I don't know much about how Kentucky works in their mental health hospitals. My friend Joan worked the mental health hospital in this area of Kentucky about the time when I was born (she is 90 years old). Mental Health hospitals were more scarry in those days than they have become. All my hospitalizations were in California in the late 1990's & it was scarry then....but had change a huge amount for the better. When I was in UCLA in 1995, that still had the old style mental health hospital treatment environment & I freaked out there.

I was never in a situation where I would have needed a directive......never was on more than a 72 hour hold. I knew many who had severe schezophrenia & other serious psycotic conditions where they needed this. So I think knowing the issues with your specific illness can determing the need for a directive.

Hoping I don't need a Ketucky mental health hospital but one never really knows what the future holds.
Debbie