civil_competencies_1_08

civil_competencies_1_08 - CivilCompetencies July3,2008...

Info iconThis preview shows pages 1–9. Sign up to view the full content.

View Full Document Right Arrow Icon
    Civil Competencies Civil Competencies July 3, 2008
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
A list of possible civil  competencies Work Drive Parent Make medical decisions Provide informed consent Care for oneself/property Enter into legal contracts
Background image of page 2
Assessment Steps  Interview, including collaterals Neuropsychological testing Functional ability assessment  Review of legal standards
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Rationales for Civil Competency Rules Rationales for Civil Competency Rules People have the right to  self-determination  ( personal freedom   preserved when possible)  – “It’s 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
Background image of page 4
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 age…or 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
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Guardianship (cont’d 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
Background image of page 6
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)
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Community Competency Scale Community Competency Scale Subscales: (akin to ADL’s)
Background image of page 8
Image of page 9
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 42

civil_competencies_1_08 - CivilCompetencies July3,2008...

This preview shows document pages 1 - 9. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online