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Welcome to Articulate Advocacy

Articulate Advocacy CIC is a community interest company managed by Leeds Advocacy.
Articulate Advocacy runs the Leeds Independent Mental Capacity Advocacy Service (IMCA) .
And the Independent Mental Health Advocacy Service (IMHA) for people with a learning disability living in Leeds.
(The IMHA service for people without a learning disability is provided by Advocacy for Mental Health and Dementia).

IMHA Service

Amendments to the Mental Health Act 2007 came into force in April 2009. These amendments require the provision of Independent Mental Health Advocates (IMHA's) as an additional safeguard for patients who are subject to the Mental Health Act. This includes people who are 'sectioned' in hospital, people subject to guardianship, and people subject to Community Treatment Orders. If this person also has a learning disability then they are entitled to an IMHA from Articulate Advocacy.

IMCA Service

The Mental Capacity Act 2005 created a new service, the Independent Mental Capacity Advocacy service (IMCA). Its purpose is to help vulnerable people who lack capacity and are facing important decisions made by the NHS and Local Authorities about serious medical treatment and changes of residence for example, moving to a hospital or care home. NHS bodies and Local Authorities have a duty to consult the IMCA in certain decisions involving people who have no family or friends. Local Authorities and NHS Trusts are required, when making important decisions about serious medical treatment or change of accommodation for people who lack capacity, to appoint an IMCA to represent the individual if there is no-one else to support them. Regulations passed in 2006 extended the powers of local authorities and the NHS to instruct IMCAs in certain case involving care reviews and safeguarding cases.

A recent time and decision specific Mental Capacity Assessment should have been completed and details will need to be entered on the referral form. If the referral is not for safeguarding, and friends and family are involved, please ensure it has been explained to them why they have been considered inappropriate to consultWhat the IMCA will do:

  • Where possible find out the person's wishes, feelings, values and beliefs.
  • Represent the person's best interests.
  • Support the person through the decision making process as an independent person.
  • Safeguard the rights and entitlements of the person set out in the MCA, ensuring that the basic principles and the best interest checklist are being followed.
  • Where necessary access copies of the person's Health and Social Care records (Section 35(6)).
  • Where appropriate challenge the decision on behalf of a person.
  • Where necessary seek a second medical opinion.
  • Submit a report, which the decision maker must take into account.'

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