- Kate has a brain injury and struggles to process information to inform her decision-making. She has lived for many years in a supported housing project and is supported by her long-term keyworker, Laura. Kate would benefit from going to a day centre to increase her social interaction and reduce isolation, but isn’t able to make this decision for herself. Rather than relying on a social worker to make this decision, Laura is able to use the processes of the MCA to establish whether Kate can make the decision or not, and then make a Best Interests decision for her if she isn’t able.
- Jane is a hostel resident, and Brian works nights at the hostel. Brian knows Jane well, having worked with her closely for several months. Jane appears heavily intoxicated with alcohol and is tearful, and demands the return of medication after saying she feels unsafe. Brian is concerned for her safety and refuses to give Jane her medication, explaining and recording his decision with reference to the MCA.
- Harry is sleeping rough in a torn tent on waste ground. His outreach worker has increasing concerns about self-neglect and uses MCA resources to consider and evidence whether Harry’s mental capacity to make decisions around declining shelter might be impaired.