{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T15:49:43Z","timestamp":1791042583082,"version":"4.1.0"},"reference-count":31,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":4476,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2005,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Little is known about the proportion of psychiatric in-patients who lack capacity to make treatment decisions, or the associations of lack of capacity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine the prevalence of psychiatric in-patients who lack capacity to make decisions about current treatment and to identify demographic and clinical associations with lack of mental capacity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients (<jats:italic>n<\/jats:italic>=112) were interviewed soon after admission to hospital and a binary judgement of capacity was made, guided by the MacArthur Competence Tool for Treatment. Demographic and clinical information was collected from an interview and case notes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 112 participants, 49 (43.8%) lacked treatment-related decisional capacity Mania and psychosis, poor insight, delusions and Black and minority ethnic group were associated with mental incapacity. Of the 49 patients lacking capacity, 30 (61%) were detained under the Mental Health Act 1983. Of the 63 with capacity, 6 (9.5%) were detained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Lack of treatment-related decisional capacity is a common but by no means inevitable correlate of admission to a psychiatric in-patient unit.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.187.4.379","type":"journal-article","created":{"date-parts":[[2005,9,30]],"date-time":"2005-09-30T22:58:05Z","timestamp":1128121085000},"page":"379-385","source":"Crossref","is-referenced-by-count":131,"title":["Prevalence and predictors of mental incapacity in psychiatric in-patients"],"prefix":"10.1192","volume":"187","author":[{"given":"Ruth","family":"Cairns","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clementine","family":"Maddock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alec","family":"Buchanan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony S.","family":"David","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hayward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevra","family":"Richardson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Szmukler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Hotopf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000168102_ref31","first-page":"49","article-title":"Unethical mental health law: history repeats itself","volume":"3","author":"Zigmond","year":"2000","journal-title":"Journal of Mental Health Law"},{"key":"S0007125000168102_ref30","volume-title":"The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research","year":"1993"},{"key":"S0007125000168102_ref29","volume-title":"A Systematic Review of Research Relating to the Mental Health Act (1983)","author":"Wall","year":"1999"},{"key":"S0007125000168102_ref27","first-page":"221","article-title":"Training and quality assurance with the Brief Psychiatric Rating Scale: \u201cThe drift buster\u201d","volume":"3","author":"Ventura","year":"1993","journal-title":"International Journal of Methods in Psychiatric Research"},{"key":"S0007125000168102_ref25","volume-title":"Stata Release 8.0","year":"2003"},{"key":"S0007125000168102_ref24","volume-title":"SPSS Base 11.0.1 User's Guide","year":"2001"},{"key":"S0007125000168102_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291797006296"},{"key":"S0007125000168102_ref21","unstructured":"R v. 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