Health and Social Care in the Community, 30(2), 2022, pp.e255-e277.
Publisher:
Wiley
...decision-making capacity of older adults, aged 60 years and over for independent living, including studies involving people with cognitive impairment and dementia. Five databases were searched for publications with eligibility criteria from January 2000 to December 2020; 4,118 results were retrieved from sources, resulting in 29 publications being analysed, eight of which were research reports
(Edited publisher abstract)
With a growing global ageing population, approaches to assess and support decision-making are becoming more pertinent. This scoping review aimed to identify and map current knowledge on assessment of older adults' decision-making capacity in relation to independent living. A five-stage scoping review framework was followed. Inclusion criteria were papers on assessment approaches used to evaluate decision-making capacity of older adults, aged 60 years and over for independent living, including studies involving people with cognitive impairment and dementia. Five databases were searched for publications with eligibility criteria from January 2000 to December 2020; 4,118 results were retrieved from sources, resulting in 29 publications being analysed, eight of which were research reports. Publication characteristics and methodologies varied; however, many common components of decision-making capacity assessment for independent living were identified including cognitive, functional, environmental and risk assessment. Overall, a multidisciplinary approach was recommended, and consideration of the person's values and preferences is noted in many publications. Decision-making capacity assessment for independent living of older adults requires multicomponent, multidisciplinary assessment. Future work is needed to examine this from the perspective of older adults and their caregivers.
(Edited publisher abstract)
GREAT BRITAIN. Department of Health and Social Care
Publisher:
Great Britain. Department of Health and Social Care
Publication year:
2021
Place of publication:
London
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty in order to enable their care or treatment and who lack the mental capacity to consent to their arrangements. People who might have an LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. Under
(Edited publisher abstract)
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty in order to enable their care or treatment and who lack the mental capacity to consent to their arrangements. People who might have an LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. Under LPS, the Responsible Body will authorise arrangements that amount to a deprivation of liberty to enable care or treatment. This guidance explains which organisations are Responsible Bodies, which will vary according to where the arrangements are mainly carried out.
[Last updated 11 June 2021]
(Edited publisher abstract)
Subject terms:
Liberty Protection Safeguards, mental capacity, compulsory treatment, Mental Capacity Act 2005, Deprivation of Liberty Safeguards, responsibilities;
GREAT BRITAIN. Department of Health and Social Care
Publisher:
Great Britain. Department of Health and Social Care
Publication year:
2021
Place of publication:
London
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty in order to enable their care or treatment and who lack the mental capacity to consent to their arrangements. People who might have an LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. Once
(Edited publisher abstract)
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty in order to enable their care or treatment and who lack the mental capacity to consent to their arrangements. People who might have an LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. Once the LPS process has been triggered, the Responsible Body should determine whether the 3 authorisation conditions are met. These are: the person lacks the relevant capacity to consent to the arrangements; the person has a mental disorder, as defined by the Mental Health Act 1983; the arrangements are necessary and proportionate, that is, the arrangements are necessary to prevent harm to the person and proportionate to the likelihood and seriousness of the risk of harm to the person. To determine whether the authorisation conditions are met, there are three assessments and determinations which must be carried out: the capacity assessment and determination; the medical assessment and determination; the necessary and proportionate assessment and determination.
[Updated 11 June 2021]
(Edited publisher abstract)
Subject terms:
compulsory treatment, Liberty Protection Safeguards, Mental Capacity Act 2005, mental capacity, Deprivation of Liberty Safeguards;
GREAT BRITAIN. Department of Health and Social Care
Publisher:
Great Britain. Department of Health and Social Care
Publication year:
2021
Place of publication:
London
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty to enable their care or treatment and who lack the mental capacity to consent to their arrangements. People who might have an LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity
(Edited publisher abstract)
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty to enable their care or treatment and who lack the mental capacity to consent to their arrangements. People who might have an LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. The appropriate person is a non-professional who provides representation and support for the person during the LPS process and throughout the duration of any authorisation given. An independent mental capacity advocates is an experienced and trained individual who should represent and support the person through the LPS authorisation process and while the LPS authorisation is in force.
[Last updated 11 June 2021]
(Edited publisher abstract)
Subject terms:
Independent Mental Capacity Advocacy, appropriate adult, Liberty Protection Safeguards, Deprivation of Liberty Safeguards, Mental Capacity Act 2005, mental capacity, compulsory treatment;
GREAT BRITAIN. Department of Health and Social Care
Publisher:
Great Britain. Department of Health and Social Care
Publication year:
2021
Place of publication:
London
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty to enable their care or treatment and who lack the mental capacity to consent to their arrangements. People who might have an LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. The approved
(Edited publisher abstract)
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty to enable their care or treatment and who lack the mental capacity to consent to their arrangements. People who might have an LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. The approved mental capacity professional (AMCP) is a new, specialist role providing enhanced oversight for those people who need it most. AMCPs will be independent, trained, registered professionals.
[Updated 11 June 2021]
(Edited publisher abstract)
Subject terms:
approved mental health professionals, Mental Capacity Act 2005, mental capacity, Liberty Protection Safeguards, Deprivation of Liberty Safeguards, professional role;
GREAT BRITAIN. Department of Health and Social Care
Publisher:
Great Britain. Department of Health and Social Care
Publication year:
2021
Place of publication:
London
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are or who need to be deprived of their liberty in order to enable their care or treatment and lack the mental capacity to consent to their arrangements. People who might have a LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity
(Edited publisher abstract)
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are or who need to be deprived of their liberty in order to enable their care or treatment and lack the mental capacity to consent to their arrangements. People who might have a LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. In exceptional circumstances it may be necessary to take steps which amount to a deprivation of liberty on a person before a decision to authorise such arrangements has been made by the ‘responsible body’, or a relevant decision is made by the court. Exceptional circumstances are those in which it’s necessary to carry out life-sustaining treatment or a vital act. A vital act means any act which the person performing the act reasonably believes to be necessary to prevent a serious deterioration in the person’s condition. In these circumstances, there are four conditions that must be met before a decision maker can carry out the necessary steps to deprive a person of their liberty.
(Edited publisher abstract)
Subject terms:
Liberty Protection Safeguards, Deprivation of Liberty Safeguards, medical treatment, compulsory treatment, Mental Capacity Act 2005, mental capacity;
GREAT BRITAIN. Department of Health and Social Care
Publisher:
Great Britain. Department of Health and Social Care
Publication year:
2021
Place of publication:
London
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are or who need to be deprived of their liberty in order to enable their care or treatment and lack the mental capacity to consent to their arrangements. People who might have a LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. A LPS
(Edited publisher abstract)
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are or who need to be deprived of their liberty in order to enable their care or treatment and lack the mental capacity to consent to their arrangements. People who might have a LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. A LPS authorisation can have effect immediately, or at any time within 28 days of the authorisation being issued. A person’s first authorisation and renewal can be up to 12 months. Renewals can last for up to 36 months.
[Updated 11 June 2021]
(Edited publisher abstract)
Subject terms:
Liberty Protection Safeguards, Deprivation of Liberty Safeguards, Mental Capacity Act 2005, mental capacity;
GREAT BRITAIN. Department of Health and Social Care
Publisher:
Great Britain. Department of Health and Social Care
Publication year:
2021
Place of publication:
London
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are or who need to be deprived of their liberty in order to enable their care or treatment and lack the mental capacity to consent to their arrangements. People who might have a LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. Where an LPS
(Edited publisher abstract)
The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are or who need to be deprived of their liberty in order to enable their care or treatment and lack the mental capacity to consent to their arrangements. People who might have a LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. Where an LPS authorisation is in place, the person, their appropriate person or independent mental capacity advocate (IMCA), or anyone else can apply to challenge those arrangements under section 21ZA of the Mental Capacity Act 2004 at the Court of Protection. In these circumstances, the court has the power to: uphold authorisations; terminate authorisations; vary the authorisation.
(Edited publisher abstract)
Subject terms:
Liberty Protection Safeguards, Deprivation of Liberty Safeguards, Mental Capacity Act 2005, mental capacity, Court of Protection;
GREAT BRITAIN. Department of Health and Social Care
Publisher:
Great Britain. Department of Health and Social Care
Publication year:
2021
Place of publication:
London
...to their arrangements. People who might have a LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. LPS will replace an existing system (the Deprivation of Liberty Safeguards (DOLs)) and extend protections to more settings and people, including young people aged 16 and 17. The government has established two English implementation support programmes as follows
(Edited publisher abstract)
This guidance provides information about national plans for workforce training and readiness work to support implementation of Liberty Protection Safeguards in England. The Liberty Protection Safeguards (LPS) will provide protection for people aged 16 and above who are, or who need to be, deprived of their liberty in order to enable their care or treatment and lack the mental capacity to consent to their arrangements. People who might have a LPS authorisation include those with dementia, autism and learning disabilities who lack the relevant capacity. LPS will replace an existing system (the Deprivation of Liberty Safeguards (DOLs)) and extend protections to more settings and people, including young people aged 16 and 17. The government has established two English implementation support programmes as follows: Local Government Implementation Support Programme; and Social Care Providers Implementation Support Programme. The government is working with the NHS in England, including Health Education England, on plans for a third implementation support programme for health.
(Edited publisher abstract)
Subject terms:
Liberty Protection Safeguards, Mental Capacity Act 2005, mental capacity, training, Deprivation of Liberty Safeguards, policy implementation;
...to people who have dementia, but also to people with a wide range of mental disorders, including those with functional mental illnesses, neurodevelopment and neurological conditions. Participants report most commonly applying this decision to people in community settings, but application also occurs in mental health and acute hospitals including in the emergency department. There is a lack of common
(Edited publisher abstract)
This report explores the context in which the decision of whether to use the MHA or the MCA to authorise a deprivation of liberty is made and the different factors that practitioners use to assess and weigh up which Act is most appropriate and ‘least restrictive’ for the individual concerned. The research used a mixed-methods approach with an online survey to capture the diversity of factors that influence decision-making across clinical groups, and qualitative interviews with clinicians and professionals to explore in depth their understanding of the interface and experiences of making this decision in practice. A large proportion of participants in this research report encountering people to whom this decision applies at least once a month, if not weekly. This decision most commonly applies to people who have dementia, but also to people with a wide range of mental disorders, including those with functional mental illnesses, neurodevelopment and neurological conditions. Participants report most commonly applying this decision to people in community settings, but application also occurs in mental health and acute hospitals including in the emergency department. There is a lack of common understanding around fundamental issues on which this decision is based including core concepts of capacity and objection. Blanket rules exist within professional groups and across different settings that restrict decision-making. The rights afforded to people admitted and treated in some settings and areas of England may not be afforded to those in others. The majority of participants report that their training covered decision-making at the interface of the Acts. However, codes of practice and case law are described as difficult to understand and keep up to date with. Understanding clinical decision-making at the in. Practitioners highlight a number of different ways in which patients are unlawfully deprived of their liberty as a result of the factors outlined above.
(Edited publisher abstract)
Subject terms:
Mental Capacity Act 2005, mental health law, Deprivation of Liberty Safeguards, mental capacity, compulsory treatment, decision making;