Thanks for sharing the European paper, I look forward to reading it and linking to my world.
I am beginning to try to understand what the Law Reform Commission of Ontario has been working on over the last 4 years– reform around capacity and how to approach.
They are taking an incremental, stage by stage systems approach – though this will apply to all citizens and their contexts in Ontario.
A whole population approach is interesting to me rather than a specific population/group, although the context and history around psychiatric care for sure informs in part. I see a whole population approach to capacity having greater potential for actual system and Social Change when we consider an individual’s life time journey.
Here is a cut and paste from their page and general reform direction of the report.
“Key Areas for Reform
The Final Report’s 58 recommendations include proposals in six broad areas:
Improving access to the law, in particular by greatly streamlining court-based mechanisms under the Substitute Decisions Act and promoting greater use of tribunals to reduce cost, complexity and time to resolve issues
Promoting understanding of the law among family members, substitute decision-makers, professionals and service providers, and those whose rights are most immediately impacted by a legal finding or proceeding;
Strengthening the rights protected under the Health Care Consent Act by improving the quality of capacity assessments and expanding the provision of rights information to those found incapable;
Reducing inappropriate intervention by providing more options to persons who cannot make decisions independently, and creating more flexible and limited types of substitute decision-making appointments;
Increasing accountability and transparency for personal appointments, so as to address widespread concerns regarding abuse and misuse use of powers of attorney and elder abuse; and,
Enabling greater choice of substitute decision-makers, in response to the needs of the growing number of individuals who prefer families of choice, or who do not have family or close friends who are willing and able to take on this important role.”
Thanks for what seems like a constructive and fair way to get us to consider the organization. You laid out these facts and are working to get accountability. I hope members of NAMI, see that you are not burning them down, rather than getting them to be more accountable. So thanks.
Harvey Rosenthal, from New York Association for Psychiatric Rehabilitation Services.
shared this article from the New York Times https://www.nytimes.com/2017/05/24/health/mental-health-czar-elinore-mccance-katz.html?_r=2 explaining how the Republicans and Trump, and endorsed by NAMI – a new mental health czar for mental health reform, who is some kind of recovery model skeptic. I realize there are lots of skeptics on this model, but at least there is a general progressive direction with it.
People, Speaking of books, you managed to write a book here, in the comments section. Thanks for the great discussion to help us think.
Bill, Ottawa, Ontario
Thanks for sharing the European paper, I look forward to reading it and linking to my world.
I am beginning to try to understand what the Law Reform Commission of Ontario has been working on over the last 4 years– reform around capacity and how to approach.
They are taking an incremental, stage by stage systems approach – though this will apply to all citizens and their contexts in Ontario.
A whole population approach is interesting to me rather than a specific population/group, although the context and history around psychiatric care for sure informs in part. I see a whole population approach to capacity having greater potential for actual system and Social Change when we consider an individual’s life time journey.
Here is the link: http://www.lco-cdo.org/en/our-current-projects/legal-capacity-decision-making-and-guardianship/
Here is a cut and paste from their page and general reform direction of the report.
“Key Areas for Reform
The Final Report’s 58 recommendations include proposals in six broad areas:
Improving access to the law, in particular by greatly streamlining court-based mechanisms under the Substitute Decisions Act and promoting greater use of tribunals to reduce cost, complexity and time to resolve issues
Promoting understanding of the law among family members, substitute decision-makers, professionals and service providers, and those whose rights are most immediately impacted by a legal finding or proceeding;
Strengthening the rights protected under the Health Care Consent Act by improving the quality of capacity assessments and expanding the provision of rights information to those found incapable;
Reducing inappropriate intervention by providing more options to persons who cannot make decisions independently, and creating more flexible and limited types of substitute decision-making appointments;
Increasing accountability and transparency for personal appointments, so as to address widespread concerns regarding abuse and misuse use of powers of attorney and elder abuse; and,
Enabling greater choice of substitute decision-makers, in response to the needs of the growing number of individuals who prefer families of choice, or who do not have family or close friends who are willing and able to take on this important role.”
Thanks for what seems like a constructive and fair way to get us to consider the organization. You laid out these facts and are working to get accountability. I hope members of NAMI, see that you are not burning them down, rather than getting them to be more accountable. So thanks.
Harvey Rosenthal, from New York Association for Psychiatric Rehabilitation Services.
shared this article from the New York Times https://www.nytimes.com/2017/05/24/health/mental-health-czar-elinore-mccance-katz.html?_r=2 explaining how the Republicans and Trump, and endorsed by NAMI – a new mental health czar for mental health reform, who is some kind of recovery model skeptic. I realize there are lots of skeptics on this model, but at least there is a general progressive direction with it.
Useful article and comments, thanks.
I posted it here (you have to log in) in a reply to discussion on system/data/logic model development in Ontario, Canada. http://www.eenetconnect.ca/topic/help-develop-a-new-data-and-performance-measurement-framework-for-mental-health-and-addictions-in-ontario?reply=345831764114081891#345831764114081891
People, Speaking of books, you managed to write a book here, in the comments section. Thanks for the great discussion to help us think.
Bill, Ottawa, Ontario