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  1. Concern about someone's well-being. If you or someone else is in a crisis situation, go to the emergency department of a nearby hospital or call 911 immediately. For non-emergency situations where you feel mental incapacity is putting someone at serious risk of harm, options include the following: Contact community agencies that may be able to ...

  2. Under the law in Ontario, an adult patient, who is mentally competent, normally has the sole right to refuse or consent to any health care treatment, even if refusal increases the seriousness of the illness or the possibility of death.

  3. Deciding whether someone is legally competent to make decisions regarding their own treatment requires an assessment of their mental capacity. The assessed capacity required for legal competence increases with the seriousness of what is at stake.

    • What Does The Term “Capacity” Mean When It Comes to Decision-Making?
    • What Is The Difference Between Incapacity and Incompetence?
    • How Is Capacity determined?
    • How Do Alzheimer’s Disease and Other Forms of Dementia Affect Capacity?
    • Is Neuropsychological Testing Required to Assess Capacity?
    • Resources & References to Help You Understand Capacity

    Let’s say you tell me that your 87-year old aunt Mary has been falling repeatedly, but she refuses to go see a doctor. In this case, we might consider whether she has the capacity to decide whether or not she needs to see the doctor. It’s especially vital to do this if Mary has been showing signs of memory or thinking problems, or if she’s been dia...

    Capacity is often considered from a clinical perspective (i.e. by doctors, psychologists, and others) versus a legal perspective (i.e. by lawyers, judges, and courts). Historically, the term “competence” was used in legal settings and the term “capacity” was used in clinical settings. The legal determination of competence related to whether a perso...

    In most situations, we presume that adults have capacity. If concerns about capacity are raised by others, or if a professional notices anything to cause concern about capacity, then a process of further assessing capacity may be started. Legal professionals are generally required (by state laws and by their professional code of conduct) to conduct...

    Any disease or disorder that disrupts cognition — the brain’s memory and thinking processes — can impair a person’s decision-making capacity. In early Alzheimer’s and dementia, people usually retain the capacity to make many types of decisions, but not necessarily all of them. It all depends on the decision in question, and also on which thinking p...

    Not necessarily. Clinicians are usually allowed to use “clinical judgment” in conducting their evaluations and reaching their conclusions. Especially if a person has a dementia that is at a moderate or severe stage, it is often possible for a generalist physician to provide evidence of a lack of capacity, simply by interviewing the person, document...

    Written for the lay public: 1. Legal Planning(Alzheimer’s Association) 2. Assisting a Person with Dementia in Planning for the Future(Alzheimer’s Association) 3. Driving and Dementia (Alzheimer’s Association) Written for professionals: 1. Assessment of Capacity in Older Adults (American Bar Association/American Psychological Association) 1.1. Inclu...

  4. How to Declare Someone Mentally Incompetent in Ontario. In Ontario, Canada individuals cannot be declared mentally incompetent by anyone except a judge in a court of law. A capacity hearing before an Ontario judge is only granted on the application of a qualified capacity assessor.

  5. People living with dementia in Canada are entitled to the same human rights as any other person in Canada, as outlined in the Canadian Charter of Rights and Freedoms. However, stigma and discrimination are huge barriers for people with dementia and often contravene these rights.

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  7. If a person is incapable of making decisions about their personal care, there are two ways to appoint a decision-maker: Through aPower of Attorney for Personal Care.” Like the Continuing Power of Attorney for Property, this written document must be made before the person becomes incapable.