1. Problems with NZ Legal authorities for Residential care
Dr Mark Fisher
Counties Manukau DHB

2. EPOA
ACTIVATION
AUTHORITY FOR CARE

3. Problems with EPOAs Obstacles to appointment Lack of a Register
“Minding the minders”
Substituted versus Supported Decisions
Confusing directions for Attorneys
Clinicians don’t understand

4. No EPOA!
Diagnosis
AUTHORITY FOR CARE??

5. No EPOA!
Diagnosis
AUTHORITY FOR CARE??
Court Order

6. No EPOA!
Right 7(4)
Diagnosis
AUTHORITY FOR CARE??

7. No EPOA!
MHA
Diagnosis
AUTHORITY FOR CARE??

8. MHA? Right 7(4)? Court Order?
No EPOA!
Right 7(4)?
Diagnosis
AUTHORITY FOR CARE??
Court Order?

9. Court Orders (PPPR Act)
Welfare Guardian
Personal Orders
Property Orders

10. Court Orders (PPPR Act)
Good – Protections
Out of Date
Expiry
Court Process very slow
Minding the minders

11. Mental Health Act Limited utility Good protections
Doesn’t deal with financial issues
Medical decision-making
Short-term use?

12. Right 7(4) of the Code Health and Disability Code of Rights
Codifies idea of Necessity
No Protections
No (apparent) limits
Medical Decision-making
Needed to cover gap

13. “DETAINED” WITHOUT LEGAL AUTHORITY

14. FINAL REQUESTS New PPPR Act Speedy Court or Tribunal Process
Register of EPOAs and Orders
Case Law re Right 7(4)
MHA restricted in its use

15. QUESTIONS??