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Brémault-Phillips SC, Parmar J, Friesen S, et al. An Evaluation of the Decision-Making Capacity Assessment Model. Can Geriatr J. 2016;19(3):83-96doi: 10.5770/cgj.19.222.
Brémault-Phillips, S. C., Parmar, J., Friesen, S., Rogers, L. G., Pike, A., & Sluggett, B. (2016). An Evaluation of the Decision-Making Capacity Assessment Model. Canadian geriatrics journal : CGJ, 19(3), 83-96. https://doi.org/10.5770/cgj.19.222
Brémault-Phillips, Suzette C, et al. "An Evaluation of the Decision-Making Capacity Assessment Model." Canadian geriatrics journal : CGJ vol. 19,3 (2016): 83-96. doi: https://doi.org/10.5770/cgj.19.222
Brémault-Phillips SC, Parmar J, Friesen S, Rogers LG, Pike A, Sluggett B. An Evaluation of the Decision-Making Capacity Assessment Model. Can Geriatr J. 2016 Sep 30;19(3):83-96. doi: 10.5770/cgj.19.222. eCollection 2016 Sep. PMID: 27729947; PMCID: PMC5038930.
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Can Geriatr J. 2016 Sep 30;19(3):83-96. doi: 10.5770/cgj.19.222. eCollection 2016 Sep.

An Evaluation of the Decision-Making Capacity Assessment Model.

Canadian geriatrics journal : CGJ

Suzette C Brémault-Phillips, Jasneet Parmar, Steven Friesen, Laura G Rogers, Ashley Pike, Bryan Sluggett

Affiliations

  1. Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton.
  2. Department of Family Medicine, University of Alberta, Edmonton;; Home Living, Edmonton Zone Continuing Care, Edmonton;; Covenant Health Network of Excellence in Seniors Health and Wellness, Edmonton.
  3. Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton;; Bethany Care Society, Calgary, AB.

PMID: 27729947 PMCID: PMC5038930 DOI: 10.5770/cgj.19.222

Abstract

BACKGROUND: The Decision-Making Capacity Assessment (DMCA) Model includes a best-practice process and tools to assess DMCA, and implementation strategies at the organizational and assessor levels to support provision of DMCAs across the care continuum. A Developmental Evaluation of the DMCA Model was conducted.

METHODS: A mixed methods approach was used. Survey (

RESULTS: Strengths of the Model include its best-practice and implementation approach, applicability to independent practitioners and inter-professional teams, focus on training/mentoring to enhance knowledge/skills, and provision of tools/processes. Post-training, participants agreed that they followed the Model's guiding principles (90%), used problem-solving (92%), understood discipline-specific roles (87%), were confident in their knowledge of DMCAs (75%) and pertinent legislation (72%), accessed consultative services (88%), and received management support (64%). Model implementation is impeded when role clarity, physician engagement, inter-professional buy-in, accountability, dedicated resources, information sharing systems, and remuneration are lacking. Dedicated resources, job descriptions inclusive of DMCAs, ongoing education/mentoring supports, access to consultative services, and appropriate remuneration would support implementation.

CONCLUSIONS: The DMCA Model offers practitioners, inter-professional teams, and organizations a best-practice and implementation approach to DMCAs. Addressing barriers and further contextualizing the Model would be warranted.

Keywords: capacity; capacity assessment; capacity assessment model; cognitive decline; competency; decision-making; evaluation; older adults

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