Meet the Plenary Speakers: Marvin Swartz, M.D. & Diane Krisanda

Implementation of Psychiatric Advance Directives in North Carolina: New Opportunities and Challenges

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Marvin Swartz, MD, Professor in Psychiatry and Behavioral Sciences, Duke University

Marvin S. Swartz, M.D., is Professor and Head of the Division of Social and Community Psychiatry and Director of the Duke AHEC Program. Dr. Swartz has been extensively involved in research and policy issues related to the organization and care of mentally ill individuals at the state and national level. He co-led a North Carolina study examining the effectiveness of Psychiatric Advance Directives and the NIMH funded Clinical Antipsychotics Trials of Intervention Effectiveness study.  He is currently a co-investigator of a study of implementation of Psychiatric Advance Directives in usual care settings, an evaluation of implementation of assisted outpatient treatment programs and a randomized trial of injectable, long-acting naltrexone in drug courts. Among many awards, most recently, Dr. Swartz was the recipient of the 2015 Isaac Ray Award from the American Psychiatric Association for career contributions to forensic psychiatry.

Diane Krisanda moved from PA to North Carolina and is “Living the Dream” with her wonderful husband, son, and two dogs. She currently serves at Board of Director President for NAMI South Mountains, NC. She advocates, provides support and education to family members and their loved one(s) with with mental illness also foster parents and the community at large. She enjoys being creative in planning and organizing special events, art, gardening, walking, swimming, traveling, and spending time with her family. She is also passionate about interacting to promote mental health recovery and bring awareness and education on mental illness. She attended college for humans services and is a certified activity director.

Psychiatric Advance Directives (PADS) are legal documents that permit individuals with mental illnesses to declare their preferences and instructions for future mental health treatment, or appoint a proxy decision maker through Health Care Power of Attorney, in advance of an incapacitating psychiatric crisis. NC has had a statute supporting these directives since 1997 and implementation of the law is a requirement for mental health facilities and clinics. This presentation will introduce the concept of PADs, present ideas for their potential use and offer ideas about spreading their use.

Learning Objectives:

  • Attendees will examine the origins and intent of Psychiatric Advance Directives (PADs).
  • Attendees will explore the potential benefits and pitfalls to PADS
  • Attendees will describe techniques to implement PADs.