Centre for Policy on Ageing
 

 
Cognitive deficit and mental capacity evaluation
Author(s)Michel Silberfeld, Derek Stephens, Keith O'Rourke
Journal titleCanadian Journal on Aging, vol 13, no 4, Winter 1994
Pagespp 539-549
KeywordsCognitive impairment ; Assessment procedures for mental patients.
AnnotationThe relationship between the Mini-Mental State Examination (MMSE) as a measure of cognitive deficit and two procedures for assessing medical-legal competence is explored. The findings on 60 patients assessed for financial capacity by a multidisciplinary panel, and 41 published cases assessed using the Hopkins Competency Assessment Test (HCAT) for capacity to consent to treatment are analysed using logistic regression and Receiver Operating Characteristic (ROC) curves based on the binary outcome capable / incapable. Cognitive deficit is not a good indicator of the results for mental capacity obtained either by the multidisciplinary panel or the HCAT. The relationship between cognitive deficits and procedures for the allocation of decisional authority is unclear. Some discussion is given to account for this discrepancy. (RH).
Accession NumberCPA-970821245 A
ClassmarkE4: DA:4C

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