Clinicians' experiences of using the MCA (2005) with people with intellectual disabilities

Section A is a narrative synthesis of the empirical literature of professionals’ knowledge of the
MCA and how they apply it when working with people with intellectual disabilities (ID).
Eleven papers were identified for inclusion in this review. Four themes, with subthemes, were
identified: ‘processes involved’, ‘working with complexity’, ‘knowledge gaps and variability’
and ‘assessor needs’. Methodological strengths and weaknesses are also considered. Findings
are discussed in relation to clinical implications and recommendations for future research are
outlined.

Section B is an empirical study using Interpretative Phenomenological Analysis to explore the
experiences of clinicians using the MCA (2005) with people with ID to assess capacity to
consent to sex. Eight clinicians, who had completed between 2 and 40-50 (mode=2) MCA
assessments regarding consent to sex. Three superordinate themes, with subthemes, are
outlined and discussed in relation to the existing literature. Limitations, clinical implications
and areas of future research are considered.