chapter
Mental capacity
Pages 3

Nor does even the best assessment allow you to predict the future. What it does allow is for the clinician to develop a coherent, rational plan to address the most obvious or likely risks as well as those already clearly identifi ed. The concept of positive risk management is discussed in the ‘Therapeutic risk-taking or positive risk management’ section (page 155).

An important part of considering how collaborative the person is likely to be involves differentiating between situations where you, as a clinician, believe people are at risk and you cannot reach agreement with the patient about how to work in such a way that everyone remains safe, to situations where the patient has come to a rational conclusion that s/he doesn’t agree to what seems to others to be a sensible course of action. We cannot explore in detail here issues of capacity and consent and you should familiarise yourself with local and national guidance and policy in this area.