TY - JOUR AU - Bremault-Phillips, Suzette C. AU - Parmar, Jasneet AU - Friesen, Steven AU - Rogers, Laura G. AU - Pike, Ashley PY - 2016/07/25 Y2 - 2024/03/29 TI - An Evaluation of the Decision-Making Capacity Assessment Model JF - Canadian Geriatrics Journal JA - Can Geriatr J VL - 19 IS - 3 SE - Original Research DO - 10.5770/cgj.19.222 UR - https://cgjonline.ca/index.php/cgj/article/view/222 SP - 83-96 AB - <p><strong>Background</strong></p><p>The Decision-Making Capacity Assessment (DMCA) Model includes a best-practice process and tools to assess DMCA, and implementation strategies at the organizational and assessor levels to support provision of DMCAs across the care continuum. A Developmental Evaluation of the DMCA Model was conducted.</p><p><strong>Methods</strong></p><p>A mixed methods approach was used. Survey (N = 126) and focus group (N = 49) data were collected from practitioners utilizing the Model.</p><p><strong>Results</strong></p><p>Strengths of the Model include its best-practice and implementation approach, applicability to independent practitioners and inter-professional teams, focus on training/mentoring to enhance knowledge/skills, and provision of tools/processes. Post-training, participants agreed that they followed the Model’s guiding principles (90%), used problem-solving (92%), understood discipline-specific roles (87%), were confident in their knowledge of DMCAs (75%) and pertinent legislation (72%), accessed consultative services (88%), and received management support (64%). Model implementation is impeded when role clarity, physician engagement, inter professional buy-in, accountability, dedicated resources, information sharing systems, and remuneration are lacking. Dedicated resources, job descriptions inclusive of DMCAs, ongoing education/mentoring supports, access to consultative services, and appropriate remuneration would support implementation.</p><p><strong>Conclusions</strong></p><p>The DMCA Model offers practitioners, inter-professional teams, and organizations a best-practice and implementation approach to DMCAs. Addressing barriers and further contextualizing the Model would be warranted.</p> ER -