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State work group urges standardized mental health advance directives, better storage and training
Summary
A presenter to the Spokane Regional Behavioral Health Advisory Board summarized 2025 work-group recommendations to mainstream Mental Health Advance Directives (MHADs): a centralized repository, interoperable access (with role-based privacy), and training toolkits prioritizing plain language, equity and conflict-of-interest safeguards.
Kim Taylor, chair of the Spokane Regional Behavioral Health Advisory Board, opened the meeting and introduced a presentation on Mental Health Advance Directives (MHADs) delivered by Gail Kogel, who participated in a state work group convened under Second Substitute Senate Bill 560.
Kogel said the work group—formed after the 2024 law directing the Health Care Authority to develop implementation recommendations—split into two subgroups: document storage and training for creation and use. She told the board the storage subgroup prioritized a reliable, interoperable repository so MHADs are available during crises, and the training subgroup focused on toolkits and community engagement to increase provider and peer support…
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