Community Mental Health Handbook
Self-determination and Advance Directives
Topics Covered During Person-Centered Planning
During person-centered planning, you will be told about psychiatric advance directives, a crisis plan, and self-determination (see the descriptions below). You have the right to choose to develop any, all, or none of these.
Self-Determination:
Self-determination is an option for payment of medically necessary services you might request if you are an adult beneficiary receiving mental health services in Michigan. It is a process that would help you to design and exercise control over your own life by directing a fixed amount of dollars that will be spent on your authorized supports and services, often referred to as an “individual budget”. You would also be supported in your management of providers, if you choose such control.
Psychiatric and Medical Advance Directives and Crisis Planning
Psychiatric Advance Directive:
Adults have the right, under Michigan law, to a “psychiatric advance directive”. A psychiatric advance directive is a tool for making decisions before a crisis in which you may become unable to make a decision about the kind of treatment you want and the kind of treatment you do not want. This lets other people, including family, friends, and service providers, know what you want when you cannot speak for yourself.
Crisis Plan:
You also have the right to develop a “crisis plan”. A crisis plan is intended to give direct care if you begin to have problems in managing your life or you become unable to make decisions and care for yourself. The crisis plan would give information and direction to others about what you would like done in the time of crisis. Examples are friends or relatives to be called, preferred medicines, or care of children, pets, or bills.
More information available at the Department of Community Health website at www.michigan.gov/mdch or www.michbar.org/elderlaw/adpamphlet
| Individuals have the right to make decisions concerning their medical care, including the right to accept or refuse treatment, and the right to formulate advance directives. It is policy of Lakeshore Behavioral Health Alliance to honor a properly executed durable power of attorney or advance directive. Some restrictions apply to individuals who are minors or who have court appointed guardians. This right is established in the Estates and Protected Individuals Code PA 1998 No. 386 as amended by PA 2004 No. 532, effective January 3, 2005/ MCL 700.5506. The Recipient Rights Office will answer your questions about the policy. Contact your primary staff or Recipient Rights or Customer Service for sample forms. |
