The development and implementation of a decision-making capacity assessment model.

Area of Science:

• Gerontology
• Healthcare Management
• Clinical Psychology

Background:

• Decision-making capacity assessment (DMCA) is increasingly vital for the aging population.
• Existing challenges in DMCA require exploration and coordinated strategies.
• Addressing DMCA issues necessitates a structured and systematic approach.

Purpose of the Study:

• To explore challenges in decision-making capacity assessment (DMCA) for older adults.
• To develop and demonstrate a feasible model for DMCA.
• To improve the coordination and effectiveness of capacity assessments.

Main Methods:

• An iterative process involving literature review, staff surveys, and discussions at Covenant Health (CH).
• Development and feasibility testing of a Decision-Making Capacity Assessment (DMCA) Model.
• Creation of supporting documentation and delivery of interactive workshops.

Main Results:

• A comprehensive DMCA process was proposed, including screening, standard assessment, and defined team roles.
• A Capacity Assessment Care Map and supporting documentation (worksheets, brochure) were developed.
• Successful implementation across multiple health sites and provincial endorsement were achieved.

Conclusions:

• The developed DMCA Model effectively addressed concerns regarding capacity assessments.
• A holistic, interdisciplinary approach was key to resolving identified issues in CA.
• The model facilitated a more coordinated and standardized approach to DMCA.