individuals and with mental illnesses and/or substance abuse problems and assists their family members.
The American Foundation for Suicide Prevention (AFSP) is exclusively dedicated to understanding and preventing suicide through research and education, and to reaching out to people with mood disorders and those impacted by suicide.
The Center for Mental Health Services (CMHS) is the Federal agency within the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) that leads national efforts to improve prevention and mental health treatment services for all Americans.
Child and Adolescent Mental Health is a section of the National Insititue of Mental Health’s website which provides a great deal of information on the mental health issues and concerns of childhood and adolescence.
Critical Mental Health Resources for College Students is an important resource for college students and other youth that provides information about maintaining mental health and identifying potential mental health problems.
The Geriatric Mental Health Foundation established by the American Association for Geriatric Psychiatry to raise awareness of psychiatric and mental health disorders affecting the elderly, eliminate the stigma of mental illness and treatment, promote healthy aging strategies, and increase access to quality mental health care for the elderly.
HealthyMinds.org is the American Psychiatric Association’s online resource for anyone seeking mental health information. Here you will find information on many common mental health concerns, including warning signs of mental disorders, treatment options and preventative measures.
HealthyPlace.com is the largest consumer mental health site, providing comprehensive, trusted information on psychological disorders and psychiatric medications from both a consumer and expert point of view. They have an active mental health social network for support, online psychological tests, breaking mental health news, mental health videos, our documentary films, a live mental health tv show, unique tools like their “mediminder” and more.
Mary Ellen Copeland Mental Health Recovery and WRAP promotes personal, organizational, and community wellness and empowerment. Her focus is on shifting the system of mental health care toward prevention and recovery through education, training, and research. The WRAP plan uses the accomplishments developed and implemented by the people being served and the people who care for them. This is reinforced by building networks that reflect mutual support and community organizational empowerment – concepts that are changing the face of mental health recovery.
Mental Health America (MHA), formerly known as the National Mental Health Association, is dedicated to helping ALL people live mentally healthier lives. With our more than 320 affiliates nationwide, we represent a growing movement of Americans who promote mental wellness for the health and well-being of the nation – everyday and in times of crisis.
National Alliance on Mental Illness (NAMI) is dedicated to the eradication of mental illnesses and to the improvement of the quality of life for persons of all ages who are affected by mental illnesses.
The National Coalition of Mental Health Consumer/Survivor Organizations (NCMHCSO) will ensure that consumer/survivors have a major voice in the development and implementation of health care, mental health, and social policies at the state and national levels, empowering people to recover and lead a full life in the community.
The National Institute of Mental Health (NIMH) is the largest scientific organization in the world dedicated to research focused on the understanding, treatment, and prevention of mental disorders and the promotion of mental health.
The Substance Abuse and Mental Health Services Administration (SAMHSA) has established a clear vision for its work — a life in the community for everyone. To realize this vision, the Agency has sharply focused its mission on building resilience and facilitating recovery for people with or at risk for mental or substance use disorders. SAMHSA is gearing all of its resources — programs, policies and grants — toward that outcome.
The Voices of Bipolar Disorder New York Times article, eplores what it is like to have bipolar disorder. Stories of nine men and women living with bipolar disorder share their stories.