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Article
Publication date: 1 February 2006

John Dow

The Mental Capacity Act 2005 provides that independent mental capacity advocates (IMCAs) must be consulted before certain decisions are made on behalf of people who lack capacity

Abstract

The Mental Capacity Act 2005 provides that independent mental capacity advocates (IMCAs) must be consulted before certain decisions are made on behalf of people who lack capacity. This article describes the principles in the Act under which such decisions are made, the role of IMCAs and proposals for the establishment of the IMCA service.

Details

Journal of Integrated Care, vol. 14 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 28 November 2022

Abyshey Nhedzi, Sadiyya Haffejee, Michelle O'Reilly and Panos Vostanis

This study aims to establish the perspectives of community providers on challenges and enablers in developing child mental health capacity in disadvantaged communities in South…

Abstract

Purpose

This study aims to establish the perspectives of community providers on challenges and enablers in developing child mental health capacity in disadvantaged communities in South Africa.

Design/methodology/approach

The authors involved 29 community providers operating in a large urban-deprived area in the Gauteng Province, east of Johannesburg. Community providers had educational, social and health care backgrounds. Their perspectives were captured through three focus groups, two participatory workshops and reflective diaries. Data were integrated and subjected to inductive thematic analysis.

Findings

Three interlinked themes were identified. Community mobilization was viewed as pre-requisite through mental health awareness and strategies to engage children, youth and parents. Service provision should take into consideration contextual factors, predominantly inequalities, lack of basic needs and gender-based issues (domestic violence, teenage pregnancy and single motherhood). Participants referred to severe mental health needs, and related to physical health conditions, disabilities and impairments, rather than to common mental health problems or wellbeing. They proposed that capacity building should tap into existing resources and integrate with support systems through collaborative working.

Practical implications

Child mental health policy and service design in Majority World Countries (MWCs), should involve all informal and structural support systems and stakeholders. Contextual factors require consideration, especially in disadvantaged communities and low-resource settings, and should be addressed through joined up working.

Originality/value

Children’s mental health needs are largely unmet in MWC-disadvantaged communities. These findings capture the experiences and perspectives of various community providers on how to enhance mental health provision by mobilizing communities and resources.

Details

Journal of Children's Services, vol. 17 no. 4
Type: Research Article
ISSN: 1746-6660

Keywords

Abstract

Details

Working with Older People, vol. 11 no. 1
Type: Research Article
ISSN: 1366-3666

Article
Publication date: 12 June 2017

Karen Morris and Genevieve Smyth

Occupational therapists working in mental health services in the UK are under increasing scrutiny to provide both clinically and cost-effective services. The profession has…

Abstract

Purpose

Occupational therapists working in mental health services in the UK are under increasing scrutiny to provide both clinically and cost-effective services. The profession has indicated that a stronger evidence base would help promote the unique contribution of occupational therapy when influencing service managers and government bodies. The paper aims to discuss these issues.

Design/methodology/approach

The Royal College of Occupational Therapists (RCOT) and its Specialist Section – Mental Health carried out a survey to gauge recent research capacity among occupational therapists working in mental health services in the UK and to seek their views about how to further increase research capacity and partnerships.

Findings

Of the 145 participants approximately half had been involved in research in the past five years, and most had involved research partnerships. A number had successfully applied for funding and about half of the research carried out had been disseminated. The participants felt that methods to increase research capacity and partnerships should continue to include improving research leadership and networks; promoting research skills through formal studies and increasing research dissemination.

Originality/value

A variety of methods will continue to be required to expand the evidence base. RCOT and its Specialist Sections continue to have an important role developing research capacity and partnerships.

Details

Mental Health Review Journal, vol. 22 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 23 May 2011

Robin Mackenzie and John Watts

The purpose in writing this paper is to highlight the lack of knowledge of many who are involved in capacity assessments, especially non‐professionals such as carers of the…

990

Abstract

Purpose

The purpose in writing this paper is to highlight the lack of knowledge of many who are involved in capacity assessments, especially non‐professionals such as carers of the learning disabled, and the view that current guidance for capacity assessments does not take into account issues of emotionality.

Design/methodology/approach

The approach is to discuss current guidance and practice, and to offer academic criticism and explanation.

Findings

The findings include the discovery that the Mental Capacity Act 2005 Code of Practice suggests that healthcare professionals and family/carers may undertake assessments of decision‐making capacity, yet the guidance it provides for their doing so overlooks salient issues. Many of those involved in the daily lives of those, who may lack decision‐making capacity (and thus be seen as legally incompetent) such as the learning disabled, demented, mentally ill and neurodiverse, must decide whether to respect their decisions as competent, or to disregard the decisions on the grounds of incompetence and to act in the person's best interests. As many will lack training in their clinical and legal responsibilities and liabilities, it is crucial that they, and those they care for, are protected by not only an increased knowledge of mental capacity legislation and practice, but also how it may apply to questions of emotionality and neurodiversity.

Originality/value

This paper expands and builds on the authors' previous research into including emotionality in assessments of capacity, and will be of use to practitioners in the field of learning disability, and other psychiatric specialities.

Details

Tizard Learning Disability Review, vol. 16 no. 3
Type: Research Article
ISSN: 1359-5474

Keywords

Article
Publication date: 20 October 2010

Jane Bennett

This article is based on a presentation that I gave to the Royal Hospital for Neuro‐disability, Putney, London on 28 July 2010. It draws on case law and case studies to explore…

301

Abstract

This article is based on a presentation that I gave to the Royal Hospital for Neuro‐disability, Putney, London on 28 July 2010. It draws on case law and case studies to explore the issues and dilemmas involved in assessing a person's capacity to make decisions. Suggestions are proposed for the stages in undertaking that assessment. The article concludes by emphasising the importance of considering best interests as a factor in deciding whether a person has capacity in relation to a particular decision, where there may be concerns as to his/her vulnerability overall.

Details

Social Care and Neurodisability, vol. 1 no. 3
Type: Research Article
ISSN: 2042-0919

Keywords

Article
Publication date: 10 October 2022

Vitalii Klymchuk, Krystyna Vysotska and Viktoriia V. Gorbunova

The purpose of this paper is to explore how conflict-affected communities in Ukraine (the Lugansk region) can develop sustainable mental health services in decentralised settings…

Abstract

Purpose

The purpose of this paper is to explore how conflict-affected communities in Ukraine (the Lugansk region) can develop sustainable mental health services in decentralised settings. The main interest focuses on community stakeholders’ perception of their problems and solutions that communities can create to achieve better mental health coverage.

Design/methodology/approach

A series of roundtables (RTs) (4 RTs, 62 participants overall), accompanied by interactive brainstorming techniques, were conducted with communities’ representatives/stakeholders from the East of Ukraine (Lugansk region, a government-controlled area) during the year 2021. Participants (health, mental health, social care workers and administration representatives) were provided with the opportunity to discuss mental health services’ development challenges and create affordable solutions for their communities. Results of discussions were submitted to qualitative analysis and offered for review by participants.

Findings

Decentralisation in Ukraine led to allocating funds alongside responsibilities for developing the services to communities. Most of the communities appear not to be ready to acknowledge the role of mental health services, entirely relying on the existing weak psychiatric hospital-based system. Awareness-raising interactive capacity-building activities for the community leaders and decision-makers effectively promote community-based mental health services development. Five clusters of challenges were identified: leadership, coordination and collaboration problems; infrastructure, physical accessibility and financial problems; mental health and primary health-care workforce shortage and lack of competencies; low awareness of mental health and available services and high stigma; war, crises and pandemic-related problems. Communities stakeholders foresaw seven domains of action: increasing the role of communities and service users in the initiatives of governmental bodies; establishing in the communities local coordination/working groups dedicated to mental health service development; developing the community-based spaces (hubs) for integrated services provision; embedding the mental health services in the existing services (social, administrative and health care); mental health advocacy and lobbying led by local leaders and service users; increasing capacity of communities in financial management, fundraising; developing services by combining efforts and budgets of neighbouring communities.

Research limitations/implications

The study has potential limitations. Participants of the roundtables were mostly appointed by local authorities, so some of them didn`t have a motivation for mental health services development. Service users were involved only from the facilitators` side, not from the side of communities; therefore, it was impossible to include their view of problems and solutions. Obtained data were limited to the opinion of local professionals, administration workers and other local stakeholders. The human rights aspect was not clearly articulated in the tasks of the roundtables.

Originality/value

To the best of the authors’ knowledge, the paper is original in terms of its topic (connecting decentralisation and local stakeholders’ engagement for understanding the challenges of mental health services development) and research strategy (engagement of Ukrainian communities, qualitative analysis of the discussion results and applying the best practices and international recommendations to the local context).

Details

Journal of Public Mental Health, vol. 21 no. 4
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 11 May 2009

Max Pickard

The Deprivation of Liberty Safeguards (DoLS) are due to be implemented imminently. This legislation serves as an extension of the Mental Capacity Act designed to close the…

Abstract

The Deprivation of Liberty Safeguards (DoLS) are due to be implemented imminently. This legislation serves as an extension of the Mental Capacity Act designed to close the ‘Bournewood Gap’ and is of particular relevance to learning disability services. This article discusses the DoLS from a legal, philosophical and ethical perspective.

Details

Advances in Mental Health and Learning Disabilities, vol. 3 no. 1
Type: Research Article
ISSN: 1753-0180

Keywords

Abstract

Details

Mental Health Review Journal, vol. 10 no. 4
Type: Research Article
ISSN: 1361-9322

Article
Publication date: 22 February 2019

Jill Manthorpe and Stephen Martineau

The purpose of this paper is to examine safeguarding adults reviews (SARs) that refer to mental health legislation in order to contribute to the review of English mental health…

Abstract

Purpose

The purpose of this paper is to examine safeguarding adults reviews (SARs) that refer to mental health legislation in order to contribute to the review of English mental health law (2018).

Design/methodology/approach

Searches of a variety of sources were conducted to compile a list of relevant SARs. These are summarised and their contexts assessed for what they reveal about the use and coherence of mental health legislation.

Findings

The interaction of the statutes under consideration, in particular the Mental Health Act (MHA) 1983, the Mental Capacity Act (MCA) 2005, together with the Care Act 2014, presents challenges to practitioners and the efficacy of their application is variable.

Research limitations/implications

In light of the absence of a duty to report SARs to a national register, it is possible that relevant SARs were missed in the search phase of this research, meaning that the results do not present a complete picture.

Practical implications

Examining cases where use of legislative provisions in mental health has been found wanting or legislation may not be easily implemented may inform initiatives to increase understanding of the law in this area.

Originality/value

This paper’s originality and value lie in its focus on mental health legislation as discussed in SARs at a time when both the MHA 1983 and the MCA 2005 are the focus of attention for reform.

Details

The Journal of Adult Protection, vol. 21 no. 1
Type: Research Article
ISSN: 1466-8203

Keywords

21 – 30 of over 30000