Additional Information
Book Details
Abstract
Self-neglect covers a wide range of behaviours, from neglecting to care for one's personal hygiene and health to one's surroundings; this can include behaviours such as hoarding of objects and/or animals. As presentation of self-neglect cases vary greatly, assessment and support planning should be made on an individualised case by case basis.
Self-neglect describes a Risks and Strengths assessment model which has been developed by practitioners as an aid to frontline workers across all sectors, as well as agencies holding responsibilities in Safeguarding Adults. It aims to support and structure the effective, timely and consistent assessment of risk in relation to key social and healthcare factors of self-neglect both on an individual case level and at a strategic level in contributing to community/locality needs analysis and reporting mechanisms; including annual Safeguarding Adults Board Reports.
Shona began her career in social care in 1985, when she worked for a charity supporting the carers of young adults with learning disabilities. As a qualified Social Worker Shona has worked with adults at risk, in both statutory and independent sector settings; holding a range of posts including multi-disciplinary team and area operational management; service planning and development in the areas of social inclusion and community development; and as a regional director. Shona continues to be directly engaged in social work practice on a consultancy basis and is registered with the HCPC
Karen is a qualified and HCPC registered Social Worker who has worked within the arena of health and social care for over 25 years. Karen's career in social care has involved managing learning disability, Carers and Safeguarding Adults services. She currently works as a lead professional for Safeguarding Adults within the NHS.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Cover | Cover 1 | ||
| Half-title | i | ||
| Title page | iii | ||
| Copyright information | iv | ||
| Table of contents | v | ||
| Acknowledgments | vi | ||
| Meet the authors | vii | ||
| Foreword | viii | ||
| Introduction | 1 | ||
| Chapter 1 | The concept of self-neglect and multi-agency considerations | 5 | ||
| Introduction | 5 | ||
| What the the Care Act (2014) says about self-neglect | 5 | ||
| Factors associated with self-neglect in adults from practice | 6 | ||
| Multi-agency considerations | 6 | ||
| Safeguarding Adults Reviews (SARs) | 7 | ||
| Practice matters … | 10 | ||
| Taking it Further | 13 | ||
| Chapter 2 | A model intervention framework in self-neglect cases | 15 | ||
| Introduction | 15 | ||
| A model intervention framework | 15 | ||
| Section 1 – Initial information gathering | 16 | ||
| Section 2 – Lead Agency identification | 16 | ||
| Section 3 and 4 – Risks and strengths assessment | 17 | ||
| Section 5, 6 and 8 – Acceptance of support and advocacy | 17 | ||
| Section 7 – Further consideration | 18 | ||
| Section 9 – Multi-agency Safeguarding Support Plan | 18 | ||
| Section 10 – Disengagement and statutory duties | 18 | ||
| Practice matters … | 20 | ||
| Taking it Further | 41 | ||
| Chapter 3 | Risks and Strengths Assessment Model | 43 | ||
| Introduction | 43 | ||
| Living life is not risk free! | 44 | ||
| How to use this Model | 46 | ||
| Practice matters … | 57 | ||
| Taking it Further | 70 | ||
| Chapter 4 | Case studies | 72 | ||
| Introduction | 72 | ||
| Case study 1: A case of infestation and squalor | 72 | ||
| Background | 72 | ||
| Social circumstances | 72 | ||
| Mental Capacity Act status | 73 | ||
| Presenting Action Areas | 73 | ||
| Case study 2: The threat of eviction and hoarding | 82 | ||
| Background | 82 | ||
| Social circumstances | 82 | ||
| Mental Capacity Act status | 82 | ||
| Presenting Action Areas | 83 | ||
| Summary | 93 | ||
| Practice matters … | 94 | ||
| Taking it Further | 98 | ||
| Chapter 5 | The Care Act (2014) and safeguarding adults at risk | 99 | ||
| Introduction | 99 | ||
| Six principles in Safeguarding Adults | 100 | ||
| Empowerment | 100 | ||
| Prevention | 100 | ||
| Proportionality | 100 | ||
| Protection | 100 | ||
| Partnership | 100 | ||
| Accountability | 100 | ||
| Practice matters … | 101 | ||
| Taking it Further | 110 | ||
| Chapter 6 | Community strength and resilience | 111 | ||
| Introduction | 111 | ||
| Safeguarding Adults Boards | 111 | ||
| The six main functions of an SAB | 111 | ||
| Strategic Safeguarding Plan | 112 | ||
| Prevalence and presentations of self-neglect | 113 | ||
| Taking it Further | 117 | ||
| Appendix 1: The Mental Capacity Act (2005) | 118 | ||
| Principles of the Mental Capacity Act (2005) | 118 | ||
| Assessment of Capacity | 118 | ||
| The two-stage test | 118 | ||
| Advance decisions | 119 | ||
| Advocacy | 119 | ||
| Best interests | 119 | ||
| The Court of Protection | 120 | ||
| Deputies | 120 | ||
| Lasting Power of Attorney (LPA) | 120 | ||
| The Public Guardian | 120 | ||
| Responsibilities | 120 | ||
| Restraint | 121 | ||
| Research | 121 | ||
| Further information | 121 | ||
| Appendix 2: The Mental Health Act (1983) – rights, powers and protection | 122 | ||
| Admission to hospital | 122 | ||
| Informal/Voluntary | 122 | ||
| Mental Capacity Act (2005) | 122 | ||
| Mental Health Act (1983) | 123 | ||
| Mental Health Act (1983) Sections – short-term orders – no longer than 72 hours in duration | 123 | ||
| Section 135 (1) Warrant | 123 | ||
| Purpose | 123 | ||
| Duration of Section | 124 | ||
| Professionals required to comply with and complete this Section | 124 | ||
| Treatment (what are the treatment powers?) | 124 | ||
| Leave of absence? | 124 | ||
| Duties on staff | 124 | ||
| Right of appeal (the right to appeal against being detained)? | 124 | ||
| Right to an advocate? | 124 | ||
| Right to be visited by and complain to the Care Quality Commission (CQC)? | 124 | ||
| Discharge (how the Section ends) | 124 | ||
| Forms required | 125 | ||
| Guidance (from the Act – Code of Practice) | 125 | ||
| Section 135 (2) | 125 | ||
| Purpose | 125 | ||
| Duration of Section | 125 | ||
| Professionals required to comply with and complete this Section | 125 | ||
| Treatment (what are the treatment powers?) | 125 | ||
| Leave of absence? | 126 | ||
| Duties on staff | 126 | ||
| Right of appeal (the right to appeal against being detained)? | 126 | ||
| Right to an advocate? | 126 | ||
| Right to be visited by and complain to the CQC? | 126 | ||
| Discharge (how the Section ends) | 126 | ||
| Forms required | 126 | ||
| Guidance (from the Act – Code of Practice) | 126 | ||
| Section 136 | 126 | ||
| Purpose | 126 | ||
| Duration of Section | 127 | ||
| Professionals required to comply with and complete this Section | 127 | ||
| Treatment (what are the treatment powers?) | 127 | ||
| Leave of absence? | 127 | ||
| Duties on staff | 127 | ||
| Right of appeal (the right to appeal against being detained)? | 127 | ||
| Right to an advocate? | 127 | ||
| Right to be visited by and complain to the CQC? | 127 | ||
| Discharge (how the Section ends) | 128 | ||
| Forms required | 128 | ||
| Guidance (from the Act – Code of Practice) | 128 | ||
| Section 4 | 128 | ||
| Purpose | 128 | ||
| Duration of Section | 128 | ||
| Professionals required to comply with and complete this Section | 128 | ||
| Treatment (what are the treatment powers?) | 129 | ||
| Leave of absence? | 129 | ||
| Duties on staff | 129 | ||
| Right of appeal (the right to appeal against being detained)? | 129 | ||
| Right to an advocate? | 129 | ||
| Right to be visited by and complain to the CQC? | 129 | ||
| Discharge (how the Section ends) | 129 | ||
| Forms required | 129 | ||
| Guidance (from the Act – Code of Practice) | 129 | ||
| Section 5 (2) | 130 | ||
| Purpose | 130 | ||
| Duration of Section | 130 | ||
| Professionals required to comply with and complete this Section | 130 | ||
| Treatment (what are the treatment powers?) | 130 | ||
| Leave of absence? | 130 | ||
| Duties on staff | 130 | ||
| Right of appeal (the right to appeal against being detained)? | 130 | ||
| Right to an advocate? | 131 | ||
| Right to be visited by and complain to the CQC? | 131 | ||
| Discharge (how the Section ends) | 131 | ||
| Forms required | 131 | ||
| Guidance (from the Act – Code of Practice) | 131 | ||
| Section 5 (4) | 131 | ||
| Purpose | 131 | ||
| Duration of Section | 132 | ||
| Professionals required to comply with and complete this Section | 132 | ||
| Treatment (what are the treatment powers?) | 132 | ||
| Leave of absence? | 132 | ||
| Duties on staff | 132 | ||
| Right of appeal (the right to appeal against being detained)? | 132 | ||
| Right to an advocate? | 132 | ||
| Right to be visited by and complain to the CQC? | 132 | ||
| Discharge (how the Section ends) | 132 | ||
| Forms required | 133 | ||
| Guidance (from the Act – Code of Practice) | 133 | ||
| Mental Health Act (1983) Sections – longer-term orders | 133 | ||
| Section 2 | 133 | ||
| Purpose | 133 | ||
| Duration of Section | 133 | ||
| Professionals required to comply with and complete this Section | 133 | ||
| Treatment (what are the treatment powers?) | 133 | ||
| Leave of absence? | 134 | ||
| Duties on staff | 134 | ||
| Right of appeal (the right to appeal against being detained)? | 134 | ||
| Right to an advocate? | 134 | ||
| Right to be visited by and complain to the CQC? | 134 | ||
| Discharge (how the Section ends) | 134 | ||
| Forms required | 134 | ||
| Guidance (from the Act – Code of Practice) | 135 | ||
| Section 3 | 135 | ||
| Purpose | 135 | ||
| Duration of Section | 135 | ||
| Professionals required to comply with and complete this Section | 135 | ||
| Treatment (what are the treatment powers?) | 135 | ||
| Leave of absence? | 136 | ||
| Duties on staff | 136 | ||
| Right of appeal (the right to appeal against being detained)? | 136 | ||
| Right to an advocate? | 136 | ||
| Right to be visited by and complain to the CQC? | 136 | ||
| Discharge (how the section ends) | 136 | ||
| Forms required | 136 | ||
| Guidance (from the Act – Code of Practice) | 137 | ||
| Section 37 | 137 | ||
| Purpose | 137 | ||
| Duration of Section | 137 | ||
| Professionals required to comply with and complete this Section | 137 | ||
| Treatment (what are the treatment powers?) | 137 | ||
| Leave of absence? | 137 | ||
| Duties on staff | 138 | ||
| Right of appeal (the right to appeal against being detained)? | 138 | ||
| Right to an advocate? | 138 | ||
| Right to be visited by and complain to the CQC? | 138 | ||
| Discharge (how the section ends) | 138 | ||
| Forms required | 138 | ||
| Guidance (from the Act – Code of Practice) | 138 | ||
| Mental Health Act (1983) – Community Treatment Order (CTO) | 139 | ||
| Purpose | 139 | ||
| Duration of Section | 139 | ||
| Professionals required to comply with and complete this Section | 139 | ||
| Treatment (what are the treatment powers?) | 139 | ||
| Leave of absence? | 140 | ||
| Duties on staff | 140 | ||
| Right of appeal (the right to appeal against being detained)? | 140 | ||
| Right to an advocate? | 140 | ||
| Right to be visited by and complain to the CQC? | 140 | ||
| Discharge (how the section ends) | 140 | ||
| Forms required | 140 | ||
| Guidance (from the Act – Code of Practice) | 140 | ||
| Mental Health Act (1983) – Guardianship | 141 | ||
| Purpose | 141 | ||
| Duration of Section | 141 | ||
| Professionals required to comply with and complete this Section | 141 | ||
| Treatment (what are the treatment powers?) | 141 | ||
| Leave of absence? | 141 | ||
| Duties on staff | 142 | ||
| Right of appeal (the right to appeal against being detained)? | 142 | ||
| Right to an advocate? | 142 | ||
| Right to be visited by and complain to the CQC? | 142 | ||
| Discharge (how the section ends) | 142 | ||
| Forms required | 142 | ||
| Guidance (from the Act – Code of Practice) | 142 | ||
| Terminology | 143 | ||
| Advocate (IMHA) | 143 | ||
| Approved Clinician (AC) | 143 | ||
| Approved Mental Health Professional – (AMHP) | 143 | ||
| Care Quality Commission (CQC) | 143 | ||
| Code of Practice | 144 | ||
| Hospital Managers | 144 | ||
| Mental Disorder | 144 | ||
| Mental Health Tribunal | 145 | ||
| Nature or degree | 145 | ||
| Nearest relative | 145 | ||
| Place of Safety | 145 | ||
| Responsible Clinician (RC) | 145 | ||
| Section 12 approved | 146 | ||
| Treatment | 146 | ||
| Appendix 3: A simple guide to terminology in Safeguarding Adults | 147 | ||
| Index | 151 | ||
| Series information | 154 |