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 82<br />
• The Scheme <strong>of</strong> Mental Capacity Bill 2008 does not apply to<br />
c<strong>on</strong>sent to have sexual relati<strong>on</strong>s. [52]<br />
• Criticism <str<strong>on</strong>g>Literature</str<strong>on</strong>g> <strong>of</strong> the <str<strong>on</strong>g>Review</str<strong>on</strong>g> Law Reform <strong>on</strong> Provisi<strong>on</strong> Commissi<strong>on</strong> <strong>of</strong> <strong>Appropriate</strong> Bill centred <strong>and</strong> <strong>Accessible</strong> <strong>on</strong>: the<br />
Support to People with an Intellectual Disability who are<br />
proposed definiti<strong>on</strong> <strong>of</strong> capacity being too open-ended; the lack<br />
Experiencing Crisis Pregnancy<br />
<strong>of</strong> provisi<strong>on</strong> relating to advocacy; that there should be inclusi<strong>on</strong><br />
<strong>of</strong> a special requirement requiring medical pr<strong>of</strong>essi<strong>on</strong>als to<br />
include family members or carers <strong>of</strong> a pers<strong>on</strong> lacking capacity in<br />
treatment decisi<strong>on</strong>s; <strong>and</strong> a requirement that the pers<strong>on</strong> lacking<br />
capacity should be c<strong>on</strong>sulted regarding their choice <strong>of</strong> pers<strong>on</strong>al<br />
guardian (D<strong>on</strong>nelly, 2008).<br />
Internati<strong>on</strong>al legislati<strong>on</strong> governing capacity<br />
• In Engl<strong>and</strong> <strong>and</strong> Wales, the corresp<strong>on</strong>ding legislati<strong>on</strong> is the Mental<br />
Capacity Act, 2005, which provides a statutory framework for<br />
substitute decisi<strong>on</strong>-making for those who lack capacity. Many <strong>of</strong><br />
the provisi<strong>on</strong>s in the Scheme <strong>of</strong> Mental Capacity Bill, 2008, are<br />
similar to the provisi<strong>on</strong>s in this legislati<strong>on</strong>.<br />
• Good practice provisi<strong>on</strong>s <strong>of</strong> the UK’s Mental Capacity Act 2005<br />
were identified as follows:<br />
- It adopts a functi<strong>on</strong>al approach, where capacity is decisi<strong>on</strong>specific<br />
<strong>and</strong> time-specific rather than global or permanent;<br />
the implicati<strong>on</strong> is that before any declarati<strong>on</strong> <strong>of</strong> incapacity,<br />
c<strong>on</strong>siderati<strong>on</strong> needs to be given as to whether it would be<br />
possible either to improve the pers<strong>on</strong>’s relevant functi<strong>on</strong>al<br />
abilities <strong>and</strong>/or to simplify or otherwise amend the situati<strong>on</strong><br />
to improve the pers<strong>on</strong>’s capacity (Murphy <strong>and</strong> Clare, 2003).<br />
- It introduces a legal duty to c<strong>on</strong>sult with others involved in<br />
caring for the pers<strong>on</strong> or interested in his/her welfare before<br />
carrying out acts in relati<strong>on</strong> to a pers<strong>on</strong> who lacks capacity.<br />
- It requires steps to be taken to develop capacity <strong>and</strong> imports<br />
a right to comprehensible informati<strong>on</strong> (S. 1 (3); S 3 (2)).<br />
- Under the Act, a pers<strong>on</strong> is required to make an assessment<br />
<strong>of</strong> capacity before carrying out any care or treatment. The<br />
52 Head 20(e).