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Behind the cloak of competence

Brain injury and mental capacity legislation

Bibliographic Data

ID12678585
AuthorsSophie E Moore (0000-0003-1650-3238, University of Plymouth, corresponding author), Sophie Moore, Rebecca Wotus (University of Plymouth), Alyson Norman (0000-0002-4332-6049, University of Plymouth), Mark Holloway (0000-0003-3491-8242, Systems Engineering and Assessment (United Kingdom)), Jackie Dean (Birkenhead Sixth Form College)
Year2019
Volume21
Issue4
Pages201-218
Publication date2019-08-01
Open AccessYes
TypeARTICLE
VenueThe Journal of Adult Protection (JOURNAL)
Journal identifiersISSN: 1466-8203 • E-ISSN: 2042-8669
PublisherEmerald Publishing Limited (PUBLISHER • GB)
DOI10.1108/jap-02-2019-0007
OpenAlexW2966370023
LanguageEN
Citations received13
References cited43

Purpose Brain Injury Case Managers (BICMs) work closely with individuals with Acquired Brain Injury (ABI), assessing needs, structuring rehabilitation interventions and providing support, and have significant experience of clients with impairments to decision making. The purpose of this paper is to explore the application of the Mental Capacity Act (MCA) and its guidance when applied to ABI survivors. This research aimed to: first, highlight potential conflicts or tensions that application of the MCA might pose, and second, identify approaches to mitigate the problems of the MCA and capacity assessments with ABI survivors. It is hoped that this will support improvements in the services offered. Design/methodology/approach Using a mixed method approach, 93 BICMs responded to an online questionnaire about decision making following ABI. Of these, 12 BICMs agreed to take part in a follow-up semi-structured telephone interview. Findings The data revealed four main themes: disagreements with other professionals, hidden disabilities, vulnerability in the community and implementation of the MCA and capacity assessments. Practical implications The findings highlight the need for changes to the way mental capacity assessments are conducted and the need for training for professionals in the hidden effects of ABI. Originality/value Limited research exists on potential limitations of the application of the MCA for individuals with an ABI. This paper provides much needed research on the difficulties surrounding mental capacity and ABI

Acquired brain injury · Competence (human resources · Computer security · Mental capacity · Originality · Psychiatry · Psychological intervention · Vulnerability (computing · Applied Psychology · Computer Science · Elder Abuse and Neglect · Healthcare Decision-Making and Restraints · Psychology · Social Psychology · Traumatic Brain Injury Research · Rehabilitation

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    Open Access•Mia A Thomaidou, Colleen M Berryessa•Behavioral Sciences & the Law•2022

  • Repetition without learning

    Hannah Steed, Lucy Milliner et al.•The Journal of Adult Protection•2026

  • The Secondary Impact of Mild Traumatic Brain Injury

    Open Access•James Gamgee, Jessica Runacres et al.•The Family Journal•2023

  • Mental Illness as a Sentencing Determinant

    Open Access•Mia A Thomaidou, Colleen M Berryessa•Criminal Justice and Behavior•2023

  • The Mental Capacity Act (2005), Acquired Brain Injury and Decision-Making – What Does This All Mean for Social Workers

    Tracey Ryan-Morgan, Caroline Bald et al.•Practice•2026

  • “I wasn’t prepared for that”

    Open Access•Alyson Norman, Mark Holloway et al.•Journal of Social Work•2026

  • His brain injury was missed, it led to his death

    A Parsons, Alyson Norman et al.•The Journal of Adult Protection•2025

  • Just a little bit of history repeating

    Open Access•Mark Holloway, Alyson Norman•The Journal of Adult Protection•2022

  • Operationalising the Deprivation of Liberty Safeguards (DoLS) in support of brain injury survivors – views from practice

    Open Access•Jade Scott, Stephen Weatherhead et al.•The Journal of Adult Protection•2021

  • Accepting what we do not know

    Open Access•Alyson Norman, Mark Holloway et al.•Health & Social Care in the…•2020

  • Difficult Capacity Cases—The Experience of Liaison Psychiatrists. An Interview Study Across Three Jurisdictions

    Open Access•Nuala B Kane, Alex Ruck Keene et al.•Frontiers in Psychiatry•2022

  • Staff Perceptions and Capability in using the Mental Capacity Act to Assess Decision Making in those with Acquired Brain Injury and Executive Dysfunction

    Open Access•Emma Cameron, James Codling et al.•The British Journal of Social Work•2022

  • Towards a ‘Social Model’ of Mental Capacity for Social Work

    Open Access•Clare Brown•The British Journal of Social Work•2024

  • Assessment of executive functions

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  • Mixed methods research designs in counseling psychology.

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  • Assessing mental capacity -a checklist for social workers

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  • Toward a Definition of Mixed Methods Research

    Open Access•R Burke Johnson, Anthony J Onwuegbuzie et al.•Journal of Mixed Methods Research•2007

  • A preventable death? A family’s perspective on an adult safeguarding review regarding an adult with traumatic brain injury

    Alyson Norman•The Journal of Adult Protection•2016

  • Traumatic brain injury and potential safeguarding concerns

    Andy Mantell•The Journal of Adult Protection•2010

  • Fluctuating capacity and impulsiveness in acquired brain injury

    Open Access•Chris Lennard•The Journal of Adult Protection•2016

  • Learning from safeguarding adult reviews on self-neglect

    Open Access•Michael Preston-Shoot•The Journal of Adult Protection•2018

  • Psycho-Social Working Conditions and Stress in UK Social Workers

    Open Access•Jermaine Ravalier, Jermaine M Ravalier•The British Journal of Social Work•2019

  • Acquired Brain Injury, Social Work and the Challenges of Personalisation

    Mark Holloway, Rachel Fyson•The British Journal of Social Work•2016

  • Using thematic analysis in psychology

    Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

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Citations per year2.17
Citation span2020 - 2026 (7)
Highly citedNo
Open DOIOpen Access
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