Understanding Mental Capacity, with Dr Oli Bekarma and Eleanor Tallon

"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

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