Knowledge and Confidence of the Mental Capacity Act (2005) in a sample of Clinical Psychologists in East Anglia

Yasmin Palmer, Rachel Nabirinde, Peter Beazley

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    Abstract

    The Mental Capacity Act (2005; MCA) entered into force in 2007, some 18 years ago. Since its implementation, several authors have identified gaps in knowledge and confidence in different professional groups. There has, however, been very little research considering this question in relation to Clinical Psychologists, and many wider surveys are now dated. The present study aimed to assess the knowledge and confidence in working with the MCA in a group of practicing Clinical Psychologists.
    A bespoke survey assessed knowledge and confidence in key domains of the MCA specific to the role of a Clinical Psychologist, including a scenario-based vignette and qualitative responses to address additional training needs. A total of 58 HCPC-registered Clinical Psychologists responded to the survey.
    In the scenario Clinical Psychologists demonstrated good knowledge of applying principles of the MCA to a psychology-specific scenario. However, confidence seemed lower, and not all psychologists considered the MCA as very important to their work.
    Research limitations include using a bespoke survey and likely self-selection bias which may mean knowledge and confidence is over-represented. A number of different areas for potential training were identified by the participants.
    Whilst various studies (Marshall and Sprung, 2016; Scott et al., 2020) have explored the knowledge and confidence of the MCA in different professional groups, there has been limited reported data on the knowledge and confidence of a psychological workforce.
    Original languageEnglish
    JournalJournal of Adult Protection
    DOIs
    Publication statusAccepted/In press - 13 Feb 2026

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being
    2. SDG 16 - Peace, Justice and Strong Institutions
      SDG 16 Peace, Justice and Strong Institutions

    Keywords

    • clinical psychologist
    • mental capacity act
    • capacity
    • safeguarding
    • confidence
    • knowledge

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