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Literature Review on Provision of Appropriate and Accessible ...

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PAGE 55<br />

or she is unable to make a decisi<strong>on</strong> for him or herself in relati<strong>on</strong> to the<br />

matter because <strong>of</strong> an impairment <strong>of</strong>, or a disturbance in the functi<strong>on</strong>ing<br />

<strong>of</strong>, the mind or brain (Secti<strong>on</strong> 2(1)).<br />

Functi<strong>on</strong>al test <strong>of</strong> capacity<br />

The Mental Capacity Act goes <strong>on</strong> to say (Secti<strong>on</strong> 3) that a pers<strong>on</strong> is unable<br />

to make a decisi<strong>on</strong> due to a lack <strong>of</strong> mental capacity, when he is unable to:<br />

• Underst<strong>and</strong> the informati<strong>on</strong> relevant to the decisi<strong>on</strong>, (including<br />

underst<strong>and</strong>ing the likely c<strong>on</strong>sequences <strong>of</strong> making, or not making<br />

the decisi<strong>on</strong> - Secti<strong>on</strong> 3(4))<br />

• Retain that informati<strong>on</strong><br />

• Use or weigh that informati<strong>on</strong> as part <strong>of</strong> the process <strong>of</strong> making<br />

the decisi<strong>on</strong><br />

• Communicate his/her decisi<strong>on</strong> (whether by talking, using sign<br />

language or any other means).<br />

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

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

Experiencing Crisis Pregnancy<br />

The key point about this definiti<strong>on</strong> <strong>of</strong> capacity, as well as similar<br />

definiti<strong>on</strong>s in other jurisdicti<strong>on</strong>s, is that capacity is functi<strong>on</strong> specific. A<br />

pers<strong>on</strong>’s capacity must be assessed specifically in terms <strong>of</strong> their capacity<br />

to make a particular decisi<strong>on</strong> at the time it needs to be made. Thus, a<br />

pers<strong>on</strong> may be competent to make certain decisi<strong>on</strong>s but not others.<br />

Many <strong>of</strong> the provisi<strong>on</strong>s <strong>of</strong> the Mental Capacity Act, 2005, are based <strong>on</strong><br />

existing comm<strong>on</strong>-law provisi<strong>on</strong>s. The Act clarifies <strong>and</strong> improves up<strong>on</strong><br />

these principles <strong>and</strong> builds <strong>on</strong> current good practice, which is based <strong>on</strong><br />

the principles. [38]<br />

38 Para 1.6 <strong>of</strong> the Mental Capacity Act, Code <strong>of</strong> Practice.

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