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Location: Home → Family Law → Public Guardian and Trustee → The Capacity Assessment Office: Questions and Answers |
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The Capacity Assessment Office: Questions and Answers
1. What does the "Capacity Assessment Office" do?
The Capacity Assessment Office is operated by the Ministry of the Attorney General.
2. What is a 'capacity assessor'?
3. Who is eligible to become a capacity assessor?
4. What is the process for being designated a capacity assessor?
5. In what circumstances would a capacity assessor's services be required?
Before such authority may be assigned, it must be determined whether the person is, in fact, mentally incapable. In certain circumstances spelled out in the Substitute Decisions Act, a designated capacity assessor is the only professional who is authorized by law to make this determination. For example, a guardian of property may only be appointed to manage an incapable person's finances without a court hearing if a capacity assessor has assessed the person and found him or her to be incapable.1 A capacity assessor's opinion may also be required if a person has made a power of attorney and specified in the document that his or her incapacity must be proven before the power of attorney can be used. If the individual doesn't say how incapacity is to be proven, a capacity assessor's opinion is required. In some situations, a capacity assessor may be asked to provide an opinion on capacity but other options are available as well. In these cases another professional, such as a family physician, social worker or the person's lawyer, could provide an opinion to support a determination about capacity. Where this is possible it is often a less intrusive and less costly option. 1 One exception relates to in-patients of psychiatric facilities who must, according to the Mental Health Act, be examined regarding their capacity to manage finances by their attending physicians. In this circumstance the attending physician does not have to be a designated capacity assessor.
6. In what circumstances would someone other than a capacity assessor be required to perform an assessment?
Before requesting any assessment - whether from a capacity assessor or other professional - it is important to be clear about the purpose of the capacity assessment, and certain that an assessment is actually necessary in the circumstances. Check whether the particular type of assessment proposed may only be done by a designated capacity assessor or if there are alternatives. If you are uncertain on this point, the Capacity Assessment Office may be able to assist you.
7. How is mental incapacity defined?
8. How is capacity assessed?
The assessor will try to determine whether the person's understanding of the issues is factually accurate. For example, if the assessment is about capacity to manage finances, the assessor will determine whether the person can accurately identify his or her income, assets, debts and other financial involvements. The assessor will also assist the person by providing relevant information and testing the extent to which the person can retain, interpret and manipulate that information. The person's responses are evaluated in order to determine whether he or she demonstrates an understanding of the information being discussed. The choices the person is making (or neglecting to make) are also discussed in order to assess whether the person realizes the consequences of these choices and can explain the basis for them. Assessors do not infer incapacity simply because the person's choices are extremely unusual or appear to be against his or her own interests or welfare. Similarly, the person's capacity to appreciate the consequences of choices is evaluated in the context of the person's particular lifestyle, values and beliefs. The only relevant issue is the person's level of cognitive functioning and ability to reason and process information, not the merits of the choices he or she makes. In other words, a capable person is entitled to make choices that may be "bad".
9. Do capacity assessors work for the government?
10. Do capacity assessors have particular areas of expertise?
11. What do capacity assessors charge? Capacity Assessors set their own hourly rates. The rates tend to vary according to the occupational group to which the assessor belongs. Rates range between $50 and $160 per hour, although some assessors do charge higher fees because of their expertise in a specialized field. The total cost of the assessment will depend on a number of additional factors including the:
In most cases, the person requesting the assessment is responsible for paying the assessor. For example, if a family member, a friend, or a caregiver requests the assessment, he or she would pay the assessor directly. If a guardian of property is then appointed for the person, the guardian can provide reimbursement for the costs of the assessment from the incapable person's funds if there is sufficient money to do so. There is a Financial Assistance Program available to cover the cost of an assessment in situations where an individual (not an institution or agency) is requesting it and cannot afford the fees. This assistance is available if:
Applications for Financial Assistance can be obtained by contacting the Capacity Assessment Office. 13. Will the Capacity Assessment Office arrange assessments? No, it is important that you select the capacity assessor that you feel is best suited to address your request and that you have the opportunity to discuss the details with the assessor directly. The Capacity Assessment Office will provide you with a list of assessors which identifies the geographic area in which they work and their area of expertise.
14. What should I consider when selecting an assessor?
15. Who oversees the conduct of assessors?
The Capacity Assessment Office is responsible for providing training, continuing education and guidance to assessors. It maintains the roster of designated capacity assessors and responds to inquiries from the public. Assessors can also access assistance and expert clinical advice through the Capacity Assessment Office when dealing with difficult cases.
16. Does a person have the right to refuse a capacity assessment?
17. What happens if the person assessed disagrees with a finding of incapacity?
If the assessment is being used in a court proceeding, the person may make his or her objections known during the court proceeding.
18. How do I obtain the list of capacity assessors?
Capacity Assessment Office
19. Where can I get more detailed information about capacity assessments?
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