Mental Capacity Scale: In terms of Managed Risks & Mental Capacity: The following headachy is for identifying the method of meeting Needs and for ascertaining corresponding Management of Risk. § 0A=Activity is not engaged in at all, by self, or others – Action Not required § 0B=Activity is not engaged in at all, by self, or others – Refusal / Resistant § 0C=Activity is not engaged in at all, by self, or others – Task Too Risky.
§ 1=Tasks are Done by others – Self unable to comprehend, initiate, or complete the specific task. Reduced Capacity - Needs & Risks are always Managed by others. Self is complaint and accepting of arrangement.
§ 2=Tasks are completed by the person, only in response to detailed Prompting and Monitoring. Responses are ritual and inflexible –> Risks, Frustrations, Anxiety and Agitation are managed by others.
§ 3A=Tasks completed by self in learned, patterned, or ritualistic way -> Activity requires supervision. Risks are monitored & managed by others. Person has limited Mental Capacity, provided no emergency arises. § 3B=Tasks completed by self, in an established, patterned, or ritualistic way -> Activity requires monitoring. Risks usually ‘ritually’ managed by self. Self normally has Mental Capacity, provided no emergency arises.
§ 4A=Tasks completed by person – usually taking account of Risk to themselves and the adjustment of the plan of action; to alleviate frustration by achieving the original Task objectives (which are not modified). § 4B=Tasks are Done by others under Self’s active direction &/or agreement. Self imitates activities through the aide of helpers, who assist, or complete tasks on their specified directives, sharing the management of Risks. § 5=Tasks completed, changed, deferred or delegated by self, with minimal anxiety, Self judging & managing risk; while considering needs & risks to others. The objectives can be adjusted as well as the plan of action. Risks are calculated &/or taken, &/or recognised, managed and compensated for.
© MacDonald & Couchman 1972; Terry Couchman; 1980
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