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1. Introductions and Instructions
2. Quiz on Adult Social Care materials -
3. Complex decision making
4. Vignette - case study 'Roger and Helen'
5. Your responses - to complexity
6. Balance and Burdens tables as part of the Best Interest process under s.4 of the MCA (2005)
6. Your overall questions and answers

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We are going to look at these Learning Objectives in this session today:

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We are going to look at these Learning Objectives in this session today:

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| On successful completion of this module a student will be able to:
| 1. | Apply theories & research evidence to social work practice, whilst taking into account rights, justice & economic wellbeing affecting individuals and/or groups. - quiz / discussion

| 2. | Critically reflect upon service users’ and carers’ perspectives, involvement & participation in social work practice, and the implications for their own professional practice. - quiz / discussion

| 3. | Demonstrate a critical understanding of key processes & professional skills relevant for social work. - quiz / discussion

| 4. | Apply critical reflection & analysis to consider the complex interplay of variables that shape the social work role and task and provide a rationale for professional decision making.  - discussion

| 5. | Critically explore and apply the values, ethics & diversity underpinning professional social work practice. - impicitly in discussion

| 6. | Demonstrate an ability to engage with, and reflect on, changing contexts that shape practice, including effective partnership working - impicitly in discussion

| 7. | Demonstrate development of professional behaviour, particularly in terms of critical reflection on the impact of self in interaction with others, and on identification of /addressing own learning & development

| 8. | Demonstrate professional written skills for social work practice.

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1. Be aware I am likely to ask whole cohort and individuals for their feedback
2. Please turn off your microphone to stop background noise until when you wish to speak
3. Please add comments on the padlet(s) when directed
4. Please be prepared with your lap top / smart phone for the online quiz
5. This session will be recorded

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Please go to:

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Jane is 35 years old working full time and taking care of her father Roger who is 74 since her mum Catherine, left fifteen years ago.  Roger has severe symptoms of dementia which are getting worse. Roger and Jane have always declined any assessment or support until now. Jane reports that Roger has become disorientated to time and place and is awake through the night time which affects her ability to sleep and function at work. Roger is at risk of falls especially down the stairs. Jane also advised that when she is at work she has come home to find Roger missing for hours and when he does return he is not always wearing weather appropriate clothes and sometimes he goes out on his bike. Jane holds Power of Attorney for Roger in terms of his health and welfare decisions as well as for his finances. However, Jane does not actually own the house it belongs to Roger. A home based care package was trialled but this was found not to have worked as Roger objected to different care workers arriving at different times. Jane removed the key to their house from the key safe so care workers could not get in. There was no scope for support from OACMHT through a medication review for possible anti- psychotic medication as Roger has a heart condition. The health care professionals (G.P. annd members of the OACMHT) feel that Roger should be placed in a care home. Roger has always objected to going into a care home and voices his objections to leaving his home. Jane has advised that she does not want Roger to go into a care home for many reasons but one of which is that she would have to leave the house as it would be sold to pay for fees for his care home placement......and she holds POA for health and welfare decision......
* Older Adult Community Mental Health Team (OACMHT)

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Look at the case study and add your ideas under the different sections

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Best Interest under s.4 of the MCA (2005) in practice:

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Best Interest under s.4 of the MCA (2005) in practice:

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Roger has been found to lack mental capacity for the key question / decision: What are the options to meet his social care needs inclusive of ASC accommodation?

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taken from the Lancashire Safeguarding Adults Board

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Using Benefits and Burdens tables within the Best Interest Decision for Roger

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Using Benefits and Burdens tables within the Best Interest Decision for Roger

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Look at the options for Roger and put down underneath each option the benefits (pros) or a burdens (cons) of each option:

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Final discussions! Share screen whiteboard -
What complexities / ethical dilemmas are there within Roger's case?

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Dimond, B. (2016). Legal Aspects of Mental Capacity: A Practical Guide for Health and Social Care Professionals. In Legal Aspects of Mental Capacity. John Wiley & Sons, Incorporated.
Elliott, L. & Atkinson, K. (2018) SAMPLE POLICY - MENTAL CAPACITY ACT & DEPRIVATION OF LIBERTY SAFEGUARDS Lancashire Safeguarding Adults Board

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Roger's best interest should be taken into account, and in the least restrictive way possible.

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Roger's best interest should be taken into account, and in the least restrictive way possible.

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The Care Act, MCA, Equality Act. Strengths based assessment. Carers assessment

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The Care Act, MCA, Equality Act. Strengths based assessment. Carers assessment

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Financial assessment for benefits/ carers allowance, attendance allowance?

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Prisma questionnaire based assesment,
Rockwood clinical frailty scale:

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inter -professional working, restraints on care packages not being sufficient

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inter -professional working, restraints on care packages not being sufficient