Adults at Risk Flashcards
Who are service users?
People with learning difficulties/disabilities Mental health impairments Physical/sensory impairments homeless Illness - major or life threatening Unable to live alone Substance misuse issues
What is the lord chancellor’s department - mental capacity and decision making?
Lord chancellor’s department - mental capacity and decision making:
- A person aged 18 years of age who is or may be in need of community care services by reason of mental or other disability, age or illness
AND
Who may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation
What defines an adult at risk?
A person 18 years or older and: Lives in residential accom Lives in sheltered housing Receives domiciliary care at home In prison or in YOI, STC, or detained under immigration and asylum act 1999 In contact with probation services Receiving welfare service Nursing mother in residential care Receives support to conduct their lives Receives direct payments from DHSS/Social services in lieu of social care services
How does the Care Standards Act define adults at risk?
Adult whom accommodation and nursing or personal care are provided in a care home
Adult whom personal care is provided in their own home under arrangements made by a domiciliary care agency
Adult whom prescribed services are provided by an independent hospital, clinic, medical emergency or NHS body
When is power important? (Erving Goffman definitions)
Residential care settings for people without cognitive impairments
Residential care settings for people with cognitive impairments
Define abuse
Violation of an individual’s human and civil rights by another person or persons
What are the types of abuse?
Physical Sexual Psychological Material/financial Neglect
What groups of people are at high risk of abuse?
People lacking mental capacity, or with limited awareness Severely physically impaired Sensory impairments Semi-comatose/comatose Aphasia
What factors make people at risk vulnerable to abuse?
Over compliance and dependence on a service or practitioner
Fear of retaliation from complaining
No support networks outside a service
Social isolation
Unable to or have difficulty communicating
Practitioner/organisational factors
What are the indicators of abuse?
Physical Psychological Neglect Financial Institutional Self harm Sexual
How do adults at risk impact dentistry?
Dentistry has a duty of care to provide services to everyone
Homeless experience high levels of dental problems
People with learning difficulties experience poorer oral health than the general population
Not providing care may be deemed abusive
Restraining adults at risk may be constituted as abuse
People may exhibit challenging behaviour based on past experiences
What to do if you suspect something e.g. domestic abuse?
If you suspect then create a space for the person to talk
If they disclosure then listen, don’t judge
Address immediate safety issues
If they do not want to take immediate action signpost them and let them know you are there for them
