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Competency assessments: perceptions at follow-up
K Carlin1, M Silberfeld, R B Deber
1Competency Clinic, Baycrest Centre for Geriatric Care, North York, Ontario.
Summary
Client competency assessments generally satisfy individuals and families, with rights perceived as protected. This follow-up study challenges prior conclusions suggesting assessments are harmful.
Area of Science:
- Legal Psychology
- Forensic Psychiatry
- Disability Studies
Background:
- Previous research based on court records suggested competency assessments could be detrimental and infringe upon rights.
- A need existed to evaluate client and significant other perceptions following competency assessments.
Purpose of the Study:
- To investigate client and significant other perceptions of competency assessment processes.
- To examine the consequences of competency assessments on individuals and their families during follow-up.
Main Methods:
- Conducted 95 semi-structured telephone interviews.
- Interviewed 24 clients and 71 family members/caregivers, representing approximately 80 clients' perspectives.
- Utilized a carefully developed interview guide.
Main Results:
- General satisfaction was reported regarding the competency assessment process.
- Participants perceived that client interests and rights were protected.
- Clients reported less involvement in decision-making across various domains, irrespective of capacity determination outcome.
- Clients and families expressed satisfaction with the decision-making processes.
Conclusions:
- Follow-up findings contradict previous court record studies suggesting negative impacts of competency assessments.
- The study indicates that competency assessments do not necessarily lead to rights violations.
- Perceptions suggest a generally positive experience with the assessment and decision-making process.