Skip to main content
×
×
Home

Understanding ‘significant impaired decision-making ability’ with regard to treatment for mental disorder: an empirical analysis

  • Evonne Shek (a1), Donald Lyons (a2) and Mark Taylor (a3)
Abstract
Aims and Method

To capture psychiatrists' reasons for ‘significant impaired decision-making ability’ (SIDMA) as there is no definition of SIDMA in the Mental Health (Care and Treatment) (Scotland) Act 2003. One hundred consecutive mental health reports from January to February 2008 were examined using a questionnaire.

Results

More than half the mental health reports noted lack of insight as the main cause of SIDMA. Other reasons for SIDMA included limited cognitive function and presence of psychotic symptoms.

Clinical implications

Five reasons for SIDMA were identified: lack of insight, cognitive impairment, presence of psychosis, severe depressive symptoms and learning disability. We recommend psychiatrists working in Scotland give full descriptions of SIDMA, indicating how this has an impact on the patient's ability to make decisions.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Understanding ‘significant impaired decision-making ability’ with regard to treatment for mental disorder: an empirical analysis
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Understanding ‘significant impaired decision-making ability’ with regard to treatment for mental disorder: an empirical analysis
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Understanding ‘significant impaired decision-making ability’ with regard to treatment for mental disorder: an empirical analysis
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Evonne Shek (Evonne.Shek@aapct.scot.nhs.uk)
Footnotes
Hide All

Declaration of interest

None.

Footnotes
References
Hide All
1 Scottish Executive. Approved Medical Practitioners – Mental Health (Care & Treatment)(Scotland) Act 2003 Training Manual. Appendix 2 – Significantly Impaired Decision-Making Ability. Scottish Executive, 2005.
2 Office of Public Section Information. The Adults With Incapacity (Scotland) Act 2000. OPSI, 2000 (http://www.opsi.gov.uk/legislation/SCOTLAND/acts2000/asp_20000004_en_1).
3 Office of Public Section Information. Mental Health (Care and Treatment) (Scotland) Act 2003. Part 7 Compulsory Treatment Orders Chapter 1 section 57 (4) (b). OPSI, 2003 (http://www.opsi.gov.uk/legislation/scotland/acts2003/asp_20030013_en_7#pt7).
4 Cairns, R, Maddock, C, Buchanan, A, David, AS, Hayward, P, Richardson, G, et al. Prevalence and predictors of mental incapacity in psychiatric in-patients. Bri J Psychiatry 2005; 187: 379–85.
5 Aleman, A, Agrawal, N, Morgan, KD, David, AS. Insight in psychosis and neuropsychological function. Meta-analysis. Br J Psychiatry 2006; 189: 204–12.
6 Department of Health. Government Response to the Report of the Joint Committee on the Draft Mental Health Bill 2004: 16. Department of Health, 2005.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×
Type Description Title
UNKNOWN
Supplementary materials

Shek et al. supplementary material
Supplementary Material

 Unknown (418 bytes)
418 bytes
PDF
Supplementary materials

Shek et al. supplementary material
Supplementary Material

 PDF (32 KB)
32 KB

Metrics

Full text views

Total number of HTML views: 1
Total number of PDF views: 19 *
Loading metrics...

Abstract views

Total abstract views: 203 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 22nd July 2018. This data will be updated every 24 hours.

Understanding ‘significant impaired decision-making ability’ with regard to treatment for mental disorder: an empirical analysis

  • Evonne Shek (a1), Donald Lyons (a2) and Mark Taylor (a3)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *