Updated good practice guidance for health and social care professionals in Scotland on the use of seclusion when working with people who are being treated for mental illness, dementia, learning disability or related conditions in health and social care settings. The view of the Mental Welfare Commission is that services should minimise the use of all forms of restrictive practice
(Edited publisher abstract)
Updated good practice guidance for health and social care professionals in Scotland on the use of seclusion when working with people who are being treated for mental illness, dementia, learning disability or related conditions in health and social care settings. The view of the Mental Welfare Commission is that services should minimise the use of all forms of restrictive practice, and that in most cases, proactive behavioural support plans would mean that the use of seclusion would be unnecessary. The guidance aims to ensure that where seclusion takes place, the safety, rights and welfare of the individual are safeguarded. It looks at what any policy for seclusion should cover, including: maintaining the safety of the secluded person, care planning, record keeping, assessment and review during a period of seclusion, the impact of seclusion and staff training. The guide also provides a summary of good practice points, a summary of relevant legislation in Scotland and case studies to illustrate areas of good and poor practice.
(Edited publisher abstract)
Subject terms:
good practice, restraint, hospitals, mental health problems, learning disabilities, dementia, policy, care homes, social care provision;
This report investigates access to independent advocacy services for people with mental health problems, learning disability, dementia and related conditions in Scotland. It is based on information received from health boards, local authorities, and from the new health and social care partnerships (HSCPs). The report also investigates whether the integrated children’s services plans of local
(Edited publisher abstract)
This report investigates access to independent advocacy services for people with mental health problems, learning disability, dementia and related conditions in Scotland. It is based on information received from health boards, local authorities, and from the new health and social care partnerships (HSCPs). The report also investigates whether the integrated children’s services plans of local authorities cover the provision of independent advocacy services for children and young people with mental illness, learning disability or related conditions. The results show that the planning and provision of advocacy services across Scotland is variable and lacks clarity. It found services for adults were often prioritised for those who were receiving compulsory care or treatment .There is a lack of clarity on which organisation is responsible for co-ordinating the preparation of strategic advocacy plans, and on how advocacy providers and people using advocacy services will be involved in planning. The report identifies significant gaps in service provision for children and young people, with some of the services not providing independent advocacy and very restricted eligibility criteria.
(Edited publisher abstract)
Subject terms:
advocacy, local authorities, NHS, mental health problems, dementia, adults, children, access to services, learning disabilities, young people, planning, service provision;
Updated practice guidance which sets out how decisions can be made for individuals in hospitals and care homes who are assessed not have capacity under The Adults with Incapacity (Scotland) Act 2000. The Act covers decisions made about welfare, medical treatment, property and finances. The legislation is often used to help people with mental health problems, learning disabilities or dementia.
(Edited publisher abstract)
Updated practice guidance which sets out how decisions can be made for individuals in hospitals and care homes who are assessed not have capacity under The Adults with Incapacity (Scotland) Act 2000. The Act covers decisions made about welfare, medical treatment, property and finances. The legislation is often used to help people with mental health problems, learning disabilities or dementia.
(Edited publisher abstract)
Subject terms:
hospitals, care homes, mental capacity, decision making, assessment;
This guidance is for those considering the use of technology to assist with care and maintain independence when the individual concerned may lack the capacity to make the decision. It examines the human right and legal implications of assistive technology and sets out key principles of good practice. These are: the intervention must provide a benefit that cannot otherwise be achieved; it must be the least restrictive in relation to the person’s freedom in order to achieve the desired benefit; the past and present wishes of the person must be taken into account; the views of relevant others should be taken into account; and the intervention should encourage the person to use existing skills and develop new ones. The document examines the use of electronic location devices and the use of CCTV to monitor the actions of an adult or of staff. A brief overview of assistive technology currently available is also included.
(Edited publisher abstract)
This guidance is for those considering the use of technology to assist with care and maintain independence when the individual concerned may lack the capacity to make the decision. It examines the human right and legal implications of assistive technology and sets out key principles of good practice. These are: the intervention must provide a benefit that cannot otherwise be achieved; it must be the least restrictive in relation to the person’s freedom in order to achieve the desired benefit; the past and present wishes of the person must be taken into account; the views of relevant others should be taken into account; and the intervention should encourage the person to use existing skills and develop new ones. The document examines the use of electronic location devices and the use of CCTV to monitor the actions of an adult or of staff. A brief overview of assistive technology currently available is also included.
(Edited publisher abstract)
Subject terms:
assistive technology, good practice, dementia, learning disabilities, mental capacity;
...on an indefinite basis. It shows that the number of new and existing orders continued to rise although there was a further significant reduction in the granting of orders on an indefinite basis. The percentage of orders granted where the cause of the adult’s incapacity was dementia fell to 45 per cent, down from 46 per cent the previous year. Conversely, there was an increase from 41 per cent to 44 per cent
(Edited publisher abstract)
An annual statistics report on the use of the Adults with Incapacity (Scotland) Act 2000. The report examines the geographic variations in the use of welfare guardianship, the age and diagnosis of people placed on guardianship, the duration of guardianship orders applied for by applicant, variations in indefinite orders by age and diagnosis, and geographic variations in orders approved on an indefinite basis. It shows that the number of new and existing orders continued to rise although there was a further significant reduction in the granting of orders on an indefinite basis. The percentage of orders granted where the cause of the adult’s incapacity was dementia fell to 45 per cent, down from 46 per cent the previous year. Conversely, there was an increase from 41 per cent to 44 per cent of orders where the incapacity was caused by a learning disability, reflecting a continuing trend over the past several years where welfare guardianship is being used for an increasingly younger population.
(Edited publisher abstract)
Subject terms:
mental health problems, guardianship, mental capacity, mental health law, dementia, learning disabilities, monitoring;
This report details the findings of visits to 52 NHS wards in Scotland providing longer-term care for people with dementia, and also looked in depth at the care of 336 individuals with dementia. It also sought the views of relatives and family carers. The report presents findings and recommendations the following care standards: managing distressed behaviour and the use of mediation, care plans...
(Edited publisher abstract)
This report details the findings of visits to 52 NHS wards in Scotland providing longer-term care for people with dementia, and also looked in depth at the care of 336 individuals with dementia. It also sought the views of relatives and family carers. The report presents findings and recommendations the following care standards: managing distressed behaviour and the use of mediation, care plans; visiting and carer involvement; multi-disciplinary input to care and care reviews, environment; end of life care; carer satisfaction; and staff's views of the dementia standards and delivery of care. The report found that although some improvements were identified since 2007, there were huge variations in the quality of care and treatment, particularly concerning the use of psychotropic medication, the quality of the environment, and the availability of meaningful activity. The report makes a series of recommendations to NHS Boards and the Scottish Government.
(Edited publisher abstract)
Subject terms:
dementia, hospitals, inspection, NHS, care planning, medication, carers, end of life care, leisure activities, standards;
...of new and existing orders continues to rise. Most orders were for people with dementia or learning disability and the rise was mostly accounted for by private applications. Fewer of the orders were for indefinite periods. The Commission’s visits to individuals subject to guardianship indicated that, in general, the principles of the Act are being met well.
One function of the Mental Welfare Commission for Scotland is to monitor the use of the welfare provisions of the Adults with Incapacity (Scotland) Act 2000. This annual report provides the key findings from these monitoring activities for the year 2011-12. It provides statistics relating to: trends in the use of welfare guardianship; geographical variations in the use of welfare guardianship; primary causes of incapacity and duration of orders granted in local authority and private guardianship; age and diagnosis of people placed on guardianship; delays in processing guardianship applications; the Commission’s visits to adults on guardianship; and Section 48 (regulated treatments) and Section 50 (disagreements with proxy) requests and certificates issued. The findings show that the number of new and existing orders continues to rise. Most orders were for people with dementia or learning disability and the rise was mostly accounted for by private applications. Fewer of the orders were for indefinite periods. The Commission’s visits to individuals subject to guardianship indicated that, in general, the principles of the Act are being met well.
Subject terms:
mental capacity, mental health law, monitoring, statistical methods, guardianship;
...examined, around 70%, were identified as having dementia. Around 13% had a learning disability, 7% had a mental illness, and around 5% had an acquired brain injury. A further 5% had alcohol related brain damage. Overall, there were concerns in around 20% of cases.
The Adults with Incapacity (Scotland) Act 2000 (The Act) sets out the framework for regulating medical treatment or research for people who may lack capacity to consent. Previous visits to care homes and hospitals found that legal safeguards under the Act for medication and other interventions were not properly observed and therefore people who lacked capacity to consent were not receiving treatment in line with the law. This report details a series of unannounced visits to 90 care homes and hospitals and examined 519 individual care files, an average of about six per visit. Of the 519 files examined in detail, 467 people had a completed Section 47 certificate, around 90% of those who were identified by staff as lacking capacity to consent. The majority of the individuals whose files were examined, around 70%, were identified as having dementia. Around 13% had a learning disability, 7% had a mental illness, and around 5% had an acquired brain injury. A further 5% had alcohol related brain damage. Overall, there were concerns in around 20% of cases.
Subject terms:
hospitals, inspection, mental capacity, older people, care homes, dementia;
Mrs V died in a general hospital in December 2008 at the age of 80. She had dementia and was subject to a compulsory treatment order (CTO) at the time. This investigation was carried out in order to examine the care and treatment of Mrs V from her admission to hospital in August 2008 until her death. In particular, the investigation examines the appropriateness of clinical decisions about her...
Mrs V died in a general hospital in December 2008 at the age of 80. She had dementia and was subject to a compulsory treatment order (CTO) at the time. This investigation was carried out in order to examine the care and treatment of Mrs V from her admission to hospital in August 2008 until her death. In particular, the investigation examines the appropriateness of clinical decisions about her general management and especially her nutrition, and the reasons for an apparent excessive use of sedative medication. Recommendations are made about the care and treatment of people with dementia admitted to general hospital wards with similar problems.
Subject terms:
hospitals, investigations, medication, mental health care, nutrition, older people, dementia;
...across Scotland in 2010 to people with dementia in acute wards in general hospitals. 50 hospital wards across Scotland were selected, mainly acute medicine for older people, and wards were given about 6 weeks notice of visits. The Commission visited 41 wards in total and met with and reviewed the care of 194 people with dementia. The report summarises the areas examined and the findings, and includes
The Mental Welfare Commission is an independent organisation working to safeguard the rights and welfare of people with a mental illness, learning disability or other mental disorder; its duties are set out in mental health and incapacity law. One of the ways in which it monitors individual care and treatment is through a visits programme. This report reflects findings from a programme of visits across Scotland in 2010 to people with dementia in acute wards in general hospitals. 50 hospital wards across Scotland were selected, mainly acute medicine for older people, and wards were given about 6 weeks notice of visits. The Commission visited 41 wards in total and met with and reviewed the care of 194 people with dementia. The report summarises the areas examined and the findings, and includes examples of comments from individuals, staff and Commission visitors. It sets out key messages for consideration by NHS boards, local authorities, hospital managers, clinical and professional leaders, and others, focusing on admission to hospital, the care journey, consent and lawful medical treatment, safety and restrictions, the care environment, staff training and specialist mental health support, and discharge from hospital. It also makes recommendations for NHS boards.
Subject terms:
hospitals, mental capacity, monitoring, older people, patients, service users, dementia, health care;