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23 Treatment refusal can occur in the presence or absence of decision-making capacity.
24 The core elements of capacity are the ability to understand the information relevant to the decision, the ability to use or weigh that information as part of the decision-making process, and to communicate the decision.
25 Common law establishes that an adult is presumed to have the capacity to consent to or refuse medical treatment unless that presumption is rebutted.
26 However, capacity may be affected by symptoms of mental and physical illness, emotional state and cognition, which may fluctuate over time and resolve with treatment and support.
27,28 With psychosis, for example, there may be symptoms such as delusional beliefs leading to mistrust of clinicians or denial of illness.
Calls to Richmond Foundation helpline quadrupled in 2020
Increase of people suffering from anxiety as well as symptoms of depression and loneliness due to the pandemic
28 January 2021, 3:55pm
by Laura Calleja
Prime Minister Robert Abela and Health Minister Chris Fearne visited the Richmound Foundaion office s on Thursday
Calls to the Richmond Foundation helpline 1770 quadrupled over the last year, with 3,600 calls.
The private mental health foundation saw an increased demand for therapy services, with about 500 sessions over the last year.
A study by the Foundation showed that the COVID-19 pandemic impacted the nation s mental health, with experts stressing the importance of having adequate mental health services available in order to mitigate the long-term effects.