In my law practice, I prepare advance directives such as living wills for clients who are suffering from mild dementia. Legally, they are deemed competent to make end-of-life decisions about whether heroic measures should be taken to preserve their lives if they are in a vegetative state. I have also prepared living wills for clients who were in such advanced stages of painful debilitating diseases that they were heavily medicated during the time we discussed the details of their living wills (tube feeding, hydration etc.). Yet, these clients were also deemed legally competent to make decisions about refusing aggressive medical treatment in their final days. Such is not the case with people who have mental health conditions. They may be forced to take antipsychotic drugs despite the fact that these drugs are known to have adverse side effects.

Mental Health America has come out in opposition to treating mental health conditions differently from other disabilities:

“For years, persons with mental health conditions have been combating the centuries-old stereotype that they are not competent enough to make their own decisions, or to be in charge of their own mental health care. Today, we know otherwise, that persons with mental health conditions are not only capable of making their own decisions regarding their care, but that mental health treatment and services can only be effective when the consumer embraces it, not when it is coercive and involuntary. …

“The most common type of involuntary mental health treatment is court-ordered commitment to an inpatient mental health facility. However, involuntary treatment also includes involuntary medication or other treatments including electro-convulsive therapy, whether court-ordered or imposed by mental health professionals…. While MHA recognizes that involuntary treatment may sometimes be necessary, we do not support the use of involuntary outpatient treatment.” http://www.nmha.org/go/position-statements/p-36

What are your views in this subject?

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