Psychiatric Advance Directives (PADs) are a legal method for persons at risk of loss of decisional capacity during a behavioral health crisis to plan in advance and direct care during such a crisis. PADs permit persons while in a competent state to consent or refuse future treatment and appoint a proxy decision maker to speak for the incapacitated person to reinforce those preferences during a crisis. Over half of US states have passed PAD legislation, but in the remaining states such advance or planning can be written into a general health care advance care planning process. Implementation of PADs has been slow for a variety of reasons, including: their legal complexity, the lack of available resources to help draft them, and lack of implementation efforts by health systems. In addition, many physicians have concerns about their legal standing and/or fail to activate them by identifying incapacity in their patients. This webinar will discuss implementation of PADs and legal barriers to their use.