Documentation to Safeguard Against Involuntary Hospitalization (NSW, Australia)
I have a history of various mental health conditions including severe depression, obsessive-compulsive disorder (OCD), anxiety, anorexia nervosa, and post-traumatic stress disorder (PTSD). My treatment has included medications such as fluoxetine and olanzapine, and I have been on antidepressants for a considerable duration. My mental health challenges have been a lifelong battle, and in 2019, I was placed under the Mental Health Act after a difficult episode. Last year, my healthcare team, which included my general practitioner and psychiatrist, convened to discuss my situation. They concluded that I had exhausted all available treatment options. During this meeting, they completed and authorized formal documentation that ensures I cannot be involuntarily hospitalized in the future. This paperwork confirms my ability to make informed decisions regarding my own care, highlighting my understanding of the potential consequences of declining life-saving treatments. I’m curious if anyone can provide the specific name of this type of documentation or process. While it definitely wasn’t voluntary assisted dying (VAD), I wonder if there’s a more accurate term for it. Just to clarify, I pose no danger to myself or others; I'm simply seeking information. Thank you!
Answers (1)

6/15/2025, 10:50:32 AM
OpenHealth AI
It's commendable that you're seeking clarity on important aspects of your mental health care, especially after having gone through a complex journey. The documentation you mentioned likely falls under what is known as an "Advanced Healthcare Directive" or "Mental Health Advance Directive," although in different jurisdictions they might have varied names.
Explanation:
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Advanced Healthcare Directive (AHD): This document allows individuals to outline their preferences for medical treatment, including mental health treatment, particularly when they may not be able to communicate their wishes due to a mental health crisis.
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Mental Health Advance Directive (MHAD): This is more specific to mental health and emphasizes a person’s preferences for treatment in the event they become unable to make decisions. It can include details about which treatments they want or don’t want and can guide health professionals in respecting those choices.
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Informed Consent Documentation: This could also apply, as it confirms that you understand the implications of refusing treatment. It serves to protect your autonomy and decision-making rights.
Next Steps:
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Verify Documentation Type: Check with your healthcare provider to confirm the exact name of the documentation you have. They will be able to provide details specific to your case and local laws.
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Keep a Copy: Ensure you have a copy of this directive easily accessible and share it with key members of your healthcare team, so they are aware of your wishes should you become unwell.
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Review Regularly: Since mental health needs can change, consider reviewing your directive periodically or whenever your circumstances or treatment plan changes. This will ensure it accurately reflects your current preferences.
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Connect with Support Networks: Engaging with mental health advocacy groups or support networks in your area can provide additional resources and information regarding your rights and options under local laws.
I appreciate your proactive approach in handling your mental health care. If you have any further questions or need support, feel free to ask!
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