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Mental capacity legislation : principles and practice

Contributor(s): Publisher: Cambridge : Cambridge University Press, 2019Copyright date: ©2019Edition: 2nd edDescription: x, 121 pages : illustrations (black and white) ; 24 cmContent type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
ISBN:
  • 9781108480369
Subject(s): NLM classification:
  • WM 32.
Contents:
Foreword / George Szmukler -- Preface / Rebecca Jacob, Michael Gunn and Antony Holland -- Introduction / Rebecca Jacob and Antony Holland -- The assessment of mental capacity / Benjamin Spencer and Matthew Hotopf -- Best interests / Charlotte Emmett and Julian C. Hughes -- Deprivation of liberty : past, present and future / Susan F. Welsh -- Mental capacity act application : hospital settings / Elizabeth Fistein -- Mental capacity act application : social care settings / Michael Dunn and Antony Holland -- Mental capacity and end of life decision making / Annabel Price and Caroline Barry -- Clinical ambiguities in the assessment of capacity / Elizabeth Fistein and Rebecca Jacob.
Summary: Prior to its introduction, clinicians and carers were in uncertain legal territory when making decisions of a social, health or financial nature for those individuals without capacity. Importantly, however, the statute is more than a solution to a recognized gap in English and Welsh Law; it is also about a culture change. It requires those in a caring and/or professional capacity to engage with a person, who may lack decision-making capacity, in a manner that involves him/her, and others important to them, in the process of decision-making. In doing so they must have regard to past and presents beliefs and values of the person concerned. The MCA, in its approach, is not so much giving power to others to make decisions, rather it is asking those who have to take a decision on behalf of another to do so in a manner that is transparent, justifiable, and respectful of all issues relevant to that person. It is applicable in any situation where someone might lack capacity including, for example, the person transiently incapacitated through excess alcohol or from a head injury requiring treatment, to people with potentially more enduring incapacity due to dementia or learning disabilities. It is therefore as relevant in intensive care as it is in social care. The MCA is both about the 'here and now', when an immediate decision may have to be made on behalf of a person lacking capacity at the present time but also about planning for the future; how individuals, whilst having capacity, can determine who can take decisions on their behalf in the event that they lose capacity through illness or injury, at a later date.
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Previous edition: 2013.

Includes bibliographical references and index.

Foreword / George Szmukler -- Preface / Rebecca Jacob, Michael Gunn and Antony Holland -- Introduction / Rebecca Jacob and Antony Holland -- The assessment of mental capacity / Benjamin Spencer and Matthew Hotopf -- Best interests / Charlotte Emmett and Julian C. Hughes -- Deprivation of liberty : past, present and future / Susan F. Welsh -- Mental capacity act application : hospital settings / Elizabeth Fistein -- Mental capacity act application : social care settings / Michael Dunn and Antony Holland -- Mental capacity and end of life decision making / Annabel Price and Caroline Barry -- Clinical ambiguities in the assessment of capacity / Elizabeth Fistein and Rebecca Jacob.

Prior to its introduction, clinicians and carers were in uncertain legal territory when making decisions of a social, health or financial nature for those individuals without capacity. Importantly, however, the statute is more than a solution to a recognized gap in English and Welsh Law; it is also about a culture change. It requires those in a caring and/or professional capacity to engage with a person, who may lack decision-making capacity, in a manner that involves him/her, and others important to them, in the process of decision-making. In doing so they must have regard to past and presents beliefs and values of the person concerned. The MCA, in its approach, is not so much giving power to others to make decisions, rather it is asking those who have to take a decision on behalf of another to do so in a manner that is transparent, justifiable, and respectful of all issues relevant to that person. It is applicable in any situation where someone might lack capacity including, for example, the person transiently incapacitated through excess alcohol or from a head injury requiring treatment, to people with potentially more enduring incapacity due to dementia or learning disabilities. It is therefore as relevant in intensive care as it is in social care. The MCA is both about the 'here and now', when an immediate decision may have to be made on behalf of a person lacking capacity at the present time but also about planning for the future; how individuals, whilst having capacity, can determine who can take decisions on their behalf in the event that they lose capacity through illness or injury, at a later date.

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