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Unformatted text preview: 1 Civil Competencies Civil Competencies June 12, 2008 2 A list of possible civil competencies Work Drive Parent Make medical decisions Provide informed consent Care for oneself/property Enter into legal contracts 3 Assessment Steps (Moberg & Kniele, 2006) Interview, including collaterals Neuropsychological testing Functional ability assessment Review of legal standards 4 Rationales for Civil Competency Rules Rationales for Civil Competency Rules People have the right to self-determination (personal freedom preserved when possible) Its your right In decision-making, people have the right to reasonable, full disclosure Disabled people are entitled to services (social security determination, etc.) As before, competency is functional 5 Guardianship Guardianship What is guardianship (sometimes called conservatorship)? delegation, by the state, of authority over person or estate; general vs. specific guardianship Who qualifies? Incapacited person is any person who is impaired by reason of mental illness, mental deficiency, physical illness or disability, advanced ageor other cause (except minority) to the extent that he lacks sufficient understanding or capacity to make or communicate responsible decisions concerning his person More specific rules in some states require finding of inability to care for personal safety or to attend to food, shelter, clothing, or medical care, without which physical illness or injury would occur de facto (factual) vs. de jure (ruled) incompetence; civil commitment usually results in de facto incompetency 6 Guardianship (cont Guardianship (cont d ) Guardianship proceedings generally not rigorous Most states allow determination as to whether the alleged incapable person should attend hearing Getting out of incapacity is difficult Guardianship services Guardianship can be abused Three issues in guardianship determination whether a guardian is needed who the guardian should be what the guardian should do 7 Guardianship Questions Is a guardian needed? only an issue in de facto cases very loose and informal ambiguous standards; most states require finding threshold mental illness clinical evaluation: take care to evaluate what the person can and cannot do Community Competency Scale a good start, but little empirical data; requires person to perform actual tasks utilize ecological assessment home visit useful, analyze typical day guardianship of person vs. estate (not really different when estate is not complex) 8 Community Competency Scale Community Competency Scale Subscales: (akin to ADLs) Judgment, Emergencies, Acquiring Money, Compensation for Incapacities, Managing Money, Communication, Care of Medical Needs, Adequate Memory, Satisfactory Living Arrangements, Proper Diet, Mobility, Sensation, Personal Hygiene, Maintenance of Household, Utilization of Transportation, Verbal-Math Skills...
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This note was uploaded on 12/01/2011 for the course CLP 7934 taught by Professor Staff during the Summer '08 term at University of Florida.
- Summer '08