safeguarding people with dementia: building up evidence based policy and practice

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safeguarding people with dementia building up
evidence based policy and practice

• jill.manthorpe_at_kcl.ac.uk

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Taken for granted?

• Dementia syndromes increase vulnerability to
  abuse, mistreatment and neglect
• Dementia decreases discovery, disclosure and
  detection
• Dementia increases risks of false positives and
  false negatives
• Dementia leads to over protection

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Policy pile ups

• 2008 Review of No Secrets
• 2008 Dementia Strategy
• 2008 Safeguarding Vulnerable Groups Act
• 2007/8 Personalisation
• 2008 Review of Adult Social Care funding
• 2007 Mental Capacity Act

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practice

• Legislation covering discrimination, crime, human
  rights, public safety, at population and sub
  population levels
• Underpinned by public services, market
  regulation, professional duties, enforcement and
  inspectors, partnerships, education
• Augmented by advice, advocacy, professional
  services/therapy

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Secondary

• Rights and duties to investigate, share data,
  override other general duties
• Support for alleged victims and perpetrators
• Surveillance, risk assessments, screening
• Codes of practice, policies and procedures

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Tertiary

• Legal remedies future prevention
• Therapeutic responses
• Interventions, harm minimisation
• Support for victims (and others), recovery and
  survival

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Building up policy evidence

• New offences under MCA
• Early cases
• Evidence and records
• Decision making
• Postvention recovery and survival
• Cultural or organisational impacts

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Building up practice evidence

• Recording casework
• Recording case conferences
• Critical incident analysis
• Serious case reviews
• Complaints and comments
• Wider consultations
• Staff views
• What worked and what would have been helpful

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Dementia specifics

• Role of care navigator or similar
• Opportunities to raise the issues
• Medication abuse
• Neglect -thresholds
• End of life care
• Role of IMCAs

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Building up

• Plans
• Foundations
• Bricks
• Mortar