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Learning disability and contraceptive decision-making

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Rowlands, Sam. (2011) Learning disability and contraceptive decision-making. Journal of Family Planning and Reproductive Health Care, Vol.37 (No.3). pp. 173-178. ISSN 1471-1893

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Official URL: http://dx.doi.org/10.1136/jfprhc-2011-005100

Abstract

Key message points - The Mental Capacity Act 2005 has formalised existing case law and added new requirements in respect of decision-making by people aged 16 and over. - A person must be presumed to be competent unless it is demonstrated otherwise. Competence relates to a specific decision and not to all decisions. - The Court of Protection deals with serious decisions affecting personal welfare matters, including health. - The Court of Protection may appoint a Deputy to act on behalf of the person who lacks capacity. - If sterilisation or abortion are being considered as possible options for a person who is considered to lack capacity, and the person has no-one else to support or represent them, an Independent Mental Capacity Advocate must be appointed. - When assessing a person’s capacity to make decisions about contraception, the court will not take into consideration the individual’s understanding of what caring for a child involves.

Item Type: Journal Article
Subjects: H Social Sciences > HQ The family. Marriage. Woman
R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Warwick Medical School > Institute of Clinical Education (ICE)
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Great Britain. Mental Capacity Act 2005, Learning disabled women -- Great Britain, Reproductive rights -- Great Britain, Involuntary treatment -- Great Britain, Contraception
Journal or Publication Title: Journal of Family Planning and Reproductive Health Care
Publisher: BMJ Group
ISSN: 1471-1893
Date: 2011
Volume: Vol.37
Number: No.3
Page Range: pp. 173-178
Identification Number: 10.1136/jfprhc-2011-005100
Status: Peer Reviewed
Access rights to Published version: Restricted or Subscription Access
References: (1) Valuing people: a new strategy for learning disability for the 21st century. London: Department of Health; 2001. (2) Emerson E, Heslop P. A working definition of learning disabilities. Stockton on Tees: Learning Difficulties Observatory; 2010. (3) Panel on sexual rights. Sexual rights: an IPPF declaration http://www.ippfwhr.org/sites/default/files/files/SexualRightsIPPFdeclaration.pdf. London: International Planned Parenthood Federation; 2008. (4) Anonymous. Working together to safeguard children: a guide to inter-agency working to safegurad and promote the welfare of children. London: Department for Education; 2010. (5) Leaviss J, Ewins W, Kitson D, Watling E. Inclusive support for parents with a learning disability. London: MENCAP; 2011. (6) Taylor G, Pearson J, Cook H. Family planning for women with learning disabilities. Nursing Times 1998; 94 (October 7):60-61. (7) McCarthy M. Contraception and women with intellectual disabilities. J Applied Research in Intellectual Disabilities 2009; 22:363-369. (8) Cooper E. Couples with learning disabilities. In: Killick S, editor. Contraception in Practice. London: Martin Dunitz; 2000. 229-240. (9) McCarthy M. 'I have the jab so I can't be blamed for getting pregnant': contraception and women with learning disabilities. Women's Studies International Forum 2009; 32:198-208. (10) Chamberlain A, Rauh J, Passer A, McGrath M, Burket R. Issues in fertility control for mentally retarded female adolescents: 1. Sexual activity, sexual abuse, and contraception. Pediatrics 1984; 73:445-450. (11) McCarthy M. Exercising choice and control - women with learning disabilities and contraception. Br J Learning Disabilities 2010; doi: 10.1111/j.1468-3156.2009.00605.x. (12) Howard R, Hendy S. The sterilisation of women with learning disabilities - some points for consideration. Br J Developmental Disabilities 2004; 50:133-141. (13) Servais L, Le K, Jacques D, Roussaux JP. Sterilisation of intellectually disabled women. European Psychiatry 2004; 19:428-432. (14) Finoulst M, Amy J-J. Female sterilisation is becoming less popular. European Journal of Contraception & Reproductive Health Care 2010; 15:385-388. (15) Brazier M, Cave E. Medicine, patients and the law. 4th ed. London: Penguin; 2007. (16) Herring J. Medical law and ethics. 2nd ed. Oxford: OUP; 2008. (17) Mental Capacity Act 2005 Code of Practice www.publicguardian.gov.uk/mca/code-of-practice.htm. London: The Stationery Office; 2007. (18) S (Adult Patient: Sterilisation: Patient's Best Interests), Re [2001] Fam 15. 2001. (19) Taylor J. Mother asks judge to force her daughter to be sterilised. The Independent 2011 Feb 16. (20) All about us (CD-ROM). London: fpa; 2008. (21) The Mental Capacity Act 2005 (Independent Mental Capacity Advocates) (General) Regulations 2006 (No. 1832). 2006. (22) Reference guide to consent for examination or treatment. 2nd ed. London: Department of Health; 2009. (23) A Local Authority v A [2010] EWHC 1549 (Fam). 2010.
URI: http://wrap.warwick.ac.uk/id/eprint/36886

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