26:2H-107 Execution of proxy directive.

26:2H-107  Execution of proxy directive. 
6. a. A declarant may execute a proxy directive, pursuant to the requirements of section 4 of P.L.2005, c.233 (C.26:2H-105), designating an adult who has mental capacity to act as the declarant's mental health care representative.

(1)An adult who has mental capacity, including, but not limited to, a declarant's spouse, domestic partner, civil union partner, adult child, parent, or other family member, friend, religious or spiritual advisor, or other person of the declarant's choosing, may be designated as a mental health care representative. 

(2)An operator, administrator, or employee of a psychiatric facility in which the declarant is a patient or resident shall not serve as the declarant's mental health care representative unless the operator, administrator, or employee is related to the declarant by blood, marriage, domestic partnership, civil union, or adoption.

This restriction shall not apply to a mental health care professional if that individual does not serve as the patient's responsible mental health care professional or other provider of mental health care services to the patient and the patient's mental health care representative at the same time.

(3)A declarant may designate one or more alternate mental health care representatives, listed in order of priority.  In the event that the primary designee is unavailable, unable, or unwilling to serve as mental health care representative, or is disqualified from such service pursuant to this section or any other law, the next designated alternate shall serve as mental health care representative.  In the event that the primary designee subsequently becomes available and able to serve as mental health care representative, the primary designee may, insofar as then practicable, serve as mental health care representative.

(4)A declarant may direct the mental health care representative to consult with specified individuals, including alternate designees, family members, and friends, in the course of the decision-making process. 

(5)A declarant shall state the limitations, if any, to be placed upon the authority of the mental health care representative. 

(6)If a declarant explicitly authorizes the mental health care representative to consent to the declarant's admission to a psychiatric facility, the declarant shall separately initial each paragraph in which that authorization is granted at the time that the proxy directive is signed and witnessed.

b.A declarant may execute an instruction directive, pursuant to the requirements of section 4 of P.L.2005, c.233 (C.26:2H-105), which specifies preferences for mental health services in the event that the declarant is subsequently determined to lack decision-making capacity.

(1)The instruction directive may include:  a statement of the declarant's general mental health care philosophy and objectives; the declarant's specific wishes regarding the provision, withholding, or withdrawal of any form of mental health care; or both.

(2)The declarant's specific wishes regarding the provision, withholding, or withdrawal of any form of mental health care may include:

(a)the identification of mental health care professionals and programs and psychiatric facilities that the declarant would prefer to provide mental health services;

(b)consent to admission to a psychiatric facility for up to a specified number of days;

(c)a refusal to accept specific types of mental health treatment, including medications;

(d)a statement of medications preferred by the declarant for mental health treatment;

(e)a statement of the preferred means of crisis intervention or other preferences for mental health treatment; and

(f)additional instructions or information concerning mental health care.

(3)An instruction directive may, but need not, be executed contemporaneously with, or be attached to, a proxy directive.

L.2005, c.233, s.6; amended 2013, c.103, s.71.