Now, with the AU`s agreement in my toolbox, I know I can show my doctors and others that I have a plan and a support network, and we can all begin to eliminate shame and stigma around mental illness, addictions and more. Today, its name is given to another planning process in which people with mental illness can define in advance, in an agreement, how they want to be managed or cared for when they suffer from a mental illness. He is known as Ulysses. The agreement is particularly useful for those who suffer from episodic mental illnesses, where they can, from time to time, enter and exit rational thought. In some cases, it may also be helpful for a person to allow even physical restraint on their own if appropriate. As you might expect, getting the agreement is a process and can, in some cases, involve the whole family, including the parents, the adult child involved and the siblings. It can also include support and health professionals. Where possible, it is also absolutely crucial for the adult child concerned to prepare a permanent power of attorney which would generally designate the parents as the child`s permanent counsel. This may be essential, given that the Ulysses agreement is a voluntary agreement and is legally inapplicable, but for the person empowered to make health decisions for the adult child, i.e. the permanent lawyer, the agreement provides a clear and concise expression of the adult child`s wishes with respect to his or her care and treatment, if the lawyer is ever to make such a decision. Conversely, it may be just as important for parents to have their own permanent mandate and to ensure that the document refers to any Ulysses agreement they have with their adult child.
This ensures that the parents` permanent power of attorney is in accordance with the agreement. Pre-psychiatric guidelines are sometimes referred to as Ulysses pacts or Ulysses contracts where there is a legal agreement to terminate a current request from a legally competent patient in favour of a previous request from that patient.  An example of when Ulysses contracts are invoked is when people with schizophrenia stop taking their medications at times of perceived remission.  In Queensland, we have a particular document that can be used by a person to express their desires in advance for their own health care, should they ever lose their ability to do so.