Examination of Guidelines for Adult Guardianship Based on the Principle of Supported Decision-making : Case Study Based on the Mental Capacity Act of 2005 and Practices by Social Worker Guardians

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  • 成年後見制度における意思決定支援の理念を基盤にしたガイドラインの検討 : イギリス2005年意思決定能力法と社会福祉士後見人による実践事例を中心に
  • セイネン コウケン セイド ニ オケル イシ ケッテイ シエン ノ リネン オ キバン ニ シタ ガイドライン ノ ケントウ : イギリス 2005ネン イシ ケッテイ ノウリョクホウ ト シャカイ フクシシ コウケンジン ニ ヨル ジッセン ジレイ オ チュウシン ニ

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Abstract

The greatest challenge to adult guardianship is supported decision-making in cases where the protection of an individual conflicts with respect for personal choice. Drawing on an analysis of the Mental Capacity Act of 2005 Code of Practice and Checklist as well as an examination of practices by guardians, this paper formulates guidelines grounded in a social work perspective that seek the best interests of individuals while respecting personal choice. As a result, guidelines consisting of ten items are created including Trial possibilities; Eclectic options; Distinguishing between the intentions of the individual and those around the individual, such as family including close relatives and friends; Risks to the individual, life-endangering hazards, and the validity of conventional wisdom; Appeals to the individual; Raising individual awareness; and Confirming the potential risks to both guardians and individuals in the final decision and establishing measures. Support consistent with these guidelines will serve to manage risks in terms of a common policy for supported decision-making. In addition, these guidelines are suggested as a first step towards practices of empowerment that use social welfare expertise to overcome conflicts between the protection of individuals and respect for personal choice.

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