This site currently offers 3 outreach resources:
- "REAPŠ" (Readiness to Engage in Advance care PlanningŠ) uses a
common behavioral change methodology to assess where a person is in contemplating the
preparation of an advance care plan.
- "Do It Your Way" is a patient guidance brochure developed to
reach as many clients as possible with information about Advance Care Planning.
The brochure explains the processes involved in selecting a health
- The "Do It Your Way" HealthCare Preferences Workbook (soon to come) documents the advance care choices, attitudes, and opinions of persons with serious mental illness.
On this page:
REAPŠ - Readiness to Engage in Advance Care Planning
Included on the right are downloads for the following:
Description of the "stages of change" transtheoretical model of Prochaska and
Diclemente and its application to changing health related behavior such as smoking,
exercise, and substance abuse.
Application of this approach to the advance care planning process and a "short
form" question to determine if a person is in the precontemplatoin, contemplation,
action or maintenance phase.
A detailed reference list regarding "stages of change" theory and practice.
REAPŠ - Readiness to Engage in Advance Care Toolset
(Three downloads available)
"Do It Your Way" - Consumer Brochure
Main Topic Areas:
Making your own medical and psychiatric
health care decisions
How a Health Care Proxy can help
How to choose someone to make or communicate
your health care decisions if you can't
Let's start with rights
So how do I do it?
What is a Health Care Proxy?
Why do I need a Health Care Proxy now?
OK, so how do I get a Health Care Proxy?
How do I choose my Health Care Agent?
What should I talk about with my Health Care Agent?
What if I change my mind?
What is the best time to complete the Health Care Proxy form?
- Who should be your Health Care Agent?
- Instructions for your Health Care Agent or Guardian
- How to fill out the Preferences Workbook and forms?
- What you need to do when you are finished
- When you should Review and Update your documents
- Topic 1: About Myself
- Topic 2: My Views, My Feelings
- Topic 3: Preferences about My Current Mental Health
- Topic 4: Psychiatric Hospitalization
- Topic 5: Preventing a Crisis Situation
- Topic 6: Exercise
- Topic 7: Emergency Situations while Hospitalized
- Topic 8: My Medical Hospitalization Preferences
- Topic 9: Coma or Terminal Illness
- Topic 10: The Quality of My Life near the End of My Life
- Topic 11: Pain Management
- Topic 12: At the End of My Life
"Do It Your Way" - Consumer Brochure
Please Note: These files are quite large due to the art work involved in
"Do It Your Way" Consumer Brochure - Side 1 (outside)|
- PDF format - (984 Kb)
"Do It Your Way" Consumer Brochure - Side 2 (inside)|
- PDF format - (2.25 Mb - Large File - Please allow time for download.)
We encourage you to download these patient education tools and
adapt them to your programs as needed.
If you would like hard copies mailed to you, please contact:
For more information about the brochure's development contact:
Anna Rubley, LCSW, Brochure Development Project Director
To learn more about involving consumers in similar projects, contact Pam or Steve at
the MA DMH Office of Ex Patient and Consumer Affairs:
Mental Health Consumer Comments and
Commentary from consumer members of the brochure advisory board:
We think that the brochure is very good. The formatting, color scheme, etc. is very,
very attractive and user friendly. The color scheme and photo's are very upbeat and
lively (which certainly help with what can be a rather somber subject.) We think
that it is great that the cover and the first section that you open to are in large
font and brief and unbusy - very user friendly. The rest of the brochure contains a
lot of info but it is concise. It's a nice balance. There is clarity and
thoroughness about the essentials.
Congratulations on a nice piece of work. We are glad that the Office of Consumer
Affairs's 800 number can be utilized in this process"
Steve Holochuck and Pam Mason, Office of Consumer Affairs, MA Department of Mental
Some issues consumers raised as the Brochure was in development and discussed in
A 35 year old woman with serious mental illness responded:
"Yes, I read the material. I think every one should have a health care proxy in case
they had a car accident or something and might be in a coma for a long time. I know
I wouldn't want to be hooked up to a machine for a long time."
Another person's response (62 year old with serious mental illness, married for 37
years, mother of three):
" Oh, I think that it is vital for me to have a health acre proxy since I am older
and I have some health issues. Certainly there is no one in my family who would be
able to be my agent. Could someone else be the Agent? I have a really good friend
at my Quaker meetings whom I trust, but she's in her 80's, so I might want to get an
alternate. One concern that I have is that if my health care proxy has to be
executed, what would happen if someone in my family disagreed with my agent? What if
my Agent's interpretation of my wishes is different from how I interpret my wishes?
There is an awful lot to be considered in choosing a health care proxy. I am going to
have to spend a lot of time thinking about this."
Some consumer responses to the completed brochure:
"I have bipolar disorder and allot of medical problems and TD (tardive dyskinesia). I
think about the future and what might happen and when I was last in the hospital they
talked to me about a proxy. But I did not want to do it . . . Looking at this makes
it seem less scary. I think I will talk to my brother about being my guy, hey . . .
"I like the pictures, they remind me of the outdoors and my friends. You know we die
early. I wonder who I should talk to about this... I have a guardian, does that mean
I cannot do this? It says here about being competent. Boy, what a bummer."