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safeguarding people with dementia: building up evidence based policy and practice. jill.manthorpe@kcl.ac.uk. Taken for granted?. Dementia syndromes increase vulnerability to abuse, mistreatment and neglect Dementia decreases discovery, disclosure and detection

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safeguarding people with dementia building up evidence based policy and practice

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

jill.manthorpe@kcl.ac.uk

taken for granted
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
policy pile ups
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
practice
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
secondary
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
tertiary
Tertiary
  • Legal remedies – future prevention
  • Therapeutic responses
  • Interventions, harm minimisation
  • Support for victims (and others), recovery and survival
building up policy evidence
Building up policy evidence

New offences under MCA

  • Early cases
  • Evidence and records
  • Decision making
  • Postvention – recovery and survival
  • Cultural or organisational impacts
building up practice evidence
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
dementia specifics
Dementia specifics
  • Role of care navigator or similar
  • Opportunities to raise the issues
  • Medication abuse
  • Neglect -thresholds
  • End of life care
  • Role of IMCAs
building up
Building up

Plans

Foundations

Bricks

Mortar