Mental capacity assessments and discharge decisions.
نویسنده
چکیده
Professionals may have agendas that conflict with the person under their care as their dominant consideration is often safety. This may arise from a genuine concern about welfare, but may also involve fear of litigation from an adverse incident following discharge.
منابع مشابه
Homeward bound or bound for a home? Assessing the capacity of dementia patients to make decisions about hospital discharge: comparing practice with legal standards.
BACKGROUND This article stems from a larger project which considers ways of improving assessments of capacity and judgements about best interests in connection with people with dementia admitted to acute hospitals with respect to decisions about place of residence. AIMS Our aim is to comment on how assessments of residence capacity are actually performed on general hospital wards compared wit...
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BACKGROUND The Mental Capacity Act 2005 (MCA) was introduced in 2007 to protect vulnerable individuals who lack capacity to make decisions for themselves and to provide a legal framework for professionals to assess incapacity. The impact of the MCA on clinical practice is not known. This study aims to evaluate how frequently mental capacity is assessed in psychiatric inpatients, whether the cri...
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Capacity legislation aims to protect individual autonomy and avoid undue paternalism as far as possible, partly through ensuring patients are not deemed to lack capacity because they make an unwise decision. To this end, the law employs a procedural test of capacity that excludes substantive judgments about patients' decisions. However, clinical intuitions about patients' capacity to make decis...
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Since the Rivers v. Katz decision in 1986, clinicians in New York State have been required to assess patient decision-making capacity before judicial review of petitions to administer involuntary medication. The authors examined 42 capacity assessments made by psychiatrists at a large state hospital in New York City. Although the capacity assessments were often incomplete and rarely addressed t...
متن کاملEngagement-focused care during transitions from inpatient and emergency psychiatric facilities
OBJECTIVES As many as 40% of those with serious mental illness (SMI) do not attend any outpatient visits in the 30 days following discharge. We examined engagement-focused care (EFC) versus treatment as usual in a university-based transitional care clinic (TCC) with a 90-day program serving individuals with SMI discharged from hospitals and emergency rooms. EFC included a unique group intake pr...
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ورودعنوان ژورنال:
- Nursing older people
دوره 18 1 شماره
صفحات -
تاریخ انتشار 2005