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Literature Review on Provision of Appropriate and Accessible ...

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PAGE 11<br />

2.5.4 Codes <strong>of</strong> practice 52<br />

2.5.5 Capacity in specific c<strong>on</strong>texts 52<br />

2.6 Critique <strong>of</strong> the Law Reform Commissi<strong>on</strong> Draft Scheme <strong>of</strong> Mental<br />

Capacity <strong>and</strong> Guardianship Bill 2008 53<br />

2.7 Legal capacity in other jurisdicti<strong>on</strong>s 54<br />

2.7.1 Legal capacity in Engl<strong>and</strong> <strong>and</strong> Wales 54<br />

2.7.2 Legal capacity in Canada 59<br />

2.7.3 Legal capacity in the United States 62<br />

2.8 Capacity to make healthcare decisi<strong>on</strong>s 63<br />

2.8.1 Informed c<strong>on</strong>sent 63<br />

2.8.2 Assessment <strong>of</strong> capacity 65<br />

2.8.3 Supporting decisi<strong>on</strong>-making 67<br />

2.8.4 Assessment instruments 70<br />

2.8.5 Who can assess capacity? 71<br />

2.8.6 Acting in the pers<strong>on</strong>’s ‘best interests’ 71<br />

2.9 Supports for women with intellectual disability <strong>and</strong><br />

c<strong>on</strong>traceptive usage 75<br />

2.10 Sterilisati<strong>on</strong> 78<br />

2.11 Key findings 79<br />

Support to People with an Intellectual Disability who are<br />

<strong>Accessible</strong><br />

<strong>and</strong> <strong>Appropriate</strong> <strong>of</strong> Provisi<strong>on</strong> <strong>on</strong> <str<strong>on</strong>g>Review</str<strong>on</strong>g> <str<strong>on</strong>g>Literature</str<strong>on</strong>g><br />

Experiencing Crisis Pregnancy<br />

3.0 Capacity to c<strong>on</strong>sent to sexual relati<strong>on</strong>ships 87<br />

3.1 Introducti<strong>on</strong> 87<br />

3.2 Recogniti<strong>on</strong> <strong>of</strong> rights to sexual relati<strong>on</strong>ships for people with<br />

intellectual disabilities 88<br />

3.3 Protecti<strong>on</strong> from exploitati<strong>on</strong> versus need for aut<strong>on</strong>omy 91<br />

3.4 Sexual violence <strong>and</strong> exploitati<strong>on</strong> 92<br />

3.4.1 Definiti<strong>on</strong> <strong>of</strong> abuse 93<br />

3.5 Approaches to determining capacity 94<br />

3.6 Setting the st<strong>and</strong>ard for determining capacity to c<strong>on</strong>sent to<br />

sexual relati<strong>on</strong>ships 95<br />

3.7 Critique <strong>of</strong> models <strong>of</strong> capacity assessment 101<br />

3.8 Situati<strong>on</strong>al aspect <strong>of</strong> capacity 103<br />

3.9 Level <strong>of</strong> disability <strong>and</strong> capacity to c<strong>on</strong>sent to sexual relati<strong>on</strong>ships 103<br />

3.10 Protective legislati<strong>on</strong> 104<br />

3.11 Laws that prohibit sex with people deemed unable to<br />

c<strong>on</strong>sent to sex 105

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