An exploration of mental capacity assessment within acute hospital and intermediate care settings in England: a focus group study

Jayes, Mark; Palmer, Rebecca; Enderby, Pam

doi:10.1080/09638288.2016.1224275

Cited by 24 publications

(68 citation statements)

References 24 publications

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“…Our study did not seek data on which HCP were best suited to lead DMC assessment for the different areas of capacity. While Jayes et al () reported that the choice of which MDT members assess capacity may often be decided on perceptions of professional hierarchy and responsibility, it should be guided on the basis of which HCP has more knowledge, skill or information about the decision and the patient. For example, speech and language pathologists have emphasised their specialist skills and their role for people with communication difficulties like aphasia (Aldhous et al, ; McCormick et al, ; Suleman & Kim, ).…”

Section: Discussionmentioning

confidence: 99%

“…Rather, a more holistic approach to DMC assessment was highlighted in our study, including use of standardised cognitive screening tools alongside functional observation, interviews with the patient and relevant informants, and discussion among relevant members of the MDT. Employing a variety of formal and informal methods for DMC assessment has been advocated in the literature (Aldhous et al, ; Jayes et al, ). Seyfried et al () called for capacity assessments to move beyond measurement of impaired abilities which is echoed by the therapists in our study who advocated for a strengths‐based approach to DMC assessment, and focussing on what the person can do rather than what the person cannot do when assessing DMC.…”

Section: Discussionmentioning

confidence: 99%

“…Codes of practice to guide health and social care staff in adopting the Act within practice are yet to be implemented. Internationally, barriers to DMC assessment have been identified including lack of education and training, differing understandings of DMC, limited resources and time pressures (Charles et al, ; Jayes, Palmer, & Enderby, ; Lamont, Stewart, & Chiarella, ). A range of models for DMC assessment have been developed in other jurisdictions (Bigby & Douglas, ; Brémault‐Phillips et al, ; Parmar, Brémault‐Phillips, & Charles, ) which may enhance HCP’s ability to assess DMC.…”

Section: Introductionmentioning

confidence: 99%

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Occupational therapy and decision‐making capacity assessment: A survey of practice in Ireland

Usher

Stapleton

2019

Aus Occup Therapy J

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Introduction The aim of the study was to explore occupational therapy practices regarding decision‐making capacity assessment and to examine factors that impact on engagement in this area. Methods Occupational therapists in Ireland were invited to participate in a cross‐sectional online questionnaire. Results One hundred and seventy‐two occupational therapists responded. 65.77% (n = 98) reported that occupational therapy plays an important role in capacity assessment in their workplace. Occupational therapists most frequently contributed to decision‐making capacity assessment for independent living (79.19%, n = 118), driving (45.89%, n = 67) and financial management (44.44%, n = 64). Many participants reported that this is more difficult than other aspects of practice and that they are not satisfied with decision‐making capacity assessment procedures in their workplace. A large majority (91.86%, n = 113) reported occupational therapists would benefit from additional training and practice guidelines in the area of decision‐making capacity assessment. Conclusion The study confirms that occupational therapists have a role to play in the multi‐disciplinary assessment of decision‐making capacity. The results of the survey suggest that decision‐making capacity assessment is complex and challenging. Factors such as confidence, education and training impact on engagement with this area of practice. There is a need to develop education resources and guidelines for occupational therapists.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Occupational therapy and decision‐making capacity assessment: A survey of practice in Ireland

Usher

Stapleton

2019

Aus Occup Therapy J

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“…Mental capacity assessments for people with intellectual disabilities can be complicated, challenging to facilitate, and heavily reliant on subjective clinical opinion (Jayes et al, ; Keene, ). There are currently no specialized, evidence‐based mental capacity assessment tools for this group, which partly reflects a limited knowledge about the relationship between cognitive functions and decision‐making outcomes in this diverse population.…”

Section: Discussionmentioning

confidence: 99%

“…One particular decision that is often called into question under the MCA is an individual's capacity to consent to medical treatment. Other types of decision, such as where to live, are also commonly evaluated in clinical settings (Jayes et al, ). The ability to consent to treatment, however, is particularly crucial for people with intellectual disabilities because of their elevated risk of experiencing mental illness (Ferguson & Murphy, ) and developing chronic health problems (Department of Health, ).…”

Section: Introductionmentioning

confidence: 99%

The predictive validity of the MoCA‐LD for assessing mental capacity in adults with intellectual disabilities

Edge

Ewing

2019

Research Intellect Disabil

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Background Mental capacity assessments currently rely on subjective opinion. Researchers have yet to explore the association between key cognitive functions of rational decision making and mental capacity classifications for people with intellectual disabilities. Method Sixty‐three adults completed the Montreal Cognitive Assessment, which yielded estimates of their overall cognitive ability (MoCA‐LD) as well as their memory, attention, language and executive functioning. Differences in scores were explored for those who had, and lacked, capacity, and logistic regression was used to test the predictive validity of each measure. Results There were significant differences between both groups for all measures. Logistic regression identified MoCA‐LD as a significant predictor of capacity assessment outcomes. ROC curve analysis provided novel, evidence‐based benchmarks to help guide clinical practice based on MoCA‐LD scores. Conclusion This study offers a foundation for more objective approaches to mental capacity assessment. This demonstrates that assessments of cognitive ability can yield information that is helpful for mental capacity evaluations.

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Improving the systematic screening and documentation of mental capacity for patients with severe brain injury: The Mental Capacity Screening assessment tool (MCScreen)

Turner-Stokes,

Benaichouche-Motam,

Goodison

et al. 2024

Clinical Medicine

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An exploration of mental capacity assessment within acute hospital and intermediate care settings in England: a focus group study

Cited by 24 publications

References 24 publications

Occupational therapy and decision‐making capacity assessment: A survey of practice in Ireland

Occupational therapy and decision‐making capacity assessment: A survey of practice in Ireland

The predictive validity of the MoCA‐LD for assessing mental capacity in adults with intellectual disabilities

Improving the systematic screening and documentation of mental capacity for patients with severe brain injury: The Mental Capacity Screening assessment tool (MCScreen)

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