National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales
Background: The Mental Capacity Act (2005) (MCA) provides a legal framework for advance planning for both health and welfare in England and Wales for people if they lose mental capacity e.g. through mania or severe depression. Aims: To determine the proportion of people with bipolar disorder (BD) w...
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| Format: | Article |
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Taylor & Francis
2017
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| Online Access: | https://eprints.nottingham.ac.uk/42701/ |
| _version_ | 1848796547112763392 |
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| author | Morriss, Richard Mudigonda, Mohan Bartlett, Peter Chopra, Arun Jones, Steven |
| author_facet | Morriss, Richard Mudigonda, Mohan Bartlett, Peter Chopra, Arun Jones, Steven |
| author_sort | Morriss, Richard |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background: The Mental Capacity Act (2005) (MCA) provides a legal framework for advance planning for both health and welfare in England and Wales for people if they lose mental capacity e.g. through mania or severe depression.
Aims: To determine the proportion of people with bipolar disorder (BD) who utilise advance planning, their experience of using it and barriers to its implementation.
Methods: National survey of people with clinical diagnosis of BD of their knowledge, use and experience of the MCA. Thematically analysed qualitative interviews with maximum variance sample of people with BD.
Results: 544 respondents with BD participated in the survey; 18 in the qualitative study. 403 (74.1%) believed making plans about their personal welfare if they lost capacity to be very important. 199 (36.6%) participants knew about the MCA. 54 (10%), 62 (11%) and 21 (4%) participants made advanced decisions to refuse treatment, advance statements and lasting power of attorney respectively. Barriers included not understanding its different forms, unrealistic expectations and advance plans ignored by services.
Conclusion: In BD the demand for advance plans about welfare with loss of capacity was high but utilisation of the MCA was low with barriers at service user, clinician and organisation levels. |
| first_indexed | 2025-11-14T19:49:43Z |
| format | Article |
| id | nottingham-42701 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:49:43Z |
| publishDate | 2017 |
| publisher | Taylor & Francis |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-427012020-05-04T18:51:11Z https://eprints.nottingham.ac.uk/42701/ National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales Morriss, Richard Mudigonda, Mohan Bartlett, Peter Chopra, Arun Jones, Steven Background: The Mental Capacity Act (2005) (MCA) provides a legal framework for advance planning for both health and welfare in England and Wales for people if they lose mental capacity e.g. through mania or severe depression. Aims: To determine the proportion of people with bipolar disorder (BD) who utilise advance planning, their experience of using it and barriers to its implementation. Methods: National survey of people with clinical diagnosis of BD of their knowledge, use and experience of the MCA. Thematically analysed qualitative interviews with maximum variance sample of people with BD. Results: 544 respondents with BD participated in the survey; 18 in the qualitative study. 403 (74.1%) believed making plans about their personal welfare if they lost capacity to be very important. 199 (36.6%) participants knew about the MCA. 54 (10%), 62 (11%) and 21 (4%) participants made advanced decisions to refuse treatment, advance statements and lasting power of attorney respectively. Barriers included not understanding its different forms, unrealistic expectations and advance plans ignored by services. Conclusion: In BD the demand for advance plans about welfare with loss of capacity was high but utilisation of the MCA was low with barriers at service user, clinician and organisation levels. Taylor & Francis 2017-06-23 Article PeerReviewed Morriss, Richard, Mudigonda, Mohan, Bartlett, Peter, Chopra, Arun and Jones, Steven (2017) National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales. Journal of Mental Health . ISSN 1360-0567 Advance directives Advance health care planning Bipolar disorder Health legislation http://www.tandfonline.com/doi/full/10.1080/09638237.2017.1340613 doi:10.1080/09638237.2017.1340613 doi:10.1080/09638237.2017.1340613 |
| spellingShingle | Advance directives Advance health care planning Bipolar disorder Health legislation Morriss, Richard Mudigonda, Mohan Bartlett, Peter Chopra, Arun Jones, Steven National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales |
| title | National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales |
| title_full | National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales |
| title_fullStr | National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales |
| title_full_unstemmed | National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales |
| title_short | National survey and analysis of barriers to the utilisation of the 2005 Mental Capacity Act by people with bipolar disorder in England and Wales |
| title_sort | national survey and analysis of barriers to the utilisation of the 2005 mental capacity act by people with bipolar disorder in england and wales |
| topic | Advance directives Advance health care planning Bipolar disorder Health legislation |
| url | https://eprints.nottingham.ac.uk/42701/ https://eprints.nottingham.ac.uk/42701/ https://eprints.nottingham.ac.uk/42701/ |