Effective relationships, better outcomes: mapping the impact of the Independent Mental Capacity Advocate service (1st April 2009 to 31st March 2010)

Social Care Institute for Excellence
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This report presents the findings of a study on the impact of the IMCA service in England, focusing on casework undertaken between 1st April 2009 and 31st March 2010. Specifically, it looks at the difference that IMCAs made during the casework they conducted for instructions relating to the following areas: change of accommodation (CoA) decisions; serious medical treatment (SMT) decisions; deprivation of liberty safeguards (DoLS) cases; care reviews; and safeguarding of vulnerable adults (SOVA) cases. Data was collected from a sample of IMCAs from 11 advocacy provider organisations, via an online survey and semi-structured telephone interviews, and included a total of 151 separate instructions/cases. In just over half of the total number of cases included in this study, IMCAs reported that their input had made a noticeable difference to the outcome of the decision. IMCAs were providing practical, emotional and social support to enable their clients to understand, and become more involved, in the decision-making process. The research also showed how IMCAs were aware of the need to value relationships with clients, as well as results, and that paying attention to the interplay between process and outcome is key to delivering a quality service that makes a real difference to people’s lives. (Edited publisher abstract)

Subject terms:
Independent Mental Capacity Advocacy, performance evaluation, outcomes, decision making, surveys, relationships, user participation, Deprivation of Liberty Safeguards, safeguarding adults, mental capacity;
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