Carlin K, Silberfeld M, Deber R B, Lowy F
Competency Clinic, Baycrest Centre for Geriatric Care, North York, Ontario.
Can J Psychiatry. 1996 Apr;41(3):167-74. doi: 10.1177/070674379604100307.
To report on the perceptions of assessment of competency and its consequences on a group of clients and significant others at follow-up.
Ninety-five interviews were conducted using a carefully developed semistructured telephone interview of 24 clients and 71 family/caregivers, representing the perceptions of about 80 clients.
There was general satisfaction in the competency assessment process. There was a perception that interests and rights were protected. Clients were seen to be less involved in all spheres of decision making regardless of capacity outcome. Clients and families were satisfied with how decisions were made.
Follow-up study of competency assessment does not support the conclusions previously drawn based on court record studies that assessments are deleterious and frequently result in violations of rights.
报告对能力评估的看法及其对一组随访客户和重要他人的影响。
采用精心设计的半结构化电话访谈对24名客户和71名家庭/照顾者进行了95次访谈，代表了约80名客户的看法。
对能力评估过程总体满意。认为利益和权利得到了保护。无论能力评估结果如何，客户在所有决策领域的参与度都较低。客户和家庭对决策方式感到满意。
能力评估的随访研究不支持先前基于法庭记录研究所得出的结论，即评估是有害的，并且经常导致权利侵犯。
