Differences

This shows you the differences between two versions of the page.

Link to this comparison view

Both sides previous revision Previous revision
teaching:on-mha:home [2020/05/19 14:48]
psychdb [Mental Health Act (MHA)]
teaching:on-mha:home [2020/05/19 14:52] (current)
psychdb [Substitute Decision Makers (SDMs)]
Line 54: Line 54:
   * **The SDM(s) must be available, capable, and willing**   * **The SDM(s) must be available, capable, and willing**
   * Multiple SDMs of the same rank can be involved   * Multiple SDMs of the same rank can be involved
-  * If SDMs of the same rank disagree on a treatment (i.e. - feuding SDMs) and cannot come to an agreement, then the decision will automatically go to the PGT. Therefore, it is in the existing SDM(s) best interest to come towards an agreed decision.+  * If SDMs of the same rank disagree on a treatment (i.e. - feuding SDMs) and cannot come to an agreement, then the decision will automatically go to the Public Guardian and Trustee (PGT). Therefore, it is in the existing SDM(s) best interest to come towards an agreed decision.
   * SDMs must comply with the most recent expressed capable wishes of the patient (or if unknown, the best interests)   * SDMs must comply with the most recent expressed capable wishes of the patient (or if unknown, the best interests)
   * If the MD thinks the SDM not acting in accordance with principles of HCCA, the PGT can be contacted   * If the MD thinks the SDM not acting in accordance with principles of HCCA, the PGT can be contacted
-  * Even if an SDM is involved, you should still involve the patient as much as possible! (e.g. - tell patient that SDM will assist them and make the final decision, ​but still involve patient as much as possible in discussions ​with SDM+  * Even if an SDM is involved, you should still involve the patient as much as possible! (e.g. - tell patient that SDM will assist them and make the final decision, ​and still involve patient as much as possible in treatment ​discussions) 
-  * If patient disagrees with having a specific SDM, the MD can try to find another substitute of the same or senior rank, or advise the patient to apply for a review through a [[teaching:​on-mha:​consent-capacity-board-hearings|Consent and Capacity Board (CCB) Hearing]]+  * If patient disagrees with having a specific SDM, the MD can try to find another substitute of the same or senior rank, or advise the patient to apply for a review through a [[teaching:​on-mha:​consent-capacity-board-hearings|Consent and Capacity Board (CCB) Hearing]]
 </​WRAP>​ </​WRAP>​