Search results for ‘Subject term:"mental capacity"’ Sort:
Results 1 - 10 of 13
Improving recording of capacity to consent and explanation of medication side effects in a psychiatric service for people with learning disability: audit findings
- Authors:
- ROY Ashwin, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 15(2), June 2011, pp.85-92.
- Publisher:
- Sage
- Place of publication:
- London
This study investigated the practice of six psychiatrists in a large English inner city learning disability service in recording capacity to consent to treatment and possible side effect dialogue. It also examined the impact of measures aimed at improving this process. Audits were completed in 2007, 2008 and 2009, each one examining 26 randomly selected case notes, and data were collected on recording of capacity and documentation of an explanation of the potential side effects. Changes in practice following the introduction of a rubber stamp in 2008, designed as a visual prompt for clinicians, were also investigated. Findings revealed that the likelihood of recording of capacity rose from 30% in 2007 to 51% in 2009. Capacity was more likely to have been recorded if the stamp was present. Recording of side effect discussion was consistently higher than that of capacity and showed little change between cycles – remaining over 70%. The authors concluded that the introduction a rubber stamp in case notes was associated with improvements in the recording of capacity assessments.
Making a difference: measuring the impact of independent Mental Health Advocacy (IMHA)
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Place of publication:
- London
An effective Independent Mental Health Advocate (IMHA) service is one that delivers good outcomes for the person (sometimes called the 'advocacy partner' or 'partner') receiving the advocacy support. This report looks at the difference that IMHA services can make to the lives of people subject to compulsion under the Mental Health Act 1983. It provides service users, IMHA providers, commissioners and mental health services with information to discuss outcomes, what they are, how they will know they have been achieved, what performance indicators can be used to measure the effectiveness of services, and how outcomes can be measured. (Edited publisher abstract)
The importance of considering functional outcome and self-awareness in the assessment of care needs: initial evaluation of the brain injury needs indicator
- Authors:
- COPSTICK S., et al
- Journal article citation:
- British Journal of Social Work, 52(2), 2022, pp.682-699.
- Publisher:
- Oxford University Press
The relationship between self-awareness (insight) and outcome following acquired brain injury (ABI) is well recognised, but evidence suggests that information regarding brain injury and its cognitive impact is not adequately conveyed to social workers, or appropriately considered when assessing support needs and a person's capacity to make decisions about their care. The Brain Injury Needs Indicator (BINI) provides a solution, by enabling the valid assessment of the needs of those with brain injuries living in a community setting. This paper investigated associations between impaired insight, functional outcome of brain injury, and level of risk, and validated the use of the BINI as an indicator of need. A high prevalence of severe disability (73 per cent) and low insight (30 per cent) was found in a sample of thirty individuals with ABI. The composite BINI score was the measure most strongly related with a clinical assessment of risk (rs = 0.72, N = 26). Self-report methods may underestimate support needs, especially in those with low levels of insight into their difficulties. The BINI, which combines outcome post-ABI with a measure of insight, provides a more accurate estimate of risk than either measure individually. It is important to include both areas in individual needs assessments. (Edited publisher abstract)
Critical issues for psychiatric medication shared decision making with youth and families
- Authors:
- O’BRIEN Megan S., et al
- Journal article citation:
- Families in Society, 92(3), July 2011, pp.310-316.
- Publisher:
- The Alliance for Children and Families
Today, active youth and family participation is a hallmark of evidence-based practice for behavioural health and is equated with competence. However, there remain concerns from some mental health practitioners about client capacity to participate in decisions, and a perception among some practitioners that the ultimate responsibility for treatment should remain under their authority. This article describes the current context for youth shared decision making within the US children’s mental health system and identifies important considerations for the development of this approach as a research and service domain. The idea is substantiated in the literature that participation in treatment decisions can prepare young people for making their own decisions as adults, can be therapeutic, and can have positive effects on their self-confidence and self-esteem. However, the complex youth-family-provider dynamic raises important issues that need to be addressed before shared decision making can be successfully implemented. Implications for practice are discussed.
Independent Mental Health Advocacy (IMHA)
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Place of publication:
- London
A suite of 12 resources which includes short films, reports, at a glance summaries and tools on Independent Mental Health Advocacy. The resources aim to raise awareness and understanding of the IMHA role amongst service users and mental health staff; improve access IMHA, help providing an understand what a good service looks like, and how outcomes can be measured. The resources have been produced by the Social Care Institute for Excellence in partnership with The University of Central Lancashire (UCLan) in Preston. (Edited publisher abstract)
Safeguarding adults under the Care Act 2014: understanding good practice
- Editors:
- COOPER Adi, WHITE Emily
- Publisher:
- Jessica Kingsley
- Publication year:
- 2017
- Pagination:
- 288
- Place of publication:
- London
This guide sets out the most current principles behind working in adult safeguarding, presents core skills and knowledge to support best practice and shows how to overcome areas that present challenges to practitioners. Two core themes are ensuring adult safeguarding is person-centred and outcome-focused. Chapters cover issues such as self-neglect and hoarding, domestic abuse, modern slavery and human trafficking and financial scams. Each chapter includes case studies to illustrate good practice, checklists, and key messages for specific areas of practice. The appendix provides an overview of core legal frameworks for safeguarding adults practice. (Edited publisher abstract)
Do BIA assessments under DoLS have a positive impact for people? Results of a national survey
- Author:
- EDGE TRAINING
- Publisher:
- Edge Training
- Publication year:
- 2016
- Pagination:
- 6
- Place of publication:
- London
Reports on the results of a national online survey of Deprivation of Liberty Safeguards (DoLS) Best Interest Assessors (BIA) who were asked to identify the positive outcomes of their assessments for people who lack capacity and their families as part of the DoLS process. The survey was prompted by the Law Commission’s proposals to replace DoLS. Ninety-two BIAs completed the survey and provided a total 468 examples of positive outcomes for people and their family or carers resulting from their assessments. Examples of positive outcomes reported by the BIAs are provided under the following theme: person found to have capacity, Person returned to live at home/community; improved social activities/access to the community; helping professionals and families understand MCA; review of care plans and placements considered inappropriate; provision of less restrictive care; reviews of medication; increased contact with families; and safeguarding and Court of Protection referrals. The results of the survey find that BIA assessments can identify failings in care for vulnerable adults and result in improvements in care. It also highlights the importance of an independent professional carrying out face to face assessments under the best interests of the Mental Health Act. (Edited publisher abstract)
An evaluation of adult safeguarding outcomes’ focused recording in the context of Making Safeguarding Personal
- Author:
- GOUGH Matthew
- Journal article citation:
- Journal of Adult Protection, 18(4), 2016, pp.240-248.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to evaluate the impact in one local authority of Making Safeguarding Personal (MSP) upon the recording of outcomes in safeguarding interventions. To determine to what extent person centred outcomes were in evidence. Design/methodology/approach: Analysis of data provided by the local authority across adult safeguarding teams informed by a critical theory approach. Findings: There is a need for cultural and system change to fully embed MSP principles within local authority safeguarding. This case study identified that practitioner recording was inconsistent with the need for greater recognition of person centred approaches within adult safeguarding. Views of the service user are constructed and moderated by the assessing professional and the user voice is seldom evident in recording of safeguarding interventions. Research/limitations/implications: This study was wholly reliant upon the data provided rather than primary investigations with practitioners and service users. The focus on recorded data permitted variance and recorded data were open to worker interpretation. MSP. The starting premise of the methodology by adopting a critical perspective sought to elevate the perspective of marginalised service user groups. This may have unduly framed the practitioner provider from a deficit position. Practical implications: The need to ensure MSP approaches are embedded fully in all aspects of local authority safeguarding. There is a need for recording to greater reflect principles of empowerment with the wishes of service users, their narratives and actual words providing greater weight to assessment. Social implications: The power shifts apparent in the principles supporting The Care Act needed to be embedded in safeguarding to support marginalised adults. Originality/value: MSP is a relatively new development for safeguarding adults and the evidence base is building. This paper focuses on the recorded outputs of safeguarding interventions which complements work already produced which has focused on system and strategic changes. (Publisher abstract)
Beginning to explore the experience of managing a direct payment for someone with dementia: the perspectives of suitable people and adult social care practitioners
- Authors:
- LAYBOURNE Anne H., et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(1), 2016, pp.125-140.
- Publisher:
- Sage
Following legal improvements made around mental capacity together with the Health and Social Care Act, it is now possible for a direct payment to be paid to a ‘Suitable Person’ to manage on someone’s behalf to purchase directly care and support services. People with dementia are a key group affected by this change in England of adult social care. The authors interviewed nine social care practitioners and seven Suitable People for people with dementia across five English local authorities to begin to examine their experiences of this new method of social care provision. Findings from thematic analyses suggest positive outcomes and multiple beneficiaries, but some challenges: potentially inappropriate processes, support planning, divergence in attitudes towards care and support outcomes. Implications for practice include obfuscation of recipients’ and Suitable People’s best interests and supporting practitioners to explore fully clients’ aspirations for care and support. (Edited publisher abstract)
Effective relationships, better outcomes: mapping the impact of the Independent Mental Capacity Advocate service (1st April 2009 to 31st March 2010)
- Authors:
- TOWNSLEY Ruth, LAING Adele
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Pagination:
- 118
- Place of publication:
- London
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)