Assisted Decision-Making (Capacity) Act (2015) - HSE.ie (2024)

The Assisted Decision-Making (Capacity) Act (2015) (as amended) is about supporting decision-making and maximising a person’s capacity to make decisions. This Act applies to everyone and is relevant to all health and social care services.

This new Act assists in complying with human-rights obligations contained in the Constitution of Ireland, the European Convention on Human Rights, and the United Nations Convention on the Rights of Persons with Disabilities.

We have a number of resources with more information about the Act:

A short explainer video on the Act (Youtube)

A full presentation on the Act (Youtube)

Frequently Asked Questions on the Act

Presentations, videos and e-learning programmes relating to ADM

Latest news and upcoming events

Assisted Decision-Making (Capacity) Act 2015: An Evening with Judge John O'Connor

On Wednesday 21st February 2024, we hosted an evening with Judge John O'Connor, who gave us an insight into the implementation of the Act in the Circuit Court. Judge O'Connor's presentation was followed by a Q&A session, chaired by Professor Mary Donnelly, School of Law, University College Cork. The evening concluded with questions from the floor to the Judge and a panel of experts, including Professor Shaun O'Keeffe, Aine Flynn, Director of the Decision Support Service, Bibiana Savin, Assistant CEO, Sage Advocacy, and Suzy Byrne, disability advocate and Regional Manager, National Advocacy Service for People with Disabilities.

Watch the recording of the event (YouTube)

Judge John O'Connor's slides

Video recording of resources

Elaine McCaughley, Senior Project Manager, from the HSE National Office for Human Rights and Equality Policy recorded the following video walking through the resources that are available to healthcare workers to understand the new responsibilities under the Assisted Decision-Making (Capacity) Act 2015 on our webpage.

Watch the video recording of resources (Youtube)

Links to resources (PDF)

E-learning programme

TheAssisted Decision-Making (Capacity) Act 2015: Guidance for Healthcare Workers e-learning programme was launched on HSeLanD on 7th March 2023. This e-learning programme includes 3 modules:

  • Module 1: Guiding Principles
  • Module 2:Working with Decision Supporters appointed under the 2015 Act
  • Module 3: Advance Healthcare Directives

Search "Assisted Decision-Making (Capacity) Act 2015 – Guidance for Healthcare Workers" on HSeLand to enroll in the course

Webinars

We hosted a webinar titled:Assisted Decision-Making (Capacity) Act 2015: Discharge from Wardship on 26th February 2024.

This webinar provided an update on discharge from wardship and what staff can do to support this. The webinar focussed on the capacity and discharge applications, the new decision-support options that are available, the role of the General Solicitor and the importance of will and preference and the voice of the person.

Update from the Decision Support Service

The Decision Support Service have published13 codes of practice for decision supporters, interveners and relevant professionals, providing guidance for their functions and responsibilities under the Assisted Decision-Making (Capacity) Act 2015.

Decision Support Service publishes codes of practice

The Decision Support Service have developed a short video for families explaining theAssisted Decision-Making (Capacity) Act 2015

Update from the Court Service

Capacity Statement under Part 5 of the Assisted Decision-Making (Capacity) Act 2015

The Court Service have signed off on this document as a guide to the functional assessment of capacity required for a Capacity Application under Part 5 of the Assisted Decision Making (Capacity) Act 2015. To note this is not a legal document and has been developed for guidance purposes only.

In addition, the Court Service have created a flow-chart on how to make a capacity application.

Capacity Statement under Part 5 of the Assisted Decision-Making (Capacity) Act 2015 (PDF)

The Courts Service have published an update on the Assisted Decision-Making (Capacity) Act 2015 and Care Representative Applications.

The 2015 Act commenced on the 26th April. The Wards of Court Office stopped accepting wardship applications on the 25th April 2023. From 26th April applications under Part 5 of the Assisted Decision-Making (Capacity) Act 2015 as amended will be made to the Circuit Court.The Wards of Court Office will commence the three year statutory review and the discharge of all adult wards of court. A HSEguidance documentwas developed prior to commencement of the 2015 Act to provide a clear and consistent approach on the steps required before an application for wardship of an adult is considered by the HSE.

About this webpage

This webpage is from the HSE National Office for Human Rights and Equality Policy Team.It aims to present information and resources relevant to the Assisted Decision-Making (Capacity) Act 2015 to help healthcare workers implement the Act in their work.

If you want to join our mailing list, please contact adm@hse.ie

Assisted Decision-Making (Capacity) Act (2015) - HSE.ie (2024)

FAQs

What are the guiding principles of the Assisted decision-making capacity Act 2015? ›

Guiding principles

Support people as much as possible to make their own decisions. Don't assume a person lacks capacity just because of an unwise decision. Only take action where it is really necessary. Any action should be the least restriction on a person's rights and freedoms.

What are the 4 components of decision-making capacity? ›

Four Component Model of Decisional Capacity. Capacity for healthcare is generally defined in terms of four dimensions or criteria: (a) Understanding, (b) Appreciation, (c) Reasoning, and (d) Expression of a Choice (Grisso & Appelbaum, 1998a; Roth, Meisel, & Lidz, 1977).

What must a person be able to show they have capacity to make decisions? ›

A person's decision-making capacity is determined by their ability to: understand the information relevant to the decision and its effect. retain the information to the extent necessary to make the decision.

When must it be assumed that a person has capacity to make a decision? ›

The MCA says a person is unable to make a decision if they cannot do 1 or more of these things: understand the information relevant to the decision. retain that information for long enough to make the decision. use or weigh up that information as part of the process of making the decision.

What are the key principles of the capacity act? ›

Five key principles
  • Principle 1: A presumption of capacity. ...
  • Principle 2: Individuals being supported to make their own decisions. ...
  • Principle 3: Unwise decisions. ...
  • Principle 4: Best interests. ...
  • Principle 5: Less restrictive option.

What is the summary of the capacity act? ›

The Mental Capacity Act 2005 is a law that protects vulnerable people over the age of 16 around decision-making. It says that: Every adult, whatever their disability, has the right to make their own decisions wherever possible. Easy Read is a way of making written information easier to understand.

What are the four capacity questions? ›

4. Assessment of Capacity: Four Questions
  • Does the person understand the relevant information? ...
  • Can the person retain the relevant information? ...
  • Can the person use or weigh the information relevant to this decision? ...
  • Can the person communicate their decision in any way?

What are the 4 measures of capacity? ›

Gallon, cup, quart, or pint are examples of tools used in the customary measurement. These measurement tools can be broken down into smaller parts, for instance, a cup can be divided into half, and a quarter cup, etc. Pints, quarts, and gallons are employed for measuring the capacity of liquids.

What are the 4 components of decision-making? ›

There are 4 basic elements in decision theory: acts, events, outcomes and payoffs. There are 4 basic elements in decision theory: acts, events, outcomes, and payoffs.

Who decides if someone has decision-making capacity? ›

Decision- making capacity is clinically determined by physician assessment.

How to prove capacity? ›

The test to assess capacity
  1. The two-stage test.
  2. Stage 1 – Is the person unable to make a particular decision (the functional test)?
  3. Stage 2 – Is the inability to make a decision caused by an impairment of, or disturbance in the functioning of, a person's mind or brain?

What is lack of capacity to make decision? ›

A person lacks capacity if their mind is impaired or disturbed in some way, which means they're unable to make a decision at that time.

What is the golden rule of capacity? ›

It emphasizes the importance of involving a medical practitioner when dealing with aged or ill testators to ensure that their capacity and understanding are assessed and documented. This rule aims to protect the integrity of the testator's wishes and prevent any potential legal disputes arising from contested wills.

What are the three elements of decision-making capacity? ›

Decision-making capacity is when a person: • Understands when a decision needs to be made about their treatment, care or support. Understands the facts of the decision. Understands the main choices available in relation to the decision.

Who decides mental capacity? ›

In the codes of practice, the people who decide whether or not a person has the capacity to make a particular decision are referred to as 'assessors'. This is not a formal legal title. Assessors can be anyone – for example, family members, a care worker, a care service manager, a nurse, a doctor or a social worker.

What guiding principles should be considered when making decisions under the Mental health Act? ›

Respect principle- people taking decisions under the Act must recognize and respect each patient including their race, religion, culture, gender, age, sexual orientation and any disability. Participation principle- patients must be involved in their care as much as is practicable.

What are the principles of capacity planning? ›

Key elements of capacity planning
  • Determine the objectives. Clearly define the goals of the capacity planning process. ...
  • Forecast demand. Predict upcoming needs and future demand. ...
  • Assess current capacity. ...
  • Identify constraints. ...
  • Develop scenarios. ...
  • Analyze alternatives. ...
  • Implement capacity plan. ...
  • Monitor and adjust.

What are the standards for assessing decision-making capacity? ›

Outline
  • The decision-making abilities. Understanding. Expressing a choice. Appreciation. ...
  • Semi-structured patient interview.
  • Validated instruments.
  • Challenges. Patient dissents from recommended treatment and has marginal performance on other decisional abilities. Patient refuses a capacity assessment.
Feb 29, 2024

What are the elements of the functional stage of the two-stage capacity test? ›

The second stage of the test (or functional test) dictates that the person is unable to make a decision if they cannot:
  • Understand information about the decision to be made.
  • Retain that information in their mind.
  • Use or weigh-up the information as part of the decision process.
  • Communicate their decision.

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