{"id":1988,"date":"2024-07-15T14:14:58","date_gmt":"2024-07-15T14:14:58","guid":{"rendered":"https:\/\/hub.salford.ac.uk\/applied-health-research\/?page_id=1988"},"modified":"2024-07-16T14:28:33","modified_gmt":"2024-07-16T14:28:33","slug":"use-of-the-mental-capacity-act-2005-with-people-experiencing-multiple-exclusion-homelessness-in-england","status":"publish","type":"page","link":"https:\/\/hub.salford.ac.uk\/applied-health-research\/equity-inequalities-and-inclusivity\/use-of-the-mental-capacity-act-2005-with-people-experiencing-multiple-exclusion-homelessness-in-england\/","title":{"rendered":"Use of the Mental Capacity Act 2005 with People Experiencing Multiple Exclusion Homelessness in England"},"content":{"rendered":"\n<p>This study focuses on the assessment of the mental capacity of people who are experiencing multiple exclusion homelessness (MEH), a term used to capture the overlapping of a range of experiences associated with profound social exclusion, including not just homelessness but also institutional care, substance misuse, and \u2018street culture\u2019 activities.<\/p>\n\n\n\n<p>Factors such as poor mental health, addiction, and the effects of adverse childhood experiences in this population mean that capacity assessments under the Mental Capacity Act 2005 (MCA) can be particularly challenging. <a href=\"https:\/\/www.kcl.ac.uk\/research\/homelessness-and-self-neglect\">Earlier research conducted at this Unit<\/a>, which focused on adult safeguarding approaches to self-neglect among this population, brought into&nbsp;question the standard of practitioner approaches to these assessments.<\/p>\n\n\n\n<p>This research will explore and analyse health and social care practitioner approaches to mental capacity assessments with people experiencing multiple exclusion homelessness in England. Findings from mixed-methods research will inform the co-production of a revised and tested specialist assessment tool for this population.<\/p>\n\n\n\n<p>Read further on <a href=\"https:\/\/www.fundingawards.nihr.ac.uk\/award\/NIHR154668\">the NIHR page for this project<\/a>.<\/p>\n\n\n\n<p>Stephen Martineau introduces the study <a href=\"https:\/\/blogs.kcl.ac.uk\/socialcareworkforce\/2023\/10\/16\/new-study-at-the-unit-on-capacity-assessment-and-homelessness\/\">on the Unit blog<\/a>&nbsp;(October 2023).<\/p>\n\n\n\n<p><strong>Methods<\/strong><\/p>\n\n\n\n<p>A scoping review of evidence will be accompanied by expert interviews with national experts and a survey of practitioners.<\/p>\n\n\n\n<p>In-depth fieldwork across three contrasting study sites in England will include interviews with two stakeholder groups: practitioners and those with lived experience.<\/p>\n\n\n\n<p>The research team will work with national stakeholder representatives, expert practitioners and PPI advisors to review and update a specialist tool for capacity assessment in this field. We will conduct a pilot testing and evaluation of the tool.<\/p>\n\n\n\n<p><strong>Funding<\/strong><\/p>\n\n\n\n<p>NIHR Health and Social Care Delivery Research (HSDR) Programme: NIHR154668<\/p>\n\n\n\n<p><strong>Timescale<\/strong><\/p>\n\n\n\n<p>October 2023 &#8211; March 2026<\/p>\n\n\n\n<p><strong>Research team<\/strong><\/p>\n\n\n\n<p>The main researchers on this project are <a href=\"https:\/\/www.kcl.ac.uk\/people\/jess-harris\">Jess Harris<\/a> (Research Fellow, KCL, and first point of contact for any enquiries about the study) and <a href=\"https:\/\/www.kcl.ac.uk\/people\/stephen-martineau\">Stephen Martineau<\/a> (Research Fellow, KCL).&nbsp;<\/p>\n\n\n\n<p><strong>Kritika Samsi<\/strong>&nbsp;(co-PI) is Senior Research Fellow at the NIHR Policy Research Unit in Health and Social Care Workforce (HSCWRU) at King\u2019s College London (KCL).<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/salford-repository.worktribe.com\/person\/1178689\/michelle-cornes\">Michelle Cornes<\/a><\/strong>&nbsp;(co-PI) is Professor of Health and Social Policy Inequalities in the School for Health and Society at the University of Salford, Visiting Professor at HSCWRU, and Senior Fellow at the NIHR School for Social Care Research.<\/p>\n\n\n\n<p><strong>Stan Burridge<\/strong>&nbsp;brings lived experience of homelessness, addiction, mental ill health and a number of institutional settings. He leads a user-led organisation bringing the voices of diverse lived experiences of homelessness to shaping research, policy and practice.<\/p>\n\n\n\n<p><strong>Alex Ruck Keene KC (Hon)<\/strong>&nbsp;is a barrister specialising in mental capacity and mental health law, and Visiting Professor at KCL.<\/p>\n\n\n\n<p><strong>Nathan Davies<\/strong>&nbsp;is Associate Professor of Ageing and Applied Health Research and Deputy Director for the NIHR Research Design Service at UCL.<\/p>\n\n\n\n<p><strong>Bruno Ornelas<\/strong>&nbsp;is Rough Sleeping Adviser at the Department for Levelling Up, Housing and Communities, and a homelessness Safeguarding Adults Review author.<\/p>\n\n\n\n<p><strong>Alex Bax<\/strong>&nbsp;is Chief Executive of the homeless health charity, Pathway; with&nbsp;<strong>Samantha Dorney-Smith<\/strong>, Nursing Fellow, Pathway.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Lived experience Advisory Group (PPIE)<\/strong><\/h3>\n\n\n\n<p>PPIE is led by <strong>Stan Burridge<\/strong>.<\/p>\n\n\n\n<p><strong>Collaborators<\/strong><\/p>\n\n\n\n<p><strong>Enabling Assessment Service London (EASL)<\/strong>&nbsp;is a team of multi-disciplinary mental health professionals working with MEH who are commissioned by local authorities and third sector organisations.<\/p>\n\n\n\n<p><strong>Elizabeth Furber&nbsp;<\/strong>is an experienced mental health social worker in the field of homelessness, Approved Mental Health Professional, and Practice Educator and trainer on MEH and mental capacity.<\/p>\n\n\n\n<p><strong>Fiona Bateman&nbsp;<\/strong>is a Safeguarding Adults Board Independent Chair, a solicitor focusing on health and social care for excluded populations, and Safeguarding Adults Review author.&nbsp;<\/p>\n\n\n\n<p><strong>Edge Training &amp; Consultancy Ltd<\/strong>&nbsp;are specialists in training health and social care practitioners in the MCA.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This study focuses on the assessment of the mental capacity of people who are experiencing multiple exclusion homelessness (MEH), a term used to capture the overlapping of a range of experiences associated with profound social exclusion, including not just homelessness but also institutional care, substance misuse, and \u2018street culture\u2019 activities. Factors such as poor mental [&hellip;]<\/p>\n","protected":false},"author":421,"featured_media":0,"parent":58,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1988","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Use of the Mental Capacity Act 2005 with People Experiencing Multiple Exclusion Homelessness in England - Centre for Applied Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hub.salford.ac.uk\/applied-health-research\/equity-inequalities-and-inclusivity\/use-of-the-mental-capacity-act-2005-with-people-experiencing-multiple-exclusion-homelessness-in-england\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Use of the Mental Capacity Act 2005 with People Experiencing Multiple Exclusion Homelessness in England - Centre for Applied Health Research\" \/>\n<meta property=\"og:description\" content=\"This study focuses on the assessment of the mental capacity of people who are experiencing multiple exclusion homelessness (MEH), a term used to capture the overlapping of a range of experiences associated with profound social exclusion, including not just homelessness but also institutional care, substance misuse, and \u2018street culture\u2019 activities. 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