tag:blogger.com,1999:blog-8489009971732520747.post6529370504432342372..comments2024-03-24T07:19:28.136+00:00Comments on Lake Cocytus: LibertyThe Shrinkhttp://www.blogger.com/profile/10009039342346247138noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-8489009971732520747.post-79168194567099638542009-01-18T10:14:00.000+00:002009-01-18T10:14:00.000+00:00I am interested in this...in regards to someone's ...I am interested in this...in regards to someone's capacity or incapacity to make decisions.<BR/><BR/>I mean people having acute episodes of mental illness make decisions but it is whether or not those decisions are seen as them acting in their own best interest and if that is good for them.<BR/><BR/>Certainly, when in manic episodes I have been acting in what I thought was my best interests but others (non in manic states) have clearly thought I was not.<BR/><BR/>At present I have more concerns about my father..potential dementia (but trying to get someone to actually agree to do a dementia test is proving a nightmare) and his right to refuse to have the test. Who decides that?<BR/><BR/>and if it is not dementia but on going and treatment resistant depression then what does a relative (one who does care about him) do about that? I believe his illness affects his decision making process..for example he recently took 4 zopiclone because he was having trouble sleeping...and has done this before. I have advised him is not good for him to keep doing that but is the fact that he keeps doing it an act of someone who knows what they are doing...<BR/><BR/>I am not sure that if the PCT were to have to make a decision about his capacity or rights, they would have the savvy to take that responsibility. In fact, his CMHT only seem to bother if I am on their case and that is damn tiring I can tell you, especially as I have concerns about his capacity but want him to get the best care for him. Not sure it actually exists though.<BR/><BR/>And when it comes to a care home. I swing from thinking that would be best for him (in regards to having people there who can monitor him, his meds intake, ensure there is food and to have some social interaction) to thinking that might be the final straw in regards to any liberty he has or feels he has now.<BR/><BR/>Is a very tough call and no relative should be having to take on such major decision making or be in continuous fear for a loved one with mininul support from anywhere.That's not my name!https://www.blogger.com/profile/17064348309163649672noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-39481551739380213312009-01-18T00:51:00.000+00:002009-01-18T00:51:00.000+00:00All persons subject to Incapacity Act should have ...All persons subject to Incapacity Act should have an appointed Guardian - either of family or the state - with provisions to overthrow incompetent (greedy/negligent) family.<BR/>The guardian becomes empowered to enact decision reviews on behalf of the subject person and thus avoid the DoLS process altogether.<BR/>PCTs are only liable to assure legally appointed Guardians are appointed by making application to the Office of Attorney General (who then have to do the donkey work).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-4916101207774015412009-01-17T09:05:00.000+00:002009-01-17T09:05:00.000+00:00It's quite worrying that the PCT seem not quite to...It's quite worrying that the PCT seem not quite to be aware of their responsibilities to assess in the coming year. I think the implications seem be a slow to be fully comprehended. In the Trust I work for (a MH trust) they basically put the DoLs issues on the backburner until all more immediate issues relating to the amendments to the MHA came into force in November. <BR/>I expect to be very busy in April.Cathttps://www.blogger.com/profile/12652768793937457682noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-66086750229466136592009-01-15T21:55:00.000+00:002009-01-15T21:55:00.000+00:00Ummm... That's a biggy.Around here, our doctors an...Ummm... That's a biggy.<BR/><BR/>Around here, our doctors and nurses have an interesting attitude to the Mental Health Act, as you can see in some detail <A HREF="http://foundationtrustwatch.blogspot.com/2008/12/excellent-trust-gets-good-kicking-from.html" REL="nofollow">here</A>.<BR/><BR/>The complexities of new legislation is bound to give the monitors some quite juicy material to work with.<BR/><BR/>I absolutely despair of us patients getting the protection we deserve.<BR/><BR/>It might be quite interesting to look at the issues surrounding patients being sent to the private/third sector for treatment and what protection is in place for them - i.e. our local drug abusers are thrown out of the NHS for treatment and sent to Addaction.Socrateshttps://www.blogger.com/profile/12525104555859213125noreply@blogger.com