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Related Experiment Videos

Competency assessments: perceptions at follow-up

K Carlin1, M Silberfeld, R B Deber

  • 1Competency Clinic, Baycrest Centre for Geriatric Care, North York, Ontario.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|April 1, 1996
PubMed
Summary
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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.

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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.