RALLY THE PEOPLE

EDUCATE!
INNERVATE!!
ACTIVATE!!!

The Bazelon Center for Mental Health Law - Helping to Fight Abuses & Rights Violations of Those                                                                                                 Diagnosed With Mental Illness                                                          

Bazelon Center for Mental Health Law

 Should Targeted Individuals be falsely diagnosed with mental illnesses and/or illegally committed to mental health facilities, this organization may help.  Only those who meet the following criteria may legally be subjected to involuntary commitment:

  • Those who pose a highly PROBABLE threat to their own lives/well-being
  • Those who pose a highly PROBABLE threat to the lives of others
  • Those who are UNABLE to care for themselves 

 

 

Staff

(below is a position statement found at the organization's website bazelon.org)

Self-Determination

People with mental disabilities should make their own life decisions. They should not be made by government or medical professionals. At the Judge David L. Bazelon Center for Mental Health Law, we work to protect people's autonomy, including their right to vote, participate in community life, and make choices about the care they receive. 

Forced mental health care is never appropriate, except when there are immediate and serious safety risks. And even then, listening to consumers and respecting their choices is essential to designing service plans that succeed. For choice to be real, systems must offer a wide array of interventions and supports, and consumers must understand their benefits and risks.

Adequate services available on a voluntary basis that help people maintain homes, jobs, and family and community ties encourage people to seek the assistance they need. Coercive systems with a limited menu of medications, office-based therapy and institutional care often result in poor outcomes and discourage help-seeking.  A new trend is self-directed care, which puts some of the resources in the hands of consumers to spend on services they choose

                                                                  Citizens Commission on Human Rights

This organization is sure to arouse some controversy as it was founded by The Church of Scientology and Dr. Thomas Szasz.  However, the organization appears to have had significant successes in the fight against unfounded claims and abuses from within the field of psychology/psychiatry.  

Targeted Individuals are no strangers to controversial claims and are in need of allies who do not automatically bow to the unchallenged word of psychiatric professionals.  

While many may quibble over the finer points of CCHR's claims, most will likely agree with its positions on burden of proof and the protection of basic human rights.  Targeted Individuals may possibly find advocacy here.

Citizens Commission on Human Rights - Organization's Accomplishments

 

 

 

Recommended Reading/Videos from CCHR site:

Massive Fraud

Alternatives

File A Psychiatric Abuse Report

 

 

 Disclaimer:  It is not the intention of Rally The People to suggest that the study and practice of psychiatry/psychology are of no social value whatsoever.  Rather we seek to hold these professions to higher standards of proof where needed and to eliminate malpractice and abuse where applicable.  We acknowledge that there are many individuals who have sought psychiatric care and found themselves quite happy with the results.

  http://www.scientologyboulder.org/wp-content/uploads/2010/01/cchr.jpg

Mental Health Declaration of Human Rights

by Citizens Commission on Human Rights

All human rights organizations set forth codes by which they align their purposes and activities. The Mental Health Declaration of Human Rights articulates the guiding principles of CCHR and the standards against which human rights violations by psychiatry are relentlessly investigated and exposed.

A. The right to full informed consent, including:

    1. The scientific/medical test confirming any alleged diagnoses of psychiatric disorder and the right to refute any psychiatric diagnoses of mental “illness” that cannot be medically confirmed.

    2. Full disclosure of all documented risks of any proposed drug or “treatment.”

    3. The right to be informed of all available medical treatments which do not include the administration of a psychiatric drug or treatment.

    4. The right to refuse any treatment the patient considers harmful.

B. No person shall be given psychiatric or psychological treatment against his or her will.

C. No person, man, woman or child, may be denied his or her personal liberty by reason of mental illness, so-called, without a fair jury trial by laymen and with proper legal representation.

D. No person shall be admitted to or held in a psychiatric institution, hospital or facility because of their political, religious or cultural beliefs and practices.

E. Any patient has:

    1. The right to be treated with dignity as a human being.

    2. The right to hospital amenities without distinction as to race, color, sex, language, religion, political opinion, social origin or status by right of birth or property.

    3. The right to have a thorough, physical and clinical examination by a competent registered general practitioner of one’s choice, to ensure that one’s mental condition is not caused by any undetected and untreated physical illness, injury or defect and the right to seek a second medical opinion of one’s choice.

    4. The right to fully equipped medical facilities and appropriately trained medical staff in hospitals, so that competent physical, clinical examinations can be performed.

    5. The right to choose the kind or type of therapy to be employed, and the right to discuss this with a general practitioner, healer or minister of one’s choice.

    6. The right to have all the side effects of any offered treatment made clear and understandable to the patient, in written form and in the patient’s native language.

    7. The right to accept or refuse treatment but in particular, the right to refuse sterilization, electroshock treatment, insulin shock, lobotomy (or any other psychosurgical brain operation), aversion therapy, narcotherapy, deep sleep therapy and any drugs producing unwanted side effects.

    8. The right to make official complaints, without reprisal, to an independent board which is composed of nonpsychiatric personnel, lawyers and lay people. Complaints may encompass any torturous, cruel, inhuman or degrading treatment or punishment received while under psychiatric care.

    9. The right to have private counsel with a legal advisor and to take legal action.

    10. The right to discharge oneself at any time and to be discharged without restriction, having committed no offense.

    11. The right to manage one’s own property and affairs with a legal advisor, if necessary, or if deemed incompetent by a court of law, to have a State appointed executor to manage such until one is adjudicated competent. Such executor is accountable to the patient’s next of kin, or legal advisor or guardian.

    12. The right to see and possess one’s hospital records and to take legal action with regard to any false information contained therein which may be damaging to one’s reputation.

    13. The right to take criminal action, with the full assistance of law enforcement agents, against any psychiatrist, psychologist or hospital staff for any abuse, false imprisonment, assault from treatment, sexual abuse or rape, or any violation of mental health or other law. And the right to a mental health law that does not indemnify or modify the penalties for criminal, abusive or negligent treatment of patients committed by any psychiatrist, psychologist or hospital staff.

    14. The right to sue psychiatrists, their associations and colleges, the institution, or staff for unlawful detention, false reports or damaging treatment.

    15. The right to work or to refuse to work, and the right to receive just compensation on a pay scale comparable to union or state/national wages for similar work, for any work performed while hospitalized.

    16. The right to education or training so as to enable one to earn a living when discharged, and the right of choice over what kind of education or training is received.

    17. The right to receive visitors and a minister of one’s own faith.

    18. The right to make and receive telephone calls and the right to privacy with regard to all personal correspondence to and from anyone.

    19. The right to freely associate or not with any group or person in a psychiatric institution, hospital or facility.

    20. The right to a safe environment without having in the environment, persons placed there for criminal reasons.

    21. The right to be with others of one’s own age group.

    22. The right to wear personal clothing, to have personal effects and to have a secure place in which to keep them.

    23. The right to daily physical exercise in the open.

    24. The right to a proper diet and nutrition and to three meals a day.

    25. The right to hygienic conditions and nonovercrowded facilities, and to sufficient, undisturbed leisure and rest.

                                                                                    Mind Freedom.Org    

This organization "is a nonprofit organization that unites 100 sponsor and affiliate grassroots groups with thousands of individual members to win human rights and alternatives for people labeled with psychiatric disabilities."  Of particular interest to Targeted Individuals is what is referred to as a "shield".  This is offered to members of the organization who are threatened with involuntary treatment.  Once a member notifies the organization of such a threat - a public alert is released (internationally) and members are activated to advocate for your release or to prevent commitment, if possible.  The site lists testimonials from those who claim to have been helped by the organization, but no one at Rally The People has spoken to anyone who claims to have benefited from the service.  We cannot, therefore, vouch for the legitimacy of this organization, particularly with regard to relinquishing personal information.  Please use caution.  If you do not feel comfortable giving your personal information over to the organization, you may want to create a similar resource for yourself, such as a personal phone tree.  We do believe that the organization merits a closer look.

 

Choice in Mental Health

http://www.mindfreedom.org/shield

New book on coercion in mental health includes chapter by MindFreedom director, David Oaks

World Psychiatric Association leaders created a book about coercion in psychiatry, much of it supporting coercion. A chapter by psychiatric survivor David Oaks condemns involuntary mental health procedures, and calls for peaceful protests. You may download a free sample of his chapter here.

New book on coercion in mental health includes chapter by MindFreedom director, David Oaks

David Oaks, MFI Director, is author of a chapter in a new book about coercion in the psychiatric system.

 

30 May 2011

 

Chapter by Oaks Indicts Coerced Psychiatry

How to download a free sample of chapter, here.

 

A book published this Spring 2011 by leaders of the World Psychiatric Association looks at the topic of coercion in psychiatry.

One of the chapters is by MindFreedom International director David Oaks, and indicts involuntary psychiatry, with the title:

"The Moral Imperative for Dialogue with Organizations of Survivors of Coerced Psychiatric Human Rights Violations."

You may download a free sample PDF of the chapter by Oaks by clicking here (it is a small file, 176 KB):

http://www.mindfreedom.org/about-us/david-w-oaks/writing/

 
Or you may download this excerpt by clicking on "Excerpt Chapter 12 (PDF)" link in lower right of the publisher's page here:

http://www.wiley.com/WileyCDA/WileyTitle/productCd-0470660724.html

 

 

 

More info about the WPA coercion book:

 

This book actually came out of a special gathering by World Psychiatric Association in Dresden, Germany four years before, on the topic of coercion in psychiatry. 

Said David Oaks, "As a psychiatric survivor activist, I am sad to say I and some other participants actually got our hopes up with that WPA event. It seemed like key leaders sincerely were open to dialogue. We were wrong. Unfortunately, in the four years since offers to dialogue with the WPA have not been reciprocated." 

Some of the photos, videos and news releases from the Dresden 2007 gathering can be found here:

http://ki-art-multimedia.de/dresden/dresden.htm

 

Story Behind the Chapter 

 

But WPA leaders did want to produce a book based on the event, turning to long-time leader Judi Chamberlin for one of the psychiatric survivor chapters. When Judi became very ill, David Oaks was asked to do the chapter, as were a couple of other psychiatric survivors.

Said Oaks, "The WPA did produce a book for the professional and academic market, and it is unfortunately very expensive: More than $140. Of course, several of the other authors promote forced psychiatry." Oaks pointed out he was not involved in editing or publishing the book, and the editors and other authors are responsible for their own content.

The publishers did agree to make Chapter 12, by Oaks, available as a sample, and it can be downloaded for free here: 

http://www.mindfreedom.org/about-us/david-w-oaks/writing/

 

Details about the book:

 
  • Title: Coercive Treatment in Psychiatry: Clinical,  Legal and Ethical Aspects
  • Publisher: John Wiley & Sons,  Ltd, 
  • Editor(s): Thomas W. Kallert,  Juan E. Mezzich,  John Monahan

http://img102.fansshare.com/pic105/w/non-celebrity/1200/5260_osha_logo.jpg?rnd=6144                       Occupational Safety & Health Administration (OSHA) releases downloadable pdf on EM Field Exposure

Review of Scientific Evidence for Limiting Exposure to Electromagnetic Fields

One can find a wealth of additional information on the hazards of exposure to RF & Microwave Exposure here (http://www.osha.gov/SLTC/radiofrequencyradiation/index.html#healtheffects)

 

 

Psychiatric Advance Directives signing.jpg  Psychiatric Advance Directives (aka Psychiatric Living Will) are legal documents by which an individual may specify his/her instructions for handling (or refusing - if preferred) any future mental health treatment.  The document can empower any trusted person/medical power of attorney enforce your preferences for treatment when/if you are deemed unable/incompetent to speak for yourself.  Click on the link below for the "How-To" video.                                                   &#

Creating Psychiatric Advance Directives  (watch)

Here is an example of the language contained in the standard form (Pennsylvania)

Combined Mental Health Care Declaration and Power of Attorney Form


Part I. Introduction.

I, ___________________, having capacity to make mental health decisions, willfully and voluntarily make this declaration and power of attorney regarding my mental health care. I understand that mental health care includes any care, treatment, service or procedure to maintain, diagnose, treat or provide for mental health, including any medication program and therapeutic treatment. Electroconvulsive therapy may be administered only if I have specifically consented to it in this document. I will be the subject of laboratory trials or research only if specifically provided for in this document. Mental health care does not include psychosurgery or termination of parental rights.
I understand that my incapacity will be determined by examination by a psychiatrist and one of the following: another psychiatrist, psychologist, family physician, attending physician or mental health treatment professional. Whenever possible, one of the decision makers will be one of my treating professionals.
Part II. Mental Health Declaration.
A. When this declaration becomes effective.
This declaration becomes effective at the following designated time:
( ) When I am deemed incapable of making mental health care decisions.
( ) When the following condition is met:
________________________________________________________
________________________________________________________
(List condition)
B. Treatment preferences.
1. Choice of treatment facility.
( ) In the event that I require commitment to a psychiatric treatment
facility, I would prefer to be admitted to the following facility:
_________________________________________________________
(Insert name and address of facility)
( ) In the event that I require commitment to a psychiatric treatment
facility, I do not wish to be committed to the following facility:
_________________________________________________________
(Insert name and address of facility)
I understand that my physician may have to place me in a facility that
is not my preference.
2. Preferences regarding medications for psychiatric treatment.
( ) I consent to the medications that my treating physician recommends.
( ) I consent to the medications that my treating physician recommends
with the following exception, preference or limitation:
_______________________________________________________
_______________________________________________________
(List medication and reason for exception, preference or limitation)
The exception, preference or limitation applies to generic, brand name
and trade name equivalents. I understand that dosage instructions are
not binding on my physician.
( ) I do not consent to the use of any medications.
( ) I have designated an agent under the power of attorney portion of
this document to make decisions related to medication.
3. Preferences regarding electroconvulsive therapy (ECT).
( ) I consent to the administration of electroconvulsive therapy.
( ) I do not consent to the administration of electroconvulsive
therapy.
( ) I have designated an agent under the power of attorney portion of
this document to make decisions related to electroconvulsive therapy.
4. Preferences for experimental studies or drug trials.
( ) I consent to participation in experimental studies if my treating
physician believes that the potential benefits to me outweigh the
possible risks to me.
( ) I have designated an agent under the power of attorney portion of
this document to make decisions related to experimental studies.
( ) I do not consent to participation in experimental studies.
( ) I consent to participation in drug trials if my treating physician
believes that the potential benefits to me outweigh the possible risks
to me.
( ) I have designated an agent under the power of attorney portion of
this document to make decisions related to drug trials.
( ) I do not consent to participation in any drug trials.
5. Additional instructions or information.
Examples of other instructions or information that may be included:
Activities that help or worsen symptoms.
Type of intervention preferred in the event of a crisis.
Mental and physical health history.
Dietary requirements.
Religious preferences.
Temporary custody of children.
Family notification.
Limitations on the release or disclosure of mental health records.
Other matters of importance.
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
C. Revocation.
This declaration may be revoked in whole or in part at any time, either
orally or in writing, as long as I have not been found to be incapable
of making mental health decisions.
My revocation will be effective upon communication to my attending
physician or other mental health care provider, either by me or a
witness to my revocation, of the intent to revoke. If I choose to
revoke a particular instruction contained in this declaration in the
manner specified, I understand that the other instructions contained in
this declaration will remain effective until:
(1) I revoke this declaration in its entirety;
(2) I make a new combined mental health declaration and power of
attorney; or
(3) two years after the date this document was executed.
D. Termination.
I understand that this declaration will automatically terminate two
years from the date of execution unless I am deemed incapable of making
mental health care decisions at the time that this declaration would
expire.
__________________
(Specify date)
E. Preference as to a court-appointed guardian.
I understand that I may nominate a guardian of my person for
consideration by the court if incapacity proceedings are commenced
under 20 Pa.C.S. § 5511. I understand that the court will appoint a
guardian in accordance with my most recent nomination except for good
cause or disqualification. In the event a court decides to appoint a
guardian, I desire the following person to be appointed:
_____________________________________________________
_____________________________________________________
_____________________________________________________
(Insert name, address, telephone number of the designated person)
( ) The appointment of a guardian of my person will not give the
guardian the power to revoke, suspend or terminate this declaration.
( ) Upon appointment of a guardian, I authorize the guardian to revoke,
suspend or terminate this declaration.
Part III. Mental Health Power of Attorney.
I, _____________________, having the capacity to make mental health decisions,
authorize my designated health care agent to make certain decisions on my behalf regarding my mental health care. If I have not expressed a choice in this document or in the accompanying declaration, I authorize my agent to make the decision that my agent determines is the decision I would make if I were competent to do so.
A. Designation of agent.
I hereby designate and appoint the following person as my agent to make
mental health care decisions for me as authorized in this document.
This authorization applies only to mental health decisions that are not
addressed in the accompanying signed declaration.
____________________________________________________________
(Insert name of designated person)
Signed: ______________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
(My name, address, telephone number)
Witnesses' signatures:
______________________________________________________
______________________________________________________
Names, addresses, telephone numbers of witnesses:
Witness 1: ______________________________________________
______________________________________________
______________________________________________
Witness 2: ______________________________________________
______________________________________________
______________________________________________
Agent's acceptance:
I hereby accept designation as mental health care agent for
_____________________________________________________
(Insert name of declarant)
Agent's signature:
______________________________________________________
Insert name, address, telephone number of designated person:
______________________________________________________
______________________________________________________
______________________________________________________
B. Designation of alternative agent.
In the event that my first agent is unavailable or unable to serve as
my mental health care agent, I hereby designate and appoint the
following individual as my alternative mental health care agent to make
mental health care decisions for me as authorized in this document:
_____________________________________________________________
(Insert name of designated person)
Signed: _______________________________________________________
_____________________________________________________________
_____________________________________________________________
(Witnesses' signatures)
Names, addresses, telephone numbers of witnesses:
Witness 1: ______________________________________________
______________________________________________
______________________________________________
Witness 2: ______________________________________________
______________________________________________
______________________________________________
Alternative agent's acceptance:
I hereby accept designation as alternative mental health care agent for
_______________________________________________________________
(Insert name of declarant)
Alternative agent's signature:
________________________________________________________________
Insert name, address, telephone number:
______________________________________________________
______________________________________________________
______________________________________________________
C. When this power of attorney become effective.
This power of attorney will become effective at the following
designated time:
( ) When I am deemed incapable of making mental health care decisions.
( ) When the following condition is met:
________________________________________________________
(List condition)
D. Authority granted to my mental health care agent.
I hereby grant to my agent full power and authority to make mental
health care decisions for me consistent with the instructions and
limitations set forth in this document. If I have not expressed a
choice in this power of attorney or in the accompanying declaration, I
authorize my agent to make the decision that my agent determines is the
decision I would make if I were competent to do so.
(1) Preferences regarding medications for psychiatric treatment.
( ) My agent is authorized to consent to the use of any medications
after consultation with my treating psychiatrist and any other persons
my agent considers appropriate.
( ) My agent is not authorized to consent to the use of any
medications.
(2) Preferences regarding electroconvulsive therapy (ECT).
( ) My agent is authorized to consent to the administration of
electroconvulsive therapy.
( ) My agent is not authorized to consent to the administration of
electroconvulsive therapy.
(3) Preferences for experimental studies or drug trials.
( ) My agent is authorized to consent to my participation in
experimental studies if, after consultation with my treating physician
and any other individuals my agent deems appropriate, my agent believes
that the potential benefits to me outweigh the possible risks to me.
( ) My agent is not authorized to consent to my participation in
experimental studies.
( ) My agent is authorized to consent to my participation in drug
trials if, after consultation with my treating physician and any other
individuals my agent deems appropriate, my agent believes that the
potential benefits to me outweigh the possible risks to me.
( ) My agent is not authorized to consent to my participation in drug
trials.
E. Revocation.
This power of attorney may be revoked in whole or in part at any time,
either orally or in writing, as long as I have not been found to be
incapable of making mental health decisions.
My revocation will be effective upon communication to my attending
physician or other mental health care provider, either by me or a
witness to my revocation, of the intent to revoke. If I choose to
revoke a particular instruction contained in this power of attorney in
the manner specified, I understand that the other instructions
contained in this power of attorney will remain effective until:
(1) I revoke this power of attorney in its entirety;
(2) I make a new combined mental health care declaration and power of
attorney; or
(3) two years from the date this document was executed. I understand
that this power of attorney will automatically terminate two years
from the date of execution unless I am deemed incapable of making
mental health care decisions at the time that the power of attorney
would expire.
I am making this combined mental health care declaration and power of
attorney on the _____ day of __________, 20___
My signature: __________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
(My name, address, telephone number)
Witnesses signatures: ____________________________________________
____________________________________________
Names, addresses, telephone numbers of witnesses:
Witness 1: ______________________________________________
______________________________________________
______________________________________________
Witness 2: ______________________________________________
______________________________________________
______________________________________________
If the principal making this combined mental health care declaration
and power of attorney is unable to sign this document, another
individual may sign on behalf of and at the direction of the principal.
Signature of person signing on my behalf: _______________________________
_________________________________________________
_________________________________________________
_________________________________________________
(Name, address, telephone number)

                                                                  Form #2 For Refusal of Care

 

Psychiatric Living Will
(Letter of protection from psychiatric incarceration and/or treatment)
The following declaration should be signed and witnessed by a notary public, clergyman,
attorney or at least by a trusted friend or reliable family member. Make several copies of the signed
document and keep the original in a safe place. Give one copy to each of the persons named below
(see pg. 2, item #6). Provide a copy to your attorney, if you have one.
Should you be in a position where you are subject to unwanted psychiatric treatment and/or
hospitalization, ensure that the person(s) attempting such are shown and are aware of this signed
and witnessed declaration. Immediately let your attorney and all other persons in your confidence
know so that they may come to your aid.
Such things as apparent or undetected physical illnesses, diseases and deficiencies can
manifest in mental or behavioral symptoms which can be mistaken by emergency medical personal,
hospital staff and others as “psychiatric” illness. For this reason, during any attempt at involuntary
hospitalization or psychiatric treatment by another, repeatedly declare your desire for a clarification
of your condition of physical health. Explain that you wish to have this declaration abided by,
however, do not physically resist or become aggressive. Demand to see an attorney.
A copy of your signed declaration should also be sent to the local or international branch
of Citizens Commission on Human Rights® (CCHR®). The International address is: CCHR, 6616
Sunset Blvd., Los Angeles, California, United States, 90028.
Psychiatric Living Will
(Advance Protective Directive)
I, ___ ____________________________, born on __________________________ in __________________________
address ___________________________________________________________, being of sound mind, willfully and voluntarily make known the following:
1. Under no circumstances should I be subjected to psychiatric hospitalization or psychiatric treatments or procedures including but not limited to the following:
• Psychotropic drugs (substances which exert a mind-altering effect, including but not limited to antidepressants, antipsychotics, benzodiazepines, mood stabilizers and tranquilizers);
• Psychosurgical or neurological operation such as lobotomy or leucotomy;
• Convulsive treatments such as electroconvulsive therapy (also known as electroshock, shock treatment or ECT) and insulin shock;
• Deep sleep treatment (narcosis, narcosynthesis, sleep therapy, prolonged narcosis, modified narcosis or neuroleptization);
2. I maintain my right not to have any psychiatric evaluation or diagnosis based upon the Diagnostic and Statistical Manual of Mental Disorders (DSM) as such diagnoses are unreliable. According to Allen Frances, who was chairman of the fourth edition of DSM, “There are no objective tests in psychiatry—no X-ray, laboratory, or exam finding that says definitely that someone does or does not have a mental disorder.” (“Psychiatric Fads and Overdiagnosis,” Psychology Today, 2 June 2010.) Additionally, the DSM system is not scientific. It’s own editors state that “there is no assumption that each category of mental disorder is a completely discrete entity with absolute boundaries dividing it from other mental disorders or from no mental disorder.” (DSM-IV, pg. xxii)
Such codes and descriptions should not be entered into my medical records as this unreliable and unscientific information will remain in my records and may wrongly influence any future medical treatment I might receive.
3. Involuntary hospitalization or commitment is a violation of my civil rights under U.S. Code, Title 42, Chapter 21 § 1983, Civil action for deprivation of rights. Lawsuits for involuntary commitment have resulted in verdicts of $1 million or more against hospitals, doctors and other agencies and personnel:
• Lund vs. Northwest Medical Center, (Case No. Civ. 1805-95, Court of Common Pleas, Venango County, PA, June 16, 2003), jury awarded $1,100,000 million in damages.
• Marion vs. LaFargue Case No. 00 Civ. 0840, 2004 WL 330239, U.S. District Court for the Southern District of New York, February 23, 2004), jury verdict of $1,000,001 in damages.
• Dick vs. Watonwan County (Case No. Civ. 4-82-1.16, U.S. District Court, District of Minnesota, April 11, 1983), more than $1 million in damages awarded to plaintiff.
4. The above directions apply in all cases, including any instance where:
• It is claimed that my capacity or ability to give instructions may be impaired;
• I am in a state of unconsciousness;
• It is impossible in an actual and legal sense for me to communicate or;
• Any physician, psychiatrist, psychologist, mental health practitioner or law enforcement official or person asserts that the matter is a “life-saving” situation requiring emergency intervention and/or treatment under any involuntary commitment law or similar legal authority.
5. In the absence of my ability to give further directions regarding the above, it is my intention that this declaration be honored by my family and physician(s) as an expression of my legal right to refuse medical, psychiatric or surgical treatment although this statement concerns only psychiatric treatment.
6. The individuals listed below are appointed and authorized to enforce this declaration of intention. Should this declaration be violated, they have my permission to initiate whatever criminal and/or civil procedures are necessary to rectify such a violation:
__________________________________________ __________________________________________
__________________________________________ __________________________________________
By this declaration, I release all medical doctors and their organizations as well as therapists from their professional discretion or confidentiality towards provision of information to the above named attorney(s) and other person(s).
This declaration is also binding for my lawful agents, guardians, family, executors or any person with the legal or other right to take care of me or my affairs.
__________________________________________ __________________________________________
Signed Date
__________________________________________ __________________________________________
Street Address City, State, Zip
__________________________________________ __________________________________________
Signature of Witness Name of Witness
__________________________________________ __________________________________________
Before me on this date (date At (place where signature is
signature is witnessed.) witnessed.)
© 2010 CCHR. Citizens Commission on Human Rights, CCHR and its logo are trademarks and service marks owned by Citizens Commission on Human Rights. All Rights Reserved.

 

Upcoming Events

Monday, Jan 1 at 12:01 AM - Tuesday, Jan 30 11:59 PM
Tuesday, Jan 1 at 12:01 AM - Wednesday, Jan 30 11:59 PM
Wednesday, Jan 1 at 12:01 AM - Thursday, Jan 30 11:59 PM
Friday, Jan 1 at 12:01 AM - Saturday, Jan 30 11:59 PM