Literature Review on Provision of Appropriate and Accessible ...
Literature Review on Provision of Appropriate and Accessible ...
Literature Review on Provision of Appropriate and Accessible ...
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PAGE 59<br />
reas<strong>on</strong>ably can to work out what some<strong>on</strong>e’s best interests are the law<br />
should protect them.<br />
These steps include but are not limited to:<br />
• encouraging participati<strong>on</strong><br />
• identifying all relevant circumstances<br />
• finding out the pers<strong>on</strong>’s views<br />
• avoiding discriminati<strong>on</strong> by not making assumpti<strong>on</strong>s based <strong>on</strong> a<br />
pers<strong>on</strong>’s age, appearance, c<strong>on</strong>diti<strong>on</strong> or behaviour<br />
• assessing whether the pers<strong>on</strong> might regain capacity<br />
• c<strong>on</strong>sulting others<br />
• avoiding restricting the pers<strong>on</strong>’s rights<br />
• taking all these factors into account.<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 />
(Chapter 5 <strong>of</strong> the Code <strong>of</strong> Practice includes guidance <strong>on</strong> how to carry out<br />
these steps.)<br />
Safeguards<br />
Safeguards are provided in the legislati<strong>on</strong>, i.e. it cannot be decided that<br />
some<strong>on</strong>e lacks capacity based <strong>on</strong> their age, appearance, c<strong>on</strong>diti<strong>on</strong> or<br />
behaviour al<strong>on</strong>e.<br />
Advocacy structure<br />
The Act provides for an Independent Mental Capacity Advocate (IMCA)<br />
service, the aim <strong>of</strong> which is to provide independent safeguards for people<br />
who lack capacity to make certain important decisi<strong>on</strong>s about serious<br />
medical treatment <strong>and</strong> changes <strong>of</strong> accommodati<strong>on</strong> <strong>and</strong>, at the time such<br />
decisi<strong>on</strong>s need to be made, have no family or friends that it would be<br />
appropriate to c<strong>on</strong>sult. An IMCA may be c<strong>on</strong>sulted to support some<strong>on</strong>e<br />
who lacks capacity to make decisi<strong>on</strong>s c<strong>on</strong>cerning care reviews <strong>and</strong> adult<br />
protecti<strong>on</strong> cases.<br />
2.7.2 Legal capacity in Canada<br />
In Ontario, Canada, the relevant statute in this area is the Health Care<br />
C<strong>on</strong>sent Act 1996, which covers treatment, admissi<strong>on</strong> into a l<strong>on</strong>g-term<br />
facility, <strong>and</strong> decisi<strong>on</strong>s about pers<strong>on</strong>al assistance services. Mental<br />
Capacity is a legal c<strong>on</strong>struct <strong>and</strong> means the ability to firstly ‘underst<strong>and</strong>’