Background: Requests for evaluation of mental capacity in general hospitals have increased in frequency.
Objective: The authors sought to determine the interventions required to respond adequately and assess the initiating circumstances.
Method: Questionnaires completed by psychiatric consultants were analyzed, and chart reviews were completed.
Results: Capacity evaluation alone resolved 32% of the requests; 31% required an evaluation plus additional interventions; 37% did not require a capacity evaluation. Patients threatening to leave against advice, and/or refusing treatments or procedures represented 64% of requests. Consultants successfully resolved 88% of such cases.
Conclusion: A mental capacity evaluation alone was insufficient to resolve two-thirds of problems eliciting requests. Consultation-liaison psychiatrists can use these evaluations as teaching opportunities.
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