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Adult safeguarding legislation: Navigating the borderlands between mental capacity, mental health and social care law and practice
International Journal of Law and Psychiatry ( IF 2.479 ) Pub Date : 2024-03-11 , DOI: 10.1016/j.ijlp.2024.101964
Kathryn Mackay , Pearse McCusker

Adult safeguarding legislation is contentious because it seeks to protect ‘vulnerable’ adults who fall between the borderlands of social care, mental health and mental capacity law. As a new and complex area of law and practice, further research on adult safeguarding legislation is required, in particular to consider it efficacy and human rights implications. Utilising a narrative literature review approach this article explores current research evidence on the Adult Support and Protection (Scotland) Act 2007 to consider whether safeguarding powers and duties can achieve a proportionate balance between individual autonomy and the state's duties to protect adults at risk of harm and, if so, how. The findings demonstrate there is a wide range of people who can fall into these borderland areas. For a majority, the use of the Act has made significant positive differences to their lives. However, while supported decision-making was identified it was not found to be consistently applied. In addition, concerns emerged around the adequacy of some professionals' legal knowledge, the consistent upholding of adults' will and preferences, and the commitment to and resourcing of supported decision-making. Notwithstanding these drawbacks, it is concluded that this Act provides vital functions but amendments would enhance alignment with the CRPD.

中文翻译:

成人保障立法:在心理能力、心理健康和社会关怀法律与实践之间划清界限

成人保障立法颇具争议,因为它旨在保护处于社会关怀、心理健康和心理能力法边界之间的“弱势”成年人。作为一个新的、复杂的法律和实践领域,需要对成人保障立法进行进一步研究,特别是考虑其有效性和人权影响。本文采用叙述性文献综述方法,探讨了 2007 年《成人支持和保护(苏格兰)法案》的当前研究证据,以考虑保障权力和义务是否可以在个人自主权与国家保护面临伤害风险的成年人的义务之间实现适当的平衡。 ,如果是这样,如何。研究结果表明,有很多人可能落入这些边境地区。对于大多数人来说,该法案的使用给他们的生活带来了显着的积极影响。然而,虽然确定了支持性决策,但并未发现得到一致应用。此外,人们还担心一些专业人员的法律知识是否充足、是否始终坚持成年人的意愿和偏好、以及对支持性决策的承诺和资源。尽管存在这些缺点,但得出的结论是,该法案提供了重要的功能,但修正案将加强与《残疾人权利公约》的一致性。
更新日期:2024-03-11
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