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    National survey and analysis of barriers to the utilisation of the 2005 mental capacity act by people with bipolar disorder in England and Wales

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    Author
    Morriss, Richard K.
    Mudigonda, Mohan
    Bartlett, Peter
    Keyword
    Bipolar disorder
    Legislation
    Mental competency
    Date
    2017
    
    Metadata
    Show full item record
    DOI
    10.1080/09638237.2017.1340613
    Publisher's URL
    http://www.tandfonline.com/doi/abs/10.1080/09638237.2017.1340613?journalCode=ijmh20
    Abstract
    BACKGROUND: The Mental Capacity Act (2005) (MCA) provides a legal framework for advance planning for both health and welfare in England and Wales for people if they lose mental capacity, for example, through mania or severe depression. AIMS: To determine the proportion of people with bipolar disorder (BD) who utilise advance planning, their experience of using it and barriers to its implementation. METHODS: National survey of people with clinical diagnosis of BD of their knowledge, use and experience of the MCA. Thematically analysed qualitative interviews with maximum variance sample of people with BD. RESULTS: A total of 544 respondents with BD participated in the survey; 18 in the qualitative study. 403 (74.1%) believed making plans about their personal welfare if they lost capacity to be very important. A total of 199 (36.6%) participants knew about the MCA. A total 54 (10%), 62 (11%) and 21 (4%) participants made advanced decisions to refuse treatment, advance statements and lasting power of attorney, respectively. Barriers included not understanding its different forms, unrealistic expectations and advance plans ignored by services. CONCLUSION: In BD, the demand for advance plans about welfare with loss of capacity was high, but utilisation of the MCA was low with barriers at service user, clinician and organisation levels.
    Citation
    Morriss, R. K., Mudigonda, M., Bartlett, P., Chopra, A. & Jones, S. (2017). National survey and analysis of barriers to the utilisation of the 2005 mental capacity act by people with bipolar disorder in England and Wales. Journal of Mental Health, 29 (2), pp. 131-138.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/12207
    Collections
    Bipolar Disorder
    Ethics and Law

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