"Mental capacity is decision-specific."

In this episode, Patrick and Ben explore the complexities of the Mental Capacity Act (UK) and its implications for rehabilitation and recovery, with guests Dr Oli Bekarma and Eleanor Tallon.

They discuss the principles of the Act, the role of professionals in assessing capacity, and the impact of emotions on decision-making. The conversation emphasizes the importance of understanding mental capacity as decision-specific and context-dependent, while also addressing the challenges faced by practitioners in this field. The episode concludes with reflections on best practices and the need for continuous learning in mental capacity practice.

Chapters

00:00 Introduction to the Podcast and Guests

03:38 The Role of Social Workers and Psychologists

05:16 Defining Mental Capacity

06:52 The Presumption of Capacity

09:21 Unwise Decisions vs. Lack of Capacity

11:18 Navigating Complex Decisions

13:56 The Importance of Context in Assessments

15:30 Building Rapport in Assessments

16:42 The Impact of Executive Dysfunction

18:55 Philosophical Considerations in Decision Making

20:29 Conclusion and Reflections

26:42 Emotional Influences on Decision-Making

29:02 Navigating Assessment Anxiety

30:54 The Role of Hope in Capacity Assessments

33:11 Understanding Capacity: Beyond Binary Thinking

36:58 The Burden of Decision-Making in Assessments

39:57 Pet Hates and Pro Tips in Mental Capacity Assessments

Guests:

Dr Oliver Bekarma, Clinical Psychologist of Clarity Psychology

Eleanor Tallon, Independent Social Worker of MCA Professional

www.listeningfirstpod.com

© Patrick Boyd & Dr Ben Marram. All rights reserved.

"Therapy should be meaningful" - Matthew Nakonesky

In this episode of the Listening First podcast, hosts Patrick Boyd and Ben Marram welcome Matthew Nakonesky, Principal Speech and Language Therapist from Speech Therapy North East. The conversation explores the multifaceted role of speech and language therapists, particularly in the context of cognitive communication disorders. Matthew shares insights into his journey into the profession, the importance of real-life applications of therapy, and the innovative group therapy approaches he employs to help clients navigate communication challenges. The discussion highlights the significance of peer support, project-based group therapy, and the ongoing evaluation of client progress, all while emphasizing the need for meaningful and purposeful interventions in rehabilitation.

Chapters:
00:00 Introduction to Recovery and Rehabilitation Podcast

01:09 Meet Matthew Nakonesy: A Journey into Speech Therapy

02:57 Understanding the Role of a Speech and Language Therapist

05:19 Cognitive Communication Disorders Explained

08:11 The Importance of Real-Life Context in Therapy

09:08 Innovative Approaches to Cognitive Communication Interventions

11:46 The Role of Communication Groups in Rehabilitation

14:14 Evidence-Based Practices in Group Therapy

16:53 Purpose-Driven Therapy and Community Engagement

20:11 Raising Awareness Through Education

22:59 Monitoring Progress in Communication Groups

26:13 The Power of Peer Feedback

28:43 Navigating Group Dynamics

31:41 Surprises and Learnings in Group Therapy

34:36 Integrating Therapy with Multidisciplinary Teams

38:34 Advice for Aspiring Speech Therapists

Links:

Herbie the Dinosaur video: https://youtu.be/328J0E8vq9g

Episode Credits:

Patrick Boyd - Producer/Co-host

Dr Ben Marram - Producer/Co-host

Matthew Nakonesy - Guest (Speech Therapy North East)

For links to the following, please email listeningfirstpod@gmail.com:

• Herbie the Dinosaur E-book
• STNE Getting Connected Group Flyer
• STNE Social Communication Group Flyer
• CCCABI Checklist
• Model of Cognitive Communication Competence

© 2025 Patrick Boyd & Ben Marram. All rights reserved.

This episode is protected by copyright. No part may be reproduced, distributed, or transmitted in any form without prior written permission from the copyright holders.

"Rehabilitation should blend with everyday life"

In this episode of Listening First, hosts Patrick Boyd and Ben Marram engage in a deep conversation with Vicki Gilman, an expert in neuro rehabilitation and case management. They explore the complexities of rehabilitation, the importance of hope and empowerment for clients, and the role of technology in modern practices. Vicki shares her journey in the field, emphasizing the need for effective communication and trust within multidisciplinary teams. The discussion highlights the evolving nature of rehabilitation and the necessity of understanding individual needs and measuring progress for successful outcomes.

Chapters

00:00 Introduction to Listening First Podcast

02:00 Vicki Gilman's Journey in Rehabilitation

07:28 Defining Rehabilitation: A Complex Perspective

14:07 The Role of Hope in Rehabilitation

17:48 Navigating Expectations and Outcomes in Rehabilitation

23:41 Nurturing Hope in Rehabilitation

25:28 Empowerment Through Choice and Control

27:10 Balancing Autonomy and Protection

30:53 The Role of Communication in MDTs

37:54 Technology's Impact on Rehabilitation

Episode Credits:

Patrick Boyd - Producer/co-host

Dr Ben Marram - Producer/co-host

Vicki Gilman - Guest