DEMENTIA, TESTAMENTARY CAPACITY AND UNDUE INFLUENCE DÉMENCE, CAPACITÉ TESTIMONIALE ET INFLUENCE INDUE

Size: px
Start display at page:

Download "DEMENTIA, TESTAMENTARY CAPACITY AND UNDUE INFLUENCE DÉMENCE, CAPACITÉ TESTIMONIALE ET INFLUENCE INDUE"

Transcription

1 To help anticipate To help live with dementia DEMENTIA, TESTAMENTARY CAPACITY AND UNDUE INFLUENCE DÉMENCE, CAPACITÉ TESTIMONIALE ET INFLUENCE INDUE Harold KASPRZAK Lawyer, Programme Assistant, Social Studies Department FONDATION MEDERIC ALZHEIMER Paris (France) 21 st Alzheimer Europe Conference "European Solidarity without borders" 8 th October Warsaw (Poland)

2 INTRODUCTION CONTEXT Testamentary capacity and undue influence are important issues in the context of dementia (Spar & Garb 1992) However, they did not receive much attention (Moye & Marson 2007) and there is a gap between case law and clinical research (Peisah et al. 2009) How to fill the gap between theory and practice? 2

3 INTRODUCTION 1. Brief review of international literature and case law 2.- A comparison of practices in Europe 3.- From theory to practice 3

4 LITERATURE AND CASE LAW REVIEW TESTAMENTARY CAPACITY Presomption of capacity (Redmond 1987) A situation-specific ability (Fountoulakis & Despos 2008) Need for specific assessment (Jacoby & Steer 2007) BANKS v. GOODFELLOW (1870) Understanding the meaning and effect of making a will Knowledge of the nature and extent of one s assets Claims of natural heirs Being free of mental disorders or delusions that influence the disposition of assets Cornerstone of testamentary capacity assessment 4

5 LITERATURE AND CASE LAW REVIEW UNDUE INFLUENCE A legal concept which lacks a clinical definition (Moye & Marson 2007) Difficulty to distinguish undue influence v. due influence (Gutheil 2007) WINGROVE v. WINGROVE (1885)... To be undue influence there must be a form of coercion An overpowering of the testator s volition, judgment or wishes Influence is relative to the vulnerability of the testator 5

6 A COMPARISON OF PRACTICES IN EUROPE RETROSPECTIVE CHALLENGE OF A WILL Dementia (40%) Undue influence is alleged (56%) Testator with no biological children (52%) Radical change from a previous will (72%) Will executed less than a year prior to death (48%) TYPICAL PROFILE Shulman and al The burden of proof is on the claimant Courts take into account every means at their disposal Retrospective challenge looks like a psychological autopsy (Noffsinger 2008) 6

7 A COMPARISON OF PRACTICES IN EUROPE CONTEMPORARY WILL S ASSESSMENT ALZHEIMER EUROPE Dementia in Europe Yearbook 2010 Similarities between countries Differences across countries 7

8 FROM THEORY TO PRACTICE THE NETHERLANDS KONINKLIJKE NOTARIËLE BEROEPSORGANISATIE Stappenplan Beoordeling Wilsbekwaamheid ten behoeve van notariële dienstverlening (2005) When assessing if a person is capable of making a will, notaries should consider the person s : Ability to understand - Could you reformulate in your own words what I told you about the will? Ability to appreciate - Why is it important to you to make a will? Ability to reason - What are the grounds of your choice? Ability to express a choice - Do you fully agree with the extent and wording of the will? 8

9 FROM THEORY TO PRACTICE INTERNATIONAL PSYCHOGERIATRIC ASSOCIATION TASK-FORCE ON WILLS AND UNDUE INFLUENCE International Psychogeriatrics (2009) RED FLAGS FOR UNDUE INFLUENCE the testator invests significant trust or confidence in another person isolation of the person impairment in vision, hearing or mobility impairs communication change in family dynamics or family conflict physical or psychological dependence on a carer beneficiary instigates or procures the will content of will is not in keeping with previous wishes A useful guidance for professionals 9

10 CONCLUSION Assessing testamentary capacity: a complex, cross disciplinary endeavour A need for shared and clear criteria A need for professionals to collaborate more actively 10

11 REFERENCES ALZHEIMER EUROPE (2010), Dementia in Europe Yearbook 2010 BRITISH GERIATRICS SOCIETY (2006), Guidelines on Capacity and Testamentary Capacity. BRITISH MEDICAL ASSOCIATION, Assessment of Mental Capacity- a practical guide for Doctors & Lawyers KONINKLIJKE NOTARIËLE BEROEPSORGANISATIE (2005), Stappenplan Beoordeling Wilsbekwaamheid ten behoeve van notariële dienstverlening. CHURCH M & WATTS S (2007), Assessment of mental capacity: a flow chart guide, psychiatric bulletin 31: COLLINS E (2002), Taking instructions from the Elderly Client and Testamentary Capacity GUTHEIL T (2007), Common Pitfalls in the Evaluation of Testamentary Capacity, MD, The journal of American Academy of Psychiatry and the Law 35: JACOBY R & STEER P (2007) How to assess capacity to make a will, BMJ, vol 335 NOFFSINGER S (2008), Evaluating Capacity to Make a Will, Psychological Autopsy and Assessment of testamentary capacity, Psychiatric times, Vol 25 (14) MOYE J & MARSON D (2007), Assessment of Decision-Making Capacity in Older Adults: An Emerging Area of Practice and Research. Journal of Gerontology Psychological Sciences, Vol 62B (1:3) PEISAH C et Al (2009), The wills of older people: risk factors for undue influence, International Psychogeriatric. REDMOND (1987), Testamentary capacity, Bull Am Acad Psychiatry Law, Vol. 15 (3) SHULMAN K, COHEN C and HULL I (2007), Psychiatric issues in retrospective challenges of testamentary capacity, International Journal of Geriatric Psychiatry SPAR J & GARB A (1992), Assessing Competency to Make a Will, American J Psychiatry GORMAN WF (1996), Testamentary capacity in Alzheimer s disease 11

12 Thank you Merci for your attention de votre attention Harold KASPRZAK

Capacity and Older Adults. Kenneth I. Shulman

Capacity and Older Adults. Kenneth I. Shulman Capacity and Older Adults Kenneth I. Shulman Increased Requests for Contemporaneous Assessments of Testamentary Capacity Increase in challenges to testamentary capacity Demographics/Economics Prevalence

More information

Legal and Ethical Issues for Medical Students. Dr Robyn McGregor Rozelle Hospital and Dr. Bob Russell R.N.S.H.

Legal and Ethical Issues for Medical Students. Dr Robyn McGregor Rozelle Hospital and Dr. Bob Russell R.N.S.H. Legal and Ethical Issues for Medical Students Dr Robyn McGregor Rozelle Hospital and Dr. Bob Russell R.N.S.H. CAPACITY TO DECIDE WHAT IS CAPACITY? Capacity, or competence, is the ability to make a particular

More information

Assessing Undue Influence

Assessing Undue Influence REGULAR ARTICLE Assessing Undue Influence Daniel A. Plotkin, MD, MPH, PhD, James E. Spar, MD, and Howard L. Horwitz, JD A claim of undue influence (UI) often figures prominently in will and trust contests

More information

The wills of older people: risk factors for undue influence

The wills of older people: risk factors for undue influence REVIEW The wills of older people: risk factors for undue influence International Psychogeriatrics: page 1 of 9 C 2008 International Psychogeriatric Association doi:10.1017/s1041610208008120... C. Peisah,

More information

Capacity & dementia A guide for Health Care Professionals in Western Australia Mini-legal kit Series 1.9

Capacity & dementia A guide for Health Care Professionals in Western Australia Mini-legal kit Series 1.9 Capacity & dementia A guide for Health Care Professionals in Western Australia Mini-legal kit Series 1.9 Under the common law, and consistent with Article 12 of the UN Convention on the Rights of Persons

More information

Kendra J. Belfi, MD, FACP TAGS Ethics Conference March 6, 2013

Kendra J. Belfi, MD, FACP TAGS Ethics Conference March 6, 2013 Kendra J. Belfi, MD, FACP TAGS Ethics Conference March 6, 2013 Describe the tension between Autonomy and Protection Describe basic components of assessing capacity Consider the importance of conversations

More information

Wednesday, June 21, 2017 Elder Law Rooms: Medical Capacity

Wednesday, June 21, 2017 Elder Law Rooms: Medical Capacity Wednesday, June 21, 2017 Elder Law Rooms: 305-307 Medical Capacity 1:30 p.m. 2:40 p.m. Presented by Robert Bender II, MD 1301 Hickman Road Des Moines, IA Phone: 515-282-5700 Click to edit Master text styles

More information

Last wills and testaments in a large sample of suicide notes: implications for testamentary capacity

Last wills and testaments in a large sample of suicide notes: implications for testamentary capacity The British Journal of Psychiatry (2015) 206, 72 76. doi: 10.1192/bjp.bp.114.145722 Last wills and testaments in a large sample of suicide notes: implications for testamentary capacity Mark Sinyor, Ayal

More information

Wills, Testamentary Capacity and Undue Influence

Wills, Testamentary Capacity and Undue Influence Wills, Testamentary Capacity and Undue Influence I R WIN N. PER R, M D, J D* Psychiatrists, sophisticated in law and psychiatry, are usually acquainted with the issue of testamentary capacity. Wills are

More information

Charles P. Sabatino ABA Commission on Law and Aging May 20, 2009

Charles P. Sabatino ABA Commission on Law and Aging May 20, 2009 Diminished Capacity: How to Recognize It and What to Do About It? Charles P. Sabatino ABA Commission on Law and Aging May 20, 2009 Assessment of Older Adults with Diminished Capacity: A Handbook for Lawyers

More information

STEPHEN LAWSON TEP. STEP England &Wales Committee STEP Worldwide Council Law Society Civil Justice Committee

STEPHEN LAWSON TEP. STEP England &Wales Committee STEP Worldwide Council Law Society Civil Justice Committee STEPHEN LAWSON TEP STEP England &Wales Committee STEP Worldwide Council Law Society Civil Justice Committee Determining Capacity The views do not reflect the views of the editors of TQR or STEP. Departures

More information

Alzheimer Europe. European Collaboration on Dementia

Alzheimer Europe. European Collaboration on Dementia Alzheimer Europe European Collaboration on Dementia Members Care Manual Audience: Informal caregivers Analysis of existing information and data Tips for carers Available on AE website and in DE, FR, IT,

More information

UNDERSTANDING CAPACITY & DECISION-MAKING VIDEO TRANSCRIPT

UNDERSTANDING CAPACITY & DECISION-MAKING VIDEO TRANSCRIPT I m Paul Bourque, President and CEO of the Investment Funds Institute of Canada. IFIC is preparing materials to assist advisors and firms in managing effective and productive relationships with their aging

More information

Commentary: Contested Wills and Will Contests

Commentary: Contested Wills and Will Contests Commentary: Contested Wills and Will Contests James R. Merikangas, MD When disinherited heirs challenge a will drafted by a person suspected of having dementia, a legal battle may ensue. The lucid interval,

More information

Tel

Tel Dr. Josephine Wong Specialist in Psychiatry MBBS (London) MRCPsych (UK) FHKCPsych FHKAM (Psychiatry) MA (Medical Ethics and Law) The Central Practice Unit 1801 Hing Wai Building 36 Queen s Road Central,

More information

Capacity & dementia. A guide for Tasmanian Health Care Professionals: Mini-legal kit Series 1.4. AUSTRALIAN CENTRE for CAPACITY

Capacity & dementia. A guide for Tasmanian Health Care Professionals: Mini-legal kit Series 1.4. AUSTRALIAN CENTRE for CAPACITY AUSTRALIAN CENTRE for CAPACITY and ETHICS and the PREVENTION of EXPLOITATION of PEOPLE WITH DISABILITIES Capacity & dementia A guide for Tasmanian Health Care Professionals: Mini-legal kit Series 1.4 Capacity

More information

Mapping dementia-friendly communities across Europe SUMMARY OF A STUDY COMMISSIONED BY THE EUROPEAN FOUNDATIONS INITIATIVE ON DEMENTIA (EFID)

Mapping dementia-friendly communities across Europe SUMMARY OF A STUDY COMMISSIONED BY THE EUROPEAN FOUNDATIONS INITIATIVE ON DEMENTIA (EFID) Mapping dementia-friendly communities across Europe SUMMARY OF A STUDY COMMISSIONED BY THE EUROPEAN FOUNDATIONS INITIATIVE ON DEMENTIA (EFID) Executive Summary The report Mapping dementia-friendly communities

More information

Table Of Content. Page 1/8

Table Of Content. Page 1/8 Table Of Content 22nd Conference: Changing perceptions, practice and policy... 2 Summary... 3 Coordinator, Leader contact and partners... 6 Outputs... 7 D04-00 - Programme and book of abstracts (EN)...

More information

DISCLOSURES. This speaker has indicated there are no relevant financial relationships to be disclosed.

DISCLOSURES. This speaker has indicated there are no relevant financial relationships to be disclosed. DISCLOSURES This speaker has indicated there are no relevant financial relationships to be disclosed. ST.VINCENT NEUROSCIENCE INSTITUTE ASSESSMENT OF CAPACITY AND THE ROLE OF THE MEDICAL TEAM Jon C. Thompson,

More information

European Collaboration on Dementia. Luxembourg, 13 December 2006

European Collaboration on Dementia. Luxembourg, 13 December 2006 European Collaboration on Dementia Luxembourg, 13 December 2006 2005 Call for projects Special attention has also to be given to information and definition of indicators on neurodegenerative, neurodevelopment,

More information

Decision-Making Capacity

Decision-Making Capacity Decision-Making Capacity At the end of the session, participants will be able to: Know the definition of decision-making capacity; Understand the distinction between decision-making capacity and competency;

More information

I-SEE-U. Dementia Care: A Framework to Identify and Support Caregivers at Risk. Elder Abuse Ontario Conference Nov. 4, 2015

I-SEE-U. Dementia Care: A Framework to Identify and Support Caregivers at Risk. Elder Abuse Ontario Conference Nov. 4, 2015 I-SEE-U Dementia Care: A Framework to Identify and Support Caregivers at Risk Elder Abuse Ontario Conference Nov. 4, 2015 Rhonda Feldman, High Risk Caregiver Program Lead LJ Nelles, Educator Einat Danieli,

More information

Working with a geriatric care manager helps families in a variety of ways, including:

Working with a geriatric care manager helps families in a variety of ways, including: Geriatric care managers work with families to plan and coordinate the care of elderly loved ones. Their purpose is to help with long-term care needs, assist in keeping the loved one independent for as

More information

POLICY REF NO: SABP/SERVICE IMPROVEMENT/0024 POLICY

POLICY REF NO: SABP/SERVICE IMPROVEMENT/0024 POLICY POLICY REF NO: SABP/SERVICE IMPROVEMENT/0024 POLICY NAME OF POLICY: REASON FOR THE POLICY: WHAT THE POLICY WILL ACHIEVE: WHO NEEDS TO KNOW ABOUT IT: DATE APPROVED: VERSION NUMBER: APPROVING COMMITTEE:

More information

Decision-making capacity & dementia A guide for Health Care Professionals in NSW Mini-legal kit Series 1.12

Decision-making capacity & dementia A guide for Health Care Professionals in NSW Mini-legal kit Series 1.12 Decision-making capacity & dementia A guide for Health Care Professionals in NSW Mini-legal kit Series 1.12 Capacity is: ability to make and communicate a decision; not a unitary or global concept; domain

More information

Investigating Elder Abuse Expanded Course Outline and Hourly Distribution For One-Day, 8 Hour Course

Investigating Elder Abuse Expanded Course Outline and Hourly Distribution For One-Day, 8 Hour Course 1 Investigating Elder Abuse Expanded Course Outline and Hourly Distribution For One-Day, 8 Hour Course INSTRUCTOR: Andrea Higgens Third Degree Communications Learners: In-Service Police Officers and Investigators,

More information

Elder Abuse Interventions and E-MDT Initiative

Elder Abuse Interventions and E-MDT Initiative Elder Abuse Interventions and E-MDT Initiative June 28, 2018 Aging Concerns Unite Us June 6, 2018 June 28, 2018 2 Presenters Jennifer Rosenbaum, Assistant Director, Division of Policy, Planning, Program,

More information

ehealth and Data Analytics Dementia Pathfinder Programme Dementia Analytics Research User Group (DARUG) PPI Steering Group

ehealth and Data Analytics Dementia Pathfinder Programme Dementia Analytics Research User Group (DARUG) PPI Steering Group ehealth and Data Analytics Dementia Pathfinder Programme Dementia Analytics Research User Group (DARUG) PPI Steering Group Role Description & Terms of Reference August 2018 Role Description Project overview

More information

What to expect in the hearing room

What to expect in the hearing room What to expect in the hearing room Page 1 of 6 1. Coat of Arms / Canadian flag Most hearing rooms have a Canadian flag next to the Board member's table and a Coat of Arms on the wall behind the Board member.

More information

Cognitive Aging and Financial Issues: Engaging Stakeholders to Enhance Financial Security in Later Life

Cognitive Aging and Financial Issues: Engaging Stakeholders to Enhance Financial Security in Later Life June 9, 2014 Cognitive Aging and Financial Issues: Engaging Stakeholders to Enhance Financial Security in Later Life Naomi Karp Consumer Financial Protection Bureau, Office for Older Americans IOM Committee

More information

TRUSTS ESTATES. Individuals with estates both large and small can be. Confronting Undue Influence in Your Practice? ELDER CARE COMMITTEE REPORT:

TRUSTS ESTATES. Individuals with estates both large and small can be. Confronting Undue Influence in Your Practice? ELDER CARE COMMITTEE REPORT: ELECTRONICALLY REPRINTED FROM JULY 2015 TRUSTS ESTATES W The Wealth anagement.com journal for estate-planning professionals COMMITTEE REPORT: ELDER CARE By Sharon L. Klein, Sandra D. Glazier, Thomas M.

More information

Canadian Collaborative Mental Health Care Conference

Canadian Collaborative Mental Health Care Conference Canadian Collaborative Mental Health Care Conference Vickie Demers OT, Clinical Coordinator Linda Gobessi MD FRCPC, Medical Director Geriatric Psychiatry Community Services of Ottawa June 16, 2012 Analysis

More information

Available at: Bioethics.gov

Available at: Bioethics.gov For Researchers: Neuroscience and Consent Capacity In March 2015, the Presidential Commission for the Study of Bioethical Issues (Bioethics Commission) released its report, Gray Matters: Topics at the

More information

MRS Best Practice Guide on Research Participant Vulnerability

MRS Best Practice Guide on Research Participant Vulnerability MRS Best Practice Guide on Research Participant Vulnerability January 2016 1 MRS Best Practice Guide on Research Participant Vulnerability MRS has produced this best practice guide and checklist to help

More information

Test and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire

Test and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire Test and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire Introduction This document introduces South Gloucestershire Clinical Commissioning

More information

Multisectoral action for a life course approach to healthy ageing

Multisectoral action for a life course approach to healthy ageing SIXTY-SEVENTH WORLD HEALTH ASSEMBLY Provisional agenda item 14.4 21 March 2014 Multisectoral action for a life course approach to healthy ageing 1. The attached document EB134/19 was considered and noted

More information

Substance Misuse in Older People

Substance Misuse in Older People Substance Misuse in Older People Dr Tony Rao Consultant Old Age Psychiatrist, SLAM NHS Foundation Trust Visiting Researcher, Institute of Psychiatry, Neurology and Neuroscience Chair of Substance Misuse

More information

Terms of Reference for the Clinical Board of the Pumping Marvellous Foundation

Terms of Reference for the Clinical Board of the Pumping Marvellous Foundation Terms of Reference for the Clinical Board of the Pumping Marvellous Foundation The terms of reference for the Clinical Board of the Pumping Marvellous Foundation are in place to ensure a clear understanding,

More information

PUBLIC POLICIES AND ALZHEIMER RESEARCH

PUBLIC POLICIES AND ALZHEIMER RESEARCH PUBLIC POLICIES AND ALZHEIMER RESEARCH 25TH ALHEIMER EUROPE CONFERENCE SEPTEMBER 2015 INTRODUCTION France Alzheimer and related diseases has, since its creation, put research at the center of its priorities

More information

Dementia Handbook for Carers Essex

Dementia Handbook for Carers Essex Dementia Handbook for Carers Essex Understanding Dementia What is dementia? 1 Summary of dementia Day-to-Day Living Planning ahead 1 Being a carer 2 Family dynamics 5 Adaptations at home 8 Adaptations

More information

David Campbell, PhD Ethicist KHSC Palliative Care Rounds April 20, 2018

David Campbell, PhD Ethicist KHSC Palliative Care Rounds April 20, 2018 David Campbell, PhD Ethicist KHSC Palliative Care Rounds April 20, 2018 Explore the ethical arguments for and against respecting Advance Directive requests for MAID Identify the philosophical complexities

More information

Optimal care for elderly in transition. Annemarie de Vos PhD MPH RN

Optimal care for elderly in transition. Annemarie de Vos PhD MPH RN Optimal care for elderly in transition Annemarie de Vos PhD MPH RN Introduction Geriatric care in the Netherlands under pressure 2030: 1.160.000 frail elderly Zeeland shows similar trends with regard to

More information

Determination of whether an older person is capable

Determination of whether an older person is capable Financial capacity in older adults: a growing concern for clinicians Paul A Gardiner PhD Gerard J Byrne MB BS(Hons), PhD, FRANZCP Leander K Mitchell DPsych Nancy A Pachana PhD, FASSA University of Queensland,

More information

BMA response to the European Commission Green Paper on the European Workforce for Health

BMA response to the European Commission Green Paper on the European Workforce for Health BMA response to the European Commission Green Paper on the European Workforce for Health The British Medical Association (BMA) is the UK s leading voluntary professional association and trade union for

More information

Competence, consent and Coercion: A medico-legal conundrum. Dr Rees Tapsell Ms Meenal Duggal

Competence, consent and Coercion: A medico-legal conundrum. Dr Rees Tapsell Ms Meenal Duggal Competence, consent and Coercion: A medico-legal conundrum Dr Rees Tapsell Ms Meenal Duggal Overview Clinical Context Consultation Liaiosn services within a general hospital Legal commentry Clinical Scenario

More information

OREGON HOSPICE ASSOCIATION

OREGON HOSPICE ASSOCIATION OREGON HOSPICE ASSOCIATION DEMENTIA DILEMMA: The Good, The Bad & The Maybe Sue D. Porter, MBA, MSB Founding Executive Director PEACEFUL DEATH DIGNITY CHOOSE OWN TERMS COMFORT NO PAIN CONTROL TIMING END-OF-LIFE

More information

35.6 Million people with dementia. Huge pharmaceutical effort towards prevention and cure remain elusive. Psychosocial intervention today s forerunner

35.6 Million people with dementia. Huge pharmaceutical effort towards prevention and cure remain elusive. Psychosocial intervention today s forerunner Dementia care research: how to improve care for today s dementia patients and their families Prof. Dr. Myrra Vernooij- Dassen Radboud Alzheimer Centre Kalorama Founda5on IQ healthcare 35.6 Million people

More information

Outcome measures in dementia care research

Outcome measures in dementia care research Versorgungsforschung für demenziell erkrankte Menschen Health Services Research for People with Dementia Symposium Bonn 11.-12. Dezember 2008 (World Conference Center Bonn) Plenary Lectures: PREVENTION

More information

ICOPE - Implementation of Integrated Care for Older People

ICOPE - Implementation of Integrated Care for Older People WHO Global Consultation Meeting GIZ, Berlin, Oct 23-25 2017 ICOPE - Implementation of Integrated Care for Older People Professor Finbarr C Martin (Emeritus) Geriatrician and Professor of Medical Gerontology

More information

Sheffield s Emotional Wellbeing and Mental Health Strategy for Children and Young People

Sheffield s Emotional Wellbeing and Mental Health Strategy for Children and Young People Sheffield s Emotional Wellbeing and Mental Health Strategy for Children and Young People The Sheffield Vision In Sheffield we want every child and young person to have access to early help in supporting

More information

Bonnie Steinbock, PhD University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics Dying Well Workshop 2 2 nd December,

Bonnie Steinbock, PhD University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics Dying Well Workshop 2 2 nd December, Bonnie Steinbock, PhD University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics Dying Well Workshop 2 2 nd December, 2015 Includes both physician-assisted suicide (PAS)

More information

1. The Working Party on Public Health discussed and agreed the draft Council conclusions as set out in the Annex.

1. The Working Party on Public Health discussed and agreed the draft Council conclusions as set out in the Annex. Council of the European Union Brussels, 26 November 2015 (OR. en) 14395/15 SAN 391 NOTE From: To: Subject: General Secretariat of the Council Permanent Representatives Committee/Council Employment, Social

More information

Alcohol and Drug Commissioning Framework for Northern Ireland Consultation Questionnaire.

Alcohol and Drug Commissioning Framework for Northern Ireland Consultation Questionnaire. Alcohol and Drug Commissioning Framework for Northern Ireland 2013-16 Consultation Questionnaire. This questionnaire has been designed to help stakeholders respond to the above framework. Written responses

More information

End of end of life care in dementia opportunities for quality improvement

End of end of life care in dementia opportunities for quality improvement End of end of life care in dementia opportunities for quality improvement Sube Banerjee Professor of Dementia, Brighton & Sussex Medical School Hon Consultant, Sussex Partnership NHS Foundation Trust National

More information

Advance Care Planning: not just for Geriatrics

Advance Care Planning: not just for Geriatrics Advance Care Planning: not just for Geriatrics RAIsing Awareness, A Geriatric Refresher Day March 4, 2015 St. Elias Centre 750 Ridgewood Avenue, Ottawa ON K1B 6N1 Disclosure No conflicts of interest No

More information

RESEARCH AND PRACTICE IN ALZHEIMER S DISEASE VOL 10 EADC OVERVIEW B. VELLAS & E. REYNISH

RESEARCH AND PRACTICE IN ALZHEIMER S DISEASE VOL 10 EADC OVERVIEW B. VELLAS & E. REYNISH EADC BRUNO VELLAS 14/01/05 10:14 Page 1 EADC OVERVIEW B. VELLAS & E. REYNISH (Toulouse, France, EU) Bruno Vellas: The European Alzheimer's Disease Consortium is a European funded network of centres of

More information

PARTIES INITIAL CONSULTATIONS WITH COLLABORATIVE ATTORNEYS

PARTIES INITIAL CONSULTATIONS WITH COLLABORATIVE ATTORNEYS 1 PARTIES INITIAL CONSULTATIONS WITH COLLABORATIVE ATTORNEYS Individual client/potential client meetings with properly trained collaborative attorneys (30-60 minutes) Each attorney should: o ACTIVELY LISTEN

More information

The New Mental Health Act A Guide to Named Persons

The New Mental Health Act A Guide to Named Persons The New Mental Health Act A Guide to Named Persons The New Mental Health Act A Guide to Named Persons Scottish Executive, Edinburgh 2004 Crown copyright 2004 ISBN: 0-7559-4345-7 Scottish Executive St Andrew

More information

At what stage of the Dementia diagnostic process should advanced care planning be raised?

At what stage of the Dementia diagnostic process should advanced care planning be raised? PRIORITY BRIEFING The purpose of this briefing paper is to aid Stakeholders in prioritising topics to be taken further by PenCLAHRC as the basis for a specific evaluation or implementation research project.

More information

Evaluation for Guardianship. Patricia Westmoreland, MD Forensic Psychiatrist

Evaluation for Guardianship. Patricia Westmoreland, MD Forensic Psychiatrist Evaluation for Guardianship Patricia Westmoreland, MD Forensic Psychiatrist 1 Overview Definitions History Procedure Medical Evaluation Report writing Testimony Summary and recommendations 2 Definitions

More information

Assessment of mental capacity: a flow chart guide

Assessment of mental capacity: a flow chart guide Assessment of mental capacity: a flow chart guide Michael Church and Sarah Watts Psychiatric Bulletin 2007, 31:304-307. Access the most recent version at DOI: 10.1192/pb.bp.106.011353 References Reprints/

More information

Facets of capacity/incapacity

Facets of capacity/incapacity Facets of capacity/incapacity DR. GENEVIÈVE GAGNON, PH.D., C. PSYCH. NEUROPSYCHOLOGIST, GERIATRIC PSYCHIATRY, DOUGLAS MENTAL HEALTH UNIVERSITY INSTITUTE ASSOCIATE RESEARCHER, MCGILL UNIVERSITY RESEARCH

More information

NeuroPI Case Study: Palliative Care Counseling and Advance Care Planning

NeuroPI Case Study: Palliative Care Counseling and Advance Care Planning Case: An 86 year-old man presents to your office after recently being diagnosed as having mild dementia due to Alzheimer s disease, accompanied by his son who now runs the family business. At baseline

More information

Re: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2016

Re: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2016 Public Policy Division 202.393.7737 p 1212 New York Ave NW 866.865.0270 f Suite 800 www.alz.org Washington, DC 20005 Andy Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department

More information

Alice Coffey PhD Joan Daly MSc.

Alice Coffey PhD Joan Daly MSc. Alice Coffey PhD Joan Daly MSc. Background and Context Study Methodology Results Recomendations A single or repeated act or lack of appropriate action occurring within any relationship where there is an

More information

Mental Capacity Act 2005

Mental Capacity Act 2005 Mental Capacity Act 2005 Factsheet 460LP October 2015 People with dementia often become unable to make some decisions for themselves as their condition progresses. When this happens, the person is said

More information

Power and Vulnerability Abuse in the CJS. Lynda Gibbs Programme Director ICCA

Power and Vulnerability Abuse in the CJS. Lynda Gibbs Programme Director ICCA Power and Vulnerability Abuse in the CJS Lynda Gibbs Programme Director ICCA Background Inns of Court College of Advocacy ICCA or The College Formerly the Advocacy Training Council (ATC) Provides leadership,

More information

INTERNATIONAL SUMMIT ON INTELLECTUAL DISABILITY AND DEMENTIA: FAMILY CARERS POLICY & PRACTICE BULLETIN 8

INTERNATIONAL SUMMIT ON INTELLECTUAL DISABILITY AND DEMENTIA: FAMILY CARERS POLICY & PRACTICE BULLETIN 8 0 INTERNATIONAL SUMMIT ON INTELLECTUAL DISABILITY AND DEMENTIA: FAMILY CARERS POLICY & PRACTICE BULLETIN 8 V Contents Pre-summit question for delegates... 1 Background... 1 Summary statement... 2 Appendix

More information

Report by the Comptroller and. SesSIon January Improving Dementia Services in England an Interim Report

Report by the Comptroller and. SesSIon January Improving Dementia Services in England an Interim Report Report by the Comptroller and Auditor General HC 82 SesSIon 2009 2010 14 January 2010 Improving Dementia Services in England an Interim Report 4 Summary Improving Dementia Services in England an Interim

More information

COLLEGE OF PHYSICIANS AND SURGEONS OF NOVA SCOTIA SUMMARY OF DECISION OF INVESTIGATION COMMITTEE D. Dr. Deanna Swinamer

COLLEGE OF PHYSICIANS AND SURGEONS OF NOVA SCOTIA SUMMARY OF DECISION OF INVESTIGATION COMMITTEE D. Dr. Deanna Swinamer COLLEGE OF PHYSICIANS AND SURGEONS OF NOVA SCOTIA SUMMARY OF DECISION OF INVESTIGATION COMMITTEE D Dr. Deanna Swinamer Investigation Committee D of the College of Physicians and Surgeons of Nova Scotia

More information

Getting Started. In This Section. Quick Start Guide. Implementation Checklist. Office Protocol for Suicidal Patients Development Guide

Getting Started. In This Section. Quick Start Guide. Implementation Checklist. Office Protocol for Suicidal Patients Development Guide Getting Started As a provider of primary care services, you are in a unique position to prevent suicides among your patients. Research tells us that people who die by suicide are more likely to have seen

More information

Healthwatch Bristol summary of the Bristol Health and Wellbeing Board meeting on 15 February 2017

Healthwatch Bristol summary of the Bristol Health and Wellbeing Board meeting on 15 February 2017 Healthwatch Bristol summary of the Bristol Health and Wellbeing Board meeting on 15 February 2017 Healthwatch Bristol has a seat on the Health and Wellbeing Board to represent the views of people living

More information

Draft Falls Prevention Strategy

Draft Falls Prevention Strategy Cheshire West & Chester Council Draft Falls Prevention Strategy 2017-2020 Visit: cheshirewestandchester.gov.uk Visit: cheshirewestandchester.gov.uk 02 Cheshire West and Chester Council Draft Falls Prevention

More information

Supporting and Caring in Dementia

Supporting and Caring in Dementia Supporting and Caring in Dementia Surrey and Sussex Healthcare, Delivering the National Dementia Strategy Strategy and Implementation Plan Final November 2011 1 National Strategy The National Dementia

More information

Setting Direction in the South Eastern Outcomes Area to improve the lives and children, young people and families

Setting Direction in the South Eastern Outcomes Area to improve the lives and children, young people and families Setting Direction in the South Eastern Outcomes Area to improve the lives and children, young people and families The CYPSP is the multi-agency strategic partnership consisting of the leadership of all

More information

Physician Assisted Death, Decisional Capacity, and Slippery Slopes

Physician Assisted Death, Decisional Capacity, and Slippery Slopes Physician Assisted Death, Decisional Capacity, and Slippery Slopes Scott Kim, MD, PhD Department of Bioethics Clinical Center National Institutes of Health scottkimbioethics.org Disclaimer The views expressed

More information

Pseudodementia and Competency

Pseudodementia and Competency Pseudodementia and Competency Michael I. Good, M.D. An increase in the number of challenges to competency determinations in probate cases parallels an increasingly aging population. In the literature on

More information

An RNAO Advanced Clinical Practice Fellowship Project. Kassandra Johnson, BScN, RN

An RNAO Advanced Clinical Practice Fellowship Project. Kassandra Johnson, BScN, RN An RNAO Advanced Clinical Practice Fellowship Project Kassandra Johnson, BScN, RN Queensway Carleton Hospital QCH serves a population of over 400,000 in the greater Ottawa Valley Approx. 72, 800 ED visits

More information

Psychiatric advance directives and the role of autonomy

Psychiatric advance directives and the role of autonomy Psychiatric advance directives and the role of autonomy DANIEL L. AMBROSINI, LLB, BCL, MSC PHD CANDIDATE, MCGILL DEPARTMENT OF PSYCHIATRY DOUGLAS MENTAL HEALTH UNIVERSITY INSTITUTE ENJEUX ÉTHIQUES EN SANTE

More information

Mental Competence and Legal Issues. Barry S. Fogel, MD Brigham Behavioral Neurology Group Harvard Medical School

Mental Competence and Legal Issues. Barry S. Fogel, MD Brigham Behavioral Neurology Group Harvard Medical School Mental Competence and Legal Issues Barry S. Fogel, MD Brigham Behavioral Neurology Group Harvard Medical School Themes of This Presentation Introducing a Few Key Concepts Executive Function and Metacognition

More information

Outpatient Commitment

Outpatient Commitment Outpatient Commitment Helpful Treatment Tool, Unnecessary Deprivation of Liberty or Merely a Distraction? Mark J. Heyrman Clinical Professor of Law University of Chicago Law School 1111 East 60 th Street

More information

Continence, falls and the frailty syndrome. Anne Foley - BGS Bladders and Bowel Health 2012

Continence, falls and the frailty syndrome. Anne Foley - BGS Bladders and Bowel Health 2012 Continence, falls and the frailty syndrome Outline Frailty Geriatric syndromes and giants Aetiology What can be done? The future Frailty Frailty Frailty (noun): The state of being weak in health or body

More information

CentraCare Health Collaborative Care Institute

CentraCare Health Collaborative Care Institute CentraCare Health Collaborative Care Institute Bridging the Gap Between Primary Care and Psychiatry March 1-3, 2019 Grand View Lodge Nisswa, Minnesota Target Audience: This program is designed for primary

More information

END-OF-LIFE DECISIONS HONORING THE WISHES OF A PERSON WITH ALZHEIMER S DISEASE

END-OF-LIFE DECISIONS HONORING THE WISHES OF A PERSON WITH ALZHEIMER S DISEASE END-OF-LIFE DECISIONS HONORING THE WISHES OF A PERSON WITH ALZHEIMER S DISEASE PREPARING FOR THE END OF LIFE When a person with late-stage Alzheimer s a degenerative brain disease nears the end of life

More information

Approved Clinician frequently asked questions June 2017

Approved Clinician frequently asked questions June 2017 Approved Clinician frequently asked questions June 2017 Sue Ledwith, Dr Nicholas Todd, Dr Bruce T. Gillmer & Professor John L. Taylor The British Psychological Society 2017 The British Psychological Society

More information

Crisis development in Community Dementia Care: A Case Study Analysis

Crisis development in Community Dementia Care: A Case Study Analysis Crisis development in Community Dementia Care: A Case Study Analysis ! The researcher aims to investigate and analyse to what extent dementia care within the community is being experienced by the person

More information

Valuing Everyone Annual Report 2014/15

Valuing Everyone Annual Report 2014/15 Valuing Everyone Annual Report 2014/15 1 Foreword Welcome to Valuing Everyone our first equality and diversity annual report, covering the period April 2014 to March 2015. The aim of this report is to

More information

An Elder Abuse Prevention Primer Anthony C. Hou, MD Regional Physician Lead for Elder Abuse Prevention March 15, 2018

An Elder Abuse Prevention Primer Anthony C. Hou, MD Regional Physician Lead for Elder Abuse Prevention March 15, 2018 An Elder Abuse Prevention Primer Anthony C. Hou, MD Regional Physician Lead for Elder Abuse Prevention March 15, 2018 What is Elder Abuse? Elder abuse is a term referring to any knowing, intentional, or

More information

Mental Capacity and Competence in Dementia: From Finances, Wills and Voting to Guns

Mental Capacity and Competence in Dementia: From Finances, Wills and Voting to Guns Mental Capacity and Competence in Dementia: From Finances, Wills and Voting to Guns Barry S. Fogel, MD Brigham Behavioral Neurology Group Harvard Medical School Themes of This Presentation Organizing Principles

More information

CAPACITY ASSESSMENT FOR CO-DECISION-MAKING APPOINTMENTS CAPACITY ASSESSMENT FOR GUARDIANSHIP AND TRUSTEESHIP APPOINTMENTS

CAPACITY ASSESSMENT FOR CO-DECISION-MAKING APPOINTMENTS CAPACITY ASSESSMENT FOR GUARDIANSHIP AND TRUSTEESHIP APPOINTMENTS Examiner: Date: S = Sufficient D = Deficient CAPACITY ASSESSMENT FOR CO-DECISION-MAKING APPOINTMENTS I assessed the adult s capacity to make decisions ONLY in those areas in which a valid reason for assessment

More information

Esme Moniz Cook University of Hull Centre of Dementia Research and Practice Humber NHS FT 16 September 2014

Esme Moniz Cook University of Hull Centre of Dementia Research and Practice Humber NHS FT 16 September 2014 Esme Moniz Cook University of Hull Centre of Dementia Research and Practice Humber NHS FT 16 September 2014 What is psychosocial intervention applied research INTERDEM: Psychosocial INTERvention DEMentia

More information

Appendix F. Results of the Electronic Survey of World Bank Task Team Leaders

Appendix F. Results of the Electronic Survey of World Bank Task Team Leaders Appendix F. Results of the Electronic Survey of World Bank Task Team Leaders 1. An electronic survey was administered in April-May 2013 to 112 World Bank Task Team Leaders of Bank-supported health projects

More information

Evaluations & CE Credits

Evaluations & CE Credits Evaluations & CE Credits Nursing Contact Hours, CME, CHES and Social Work credits are available. Please visit www.phlive.org to fill out your evaluation and complete the post-test. 1 Clinical and Ethical

More information

Setting The setting was institutional and tertiary care in London, Essex and Hertfordshire in the UK.

Setting The setting was institutional and tertiary care in London, Essex and Hertfordshire in the UK. Cognitive stimulation therapy for people with dementia: cost-effectiveness analysis Knapp M, Thorgrimsen L, Patel A, Spector A, Hallam A, Woods B, Orrell M Record Status This is a critical abstract of

More information

The COLLaboration on AGEing (COLLAGE)

The COLLaboration on AGEing (COLLAGE) The COLLaboration on AGEing (COLLAGE) Professor D. William Molloy University College Cork, Ireland. The Lessons from Europe Seminar 23-09-15 Overview Exemplars within COLLAGE: 1. What is COLLAGE? 2. The

More information

Professor Tim Kendall

Professor Tim Kendall Professor Tim Kendall Director of National Collaborating Centre for Mental Health, Royal College of Psychiatrists and Visiting Professor UCL Medical Director and Consultant Psychiatrist for homeless people,

More information

Taking an alcohol history

Taking an alcohol history Taking an alcohol history Dr Tony Rao Consultant Old Age Psychiatrist, SLAM NHS Foundation Trust Visiting Researcher, Institute of Psychiatry, Neurology and Neuroscience Alcohol related brain damage Alcohol

More information

OUTPATIENT SERVICES PSYCHOLOGICAL SERVICES CONTRACT

OUTPATIENT SERVICES PSYCHOLOGICAL SERVICES CONTRACT OUTPATIENT SERVICES PSYCHOLOGICAL SERVICES CONTRACT (This is a detailed document. Please feel free to read at your leisure and discuss with Dr. Gard in subsequent sessions. It is a document to review over

More information

Year Plan Three Executive Committee meetings a. One in person on 20/06/15. b. Two conference calls on 06/07/2015 and 05/08/2015.

Year Plan Three Executive Committee meetings a. One in person on 20/06/15. b. Two conference calls on 06/07/2015 and 05/08/2015. Year Plan 2015-2016 Tasks achieved or in progress as at 26 September 2015 A. TASKS ACHIEVED: 1. Three Executive Committee meetings a. One in person on 20/06/15. b. Two conference calls on 06/07/2015 and

More information

Keynote: Distinguished Professor David L. Faigman

Keynote: Distinguished Professor David L. Faigman Keynote: Distinguished Professor David L. Faigman David L. Faigman is the Chancellor & Dean and the John F. Digardi Distinguished Professor of Law at the University of California Hastings College of the

More information