Psychiatric advance directives are a legal instrument that may be used to document a competent person’s specific instructions or preferences regarding future mental health treatment. Psychiatric advance directives can be used to plan for the possibility that someone may lose capacity to give or withhold informed consent to treatment during acute episodes of psychiatric illness. The Division of Mental Health and Addiction Services currently contracts with a vendor to manage and maintain a voluntary, secure internet-based registry for Psychiatric Advance Directives (PADs) for New Jersey residents. There is a web-based registry, available 24/7.