Shows
The Thinking Mind Podcast: Psychiatry & PsychotherapyE110 - Is Sectioning People Ethical? Mental Health Law, Capacity, Assisted Dying, the Insanity Defence (w/ Alex Ruck Keene)Alex Ruck Keene KC (Hon) is a barrister at 39 Essex Chambers in London, specializing in mental capacity, mental health, and healthcare law. In recognition of his significant contributions beyond the courtroom, Alex was appointed Honorary King's Counsel in March 2022. Beyond his legal practice, Alex is involved in academia and policy development. He serves as a Professor of Practice at the Dickson Poon School of Law, King's College London, and as a Visiting Senior Lecturer at the Institute of Psychiatry, Psychology and Neuroscience at King's College London. Alex has been instrumental in shaping mental he...2025-02-071h 41
Conversations About Advance Care Planning118 Mental Capacity, Best Interests decision making and the law with Alex Ruck Keene KCIn this episode it is my pleasure and honour to talk with Alex Ruck Keene KC. Alex is an English barrister, writer and educator. His practice is focused on mental capacity, mental health and healthcare law, and he is also a Professor of Practice at King’s College London. He also writes extensively, and is the creator of the website Mental Capacity Law and Policy If you are a team looking to provide better end of life care, or set up a one off or complete education programme in end of life care head to www...2025-01-1348 min
Mental Capacity Matters with Alex Ruck KeeneConflict (and conflict avoidance) in the ICU – in conversation with Dr Harleen Kaur JohalIn this ‘in conversation with’, I talk to Dr Harleen Kaur Johal, a doctor and PhD candidate, about her research as part of the BABEL project into conflict in the ICU. We discuss her interviews with patients, their family members / representatives and clinicians, and think about some of the ways in which conflicts can arise, how they can be managed, and issues which can arise when people seek to avoid conflict.For the original video, see here: Conflict (and conflict avoidance) in the ICU – in conversation with Dr Harleen Kaur Johal – Mental Capacity Law and Policy2024-09-1821 minMental Capacity Matters with Alex Ruck KeeneThe police and the Mental Capacity Act 2005 - in conversation with Michael BrownIn this 'in conversation with', I talk to the very recently retired police officer, Michael Brown - the Mental Health Cop, about the police, the MCA 2005, the red herring of 'capacity to commit criminal offences,' and the complexities of emergency situat2024-09-0928 minMental Capacity Matters with Alex Ruck KeeneLearning disability, access to justice, and the role of the law (and lawyers) - in conversation with Rosie HardingIn this 'in conversation' with Professor Rosie Harding, we talk about the Co-Producing Accessible Legal Information (COALITION) Project, which has recently published its concluding report (and accompanying Easy Read version). We talk both about how to conduct co-produced research, the barriers to accessing justice for those with learning disabilities, and how lawyers can help begin to play their part. For the original video, see here. 2024-09-0822 minMental Capacity Matters with Alex Ruck KeeneSafeguarding Adults Reviews – themes and implications from a national analysis: in discussion with Professor Michael Preston-ShootIn this ‘in conversation’ with, I talk to Professor Michael Preston-Shoot about the second national analysis of safeguarding adults reviews he recently led with Professor Suzy Braye. We talk about the background and context, and he draws out some of the key themes, before we conclude with asking whether SARs actually achieve anything.The three reports coming from the analysis can be found here: Stage 1: Case characteristics; nature of the abuse and neglect; SAR reviewing processStage 2: Analysis of learningStage 3: Conclusions and improvement prioritiesThe Safe Care at Home Review...2024-07-2226 minMental Capacity Matters with Alex Ruck KeeneDecision-making capacity and mental health law – the Norwegian experience: in conversation with Jacob JoremIn this ‘in conversation with’, I talk to Jacob Jorem, a Norwegian psychiatrist, lawyer and researcher, about the Norwegian experience introducing decision-making capacity into (at least part of) mental health law, why the result of a process designed to reduced coercion was a very significant increase in the number of involuntary orders made, and how to assess why and how legal changes impact on practice.Two articles explaining the Norwegian experience can be found here.Impact of introducing capacity-based mental health legislation on the use of community treatment orders in Norway: case registry studyInc...2024-06-2728 minMental Capacity Matters with Alex Ruck KeeneLife in the balance in ITU – in conversation with Dr Jim DownIn this “in conversation with”, I talk to Dr Jim Down about a whole host of matters related to intensive care, inspired by his recent book, Life in the Balance. We cover the realities of being in ICU, the interaction between law and ethics, and get into a discussion about the need for honesty about resource allocation (including touching on this paper about deliberative democracy and triage).For the original video, see here. 2024-06-0626 minMental Capacity Matters with Alex Ruck KeeneHow is the Mental Capacity Act faring? In conversation with Dr Margaret FlynnTo mark 10 years since the publication of the report of the House of Lords select committee convened to conduct post-legislative scrutiny of the Mental Capacity Act 2005, Dr Margaret Flynn, Chair of the National Mental Capacity Forum, joins me in the shed. Our conversation examines where the Act came from, and how we are (or are not) making progress in making it an Act which matters.For the original video, see here. 2024-03-1324 minMental Capacity Matters with Alex Ruck KeeneAssisted dying / assisted suicide – an informerIn light of the publication of the Westminster Parliament’s Health and Social Care Committee’s (very good) report on assisted dying / assisted suicide on 29 February 2024 and as a modest contribution to informing debate about these issues, I have recorded an ‘informer,’ in which I give an overview of the current law in England & Wales and worldwide, set out some of the reasons why people might want change, and some reasons why people are concerned about it, and then look at what the European Convention on Human Rights and the UN Convention on the Rights of Persons with Disabilities might say...2024-03-1228 min
It's a Hard Rock LifeTHE BIG RIFF - 76 - ALEX DRISCOLLTonight we are humbled to have Alex Driscoll. We jam some music, boxing, testimony, and wisdom. This was a great time!
ahardrocklife@gmail.com
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also
https://rumble.com/c/c-3065898
https://rumble.com/c/c-3023066
2024-03-082h 25Mental Capacity Matters with Alex Ruck KeeneHow to compare mental health and mental capacity frameworks across countries: in conversation with Professor Gavin DavidsonIn this ‘in conversation with’ Professor Gavin Davidson, we discuss the new paper that he has co-authored, entitled Comparing mental health and mental capacity law data across borders: Challenges and opportunities, think about what data is actually useful, and use the example of the island of Ireland to dig into striking differences of approach. The original video is here. (The ‘purpose’ clause that we discuss which featured in the report of the Independent Review of the MHA 1983 features at page 67 of here).2024-02-0121 minMental Capacity Matters with Alex Ruck KeeneMental health, coercion, lived experience and what is truly important - in conversation with Graham MorganIn the last 'in conversation' of 2023, I talk to Graham Morgan about his perspective on coercion in mental healthcare, what 'lived experience' means, and what is truly important in the mental health context.For the original video, see here. 2023-12-2123 minMental Capacity Matters with Alex Ruck KeeneCharging, the Care Act and capacity – in conversation with Arianna KellyIn this ‘in conversation with,’ I am joined by my colleague at 39 Essex Chambers, Arianna Kelly, to talk about her new book, Social Care Charging, and then to look at the issues which arise where decisions about charging and care planning are taking place in relation to those with impaired decision-making capacity.For the original video, see here. A review of Arianna’s book can be found in the December 2023 Mental Capacity Report, available here.2023-12-0818 minMental Capacity Matters with Alex Ruck KeeneThe Routledge Handbook of Mental Health Law – in conversation with Professors Brendan Kelly and Mary DonnellyIn this ‘in conversation’ with, I talk to the editors of the new Routledge Handbook of Mental Health Law, Professors Brendan Kelly and Mary Donnelly, about the genesis and scope of, and insights, from the book. We discuss, amongst other matters, the concepts of mental illness, lived experience, and the scope of the idea of ‘mental health law.’For the original video, see here. Full disclosure, I contributed a chapter to the book with Dr Katherine Reidy (on decision-making capacity in mental health law).For a 20% discount, valid until 1 March 2024, click on this link here.2023-11-2729 minMental Capacity Matters with Alex Ruck KeeneMoving beyond autonomy: the indivisibility of rights – in conversation with Dr Julia DuffyIn this ‘in conversation with’ Dr Julia Duffy, we discuss her new book, the indivisibility of rights, and how we might move beyond a focus on autonomy in the context of cognitive impairment to get a richer understanding of personhood.The original video can be found here. Julia’s book is called Mental Capacity, Dignity and the Power of International Human Rights, and is available here.2023-11-0726 minMental Capacity Matters with Alex Ruck KeeneQuestioning our presumptions about the presumption of capacity – in conversation with Isabel Astrachan and Dr Scott KimIn this ‘in conversation’ with, I talk to Isabel Astrachan and Dr Scott Kim about the paper we recently published together looking at the ways in which the presumption of capacity in the Mental Capacity Act 2005 (and many other equivalent legislative frameworks in other countries) can be misunderstood, and why ‘suspending’ the presumption in the face of legitimate reason to be concerned about a person’s ability to make a decision is not only the legally, but also the ethically correct thing to do.For the original video, see here. The paper we discuss was published in t...2023-10-2023 minMental Capacity Matters with Alex Ruck KeeneInsight and mental health care: the perspective of those whose insight is being questioned: in conversation with Dr Magda FurgalskaIn this ‘in conversation’ with, I talk to Dr Magda Furgalska about her research into people's lived experiences of ‘insight’ in the context of (often compulsory) mental health care, and we explore also whether and how it might be possible to move away from reliance upon a concept which finds no formal place in the law.For the original video, see here. 2023-09-0924 minMental Capacity Matters with Alex Ruck KeeneThe mental capacity and mental health law and policy landscape – a stocktakeAs (for some at least) a summer break is starting to come to an end, I have recorded a version of a talk that I gave to the Essex Autonomy Project’s 2023 Summer School, taking stock of the mental capacity and mental health law and policy landscape as at August 2023. Its primary focus is on England & Wales, but it also includes developments in the UK and further afield, including thinking about the implications of the French language version of Article 19 CRPD providing not for ‘living independently’, but ‘autonomie de vie’ (Warning, it is longer than a usual shedinar!).The origina...2023-08-2442 minMental Capacity Matters with Alex Ruck KeeneSelf-binding directives: the view from Europe – in discussion with Matthé ScholtenIn this ‘in conversation with’, I talk to Dr Matthé Scholten about self-binding directives, coercion in mental health treatment and how to characterise treatment that is in line with a person’s will but not their current preferences.For the original video, see here. Details of the SALUS project Matthé is working on can be found here.Three articles describing matters discussed in the conversation in more detail are:Scholten, M., S. Efkemann, M. Faissner, M. Finke, J. Gather, T. Gergel, L. van der Ham, G. Juckel, A. L. van Melle, G. Owen, S. Po...2023-07-2724 minMental Capacity Matters with Alex Ruck KeeneForensic medical examination and adults at risk of harm - in conversation with Dr Elisabeth AltonIn this ‘in conversation’ with, I talk to Dr Elisabeth Alton about the pilot forensic service to support safeguarding adults that she has led on, designed to provide an examination service for adults at risk of harm who may have suffered a non-accidental injury as a result of physical abuse or neglect.For the original video, see here. Details of ‘Adult A’s’ case that Elisabeth talks about at the start of the video can be found here (and we can confirm that Adult A’s family are aware of, and happy with the fact, that we talk a...2023-07-0522 minMental Capacity Matters with Alex Ruck KeeneInterpersonal influence and decision-making capacity – in conversation with Kevin AriyoIn this ‘in conversation with’, I talk to Dr Kevin Ariyo about the research that he led (as part of the as part of the Mental Health & Justice Project) into interpersonal influence and decision-making capacity, focusing on the way in which this issue has played out in the courts, and asking what the research might tell us about how we can think better about this area. For the original video, see here. 2023-06-1924 minMental Capacity Matters with Alex Ruck KeeneAdvance choice documents – turning research into reality: in conversation with Abiy BabatundeIn this – the 50th! – ‘in conversation’ with, I talk to Abiy Babatunde, research assistant on the Advance Statements for Black African and Caribbean (AdStaC project), which seeks to improve Black service users’[1] experiences in mental health services in South London by co-producing and testing an advance choice implementation resource with Black service users, mental health professionals and carers/supporters of Black service users. Abiy explains how the research came out, how it has been developed, and progress so far. We also discuss how to manage fears on the parts of service users and staff about making and using such advance choic...2023-06-0221 minMental Capacity Matters with Alex Ruck KeeneRefusing food in prison - in conversation with Donna PhillipsIn this 'in conversation with', I talk to Donna Phillips, Head of Safeguarding at Spectrum Community Health CIC, about the challenges that arise where prisoners refuse food, and about her research leading to a new toolkit to help work through the dilemmas that arise.For the original video, see here. 2023-05-2218 minMental Capacity Matters with Alex Ruck KeeneIslam, capacity and best interests – in conversation with Siddiq DiwanIn this 'in conversation with,' I talk to Siddiq Diwan, Imam and Lead Muslim Chaplain at the Manchester University Hospital Foundation Trust (and Vice Director of the Ethics Council at The British Islamic Medical Association). I learn something of the Islamic perspective on the concepts of capacity and best interests, and think with him about navigating some of the complexities of these issues in the medical treatment context.For the original video, see here. 2023-05-0325 minMental Capacity Matters with Alex Ruck KeeneSupported decision-making – the principles and the point: in conversation with Shih-Ning ThenIn this ‘in conversation with,’ I talk to Professor Shih-Ning Then about supported decision-making, exploring the meaning of the term, how it is understood and what it might mean in different contexts, in the context of a hugely important report on the subject she has contributed to for the Living Disability Research Centre at La Trobe University, commissioned by the Australian Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability.The website and e-learning materials for the La Trobe Supported Decision-Making Framework we talk about during our conversation can be found here.For the o...2023-03-2721 minMental Capacity Matters with Alex Ruck KeeneCapacity and organ donation – the complexities and the potential for discrimination: in conversation with Bonnie VenterIn this ‘in conversation with,’ I talk to Bonnie Venter about her work investigating the complexities of living organ donation in England & Wales, and think about the issues caused where either the proposed donor or the potential recipient has impaired decision-making capacity.The paper Bonnie and I discuss, published in the Journal of Medical Ethics, and prompted by the case of William Verden, can be found here (it is behind a paywall but if you ask nicely I am sure we can help).The paper that we talk about led on by Rebecca Thom looking at inequi...2023-03-2323 min
It's a Hard Rock LifeTHE BIG RIFF - 42 - ALEX T. II (ROCKET GODS)We welcome back Alex from Rocket Gods to jam about music and life! We ran into some technical problems and the middle of the video got fudged. Still, just pop some headphones in, or speaker on, because it's always entertaining and interesting whenever we talk with Alex.
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We also have a Reddit. https://www.reddit.com/r/ItsaHardRockLifePod?utm_me...2023-03-172h 16Mental Capacity Matters with Alex Ruck KeeneSupporting decision-making and reducing coercion in mental health care – in conversation with Dr Piers GoodingIn this ‘in conversation with’ across time zones, I talk to Dr Piers Gooding about his work in relation to supported decision-making and the work that he has been involved in drawing together concrete evidence of steps that can be take to reduce (or prevent) coercion in mental health care. Drawing on his experiences, we think about incremental vs ‘big bang’ approaches to reform.For the original video, see here.2023-03-0323 minMental Capacity Matters with Alex Ruck KeeneAlcohol Related Brain Damage and capacity – in conversation with Ken Wilson and Julia LewisIn this ‘in conversation’ with, I learn from (retired) Professor Ken Wilson and Dr Julia Lewis about Alcohol Related Brain Damage and its often subtle impacts upon mental capacity. We also discuss when and why thinking about capacity to manage alcohol is actually useful in the abstract.For the original video, see here. 2023-02-2026 minMental Capacity Matters with Alex Ruck KeeneAdvance directives across Asia - in conversation with Daisy Cheung and Michael DunnIn this 'in conversation' with, I learn about the background to the new book co-edited by Daisy Cheung and Michael Dunn, Advance Directives Across Asia: A Comparative Socio-legal Analysis (available as a free ebook here). We discuss the challenges of undertaking comparative research in relation to such a diverse group of jurisdictions (see here for a slide setting out the countries covered, and the types of approach that they have), and I cruelly put both of them on the spot to highlight jurisdictions that they found particularly striking in their approaches.For the original video, see here.2023-02-0924 minMental Capacity Matters with Alex Ruck KeeneA long-term perspective in capacity: in conversation with Dr Janet WestonIn the most recent (slightly snuffly) in conversation, I talk to Dr Janet Weston about her fascinating book Looking after Miss Alexander: Care, Mental Capacity, and the Court of Protection in Mid-Twentieth-Century England (available for free here). I learn what led her to tell Miss Alexander's story, what that story tells us about approaches to capacity in the middle of the 20th century, and what it might have to tells us to thinking about contemporary dilemmas.For the original video, see here.2023-01-3123 minMental Capacity Matters with Alex Ruck KeenePowers of Attorney Bill – what changes would it make to the LPA regime in England & Wales?In May 2022, the Ministry of Justice indicated in its response to the Modernising Lasting Powers of Attorney consultation that it intended to bring forward primary legislation to amend the MCA 2005 to reform a number of key provisions relating to LPAs. Stephen Metcalfe MP introduced in December a Private Members’ Bill, the Powers of Attorney Bill 2022, which has government support, and has progressed beyond second reading.In this podcast, I do a short walkthrough of the Bill and some of the key changes it is proposing (as well as one key one which is not been proposed.For t...2023-01-2717 minMental Capacity Matters with Alex Ruck KeeneDraft Mental Health Bill – the Parliamentary scrutiny committee reports (and walkthrough)The Joint Committee on the Draft Mental Health Bill has today (19 January 2023) published its pre-legislative scrutiny report on the draft Bill. This podcast is a walkthrough of its conclusions and recommendations. For the original video, see here. 2023-01-1924 minMental Capacity Matters with Alex Ruck KeeneInterdisciplinarity, capacity paradigms and new challenges for capacity – in conversation with Dr Gareth Owen (full discussion)In a slightly different ‘in conversation with,’ in that the tables are turned half-way though and I’m on the spot, Dr Gareth Owen and I reflect on our work on the Mental Health and Justice Project, and discuss the need for (and complexities of) interdisciplinarity in mental health research, drawing on a chapter in a forthcoming book. We then turn to a paper I led on - just published in the Medical Law Review - about whether there has been a paradigm shift in mental capacity law brought about by the Convention on the Rights of Persons with Disabilitie...2023-01-1736 minMental Capacity Matters with Alex Ruck KeeneInterdisciplinarity, capacity paradigms and new challenges for capacity – in conversation with Dr Gareth Owen (capacity paradigms)In a slightly different ‘in conversation with,’ in that the tables are turned half-way though and I’m on the spot, Dr Gareth Owen and I reflect on our work on the Mental Health and Justice Project, and discuss the need for (and complexities of) interdisciplinarity in mental health research, drawing on a chapter in a forthcoming book. We then turn to a paper I led on - just published in the Medical Law Review - about whether there has been a paradigm shift in mental capacity law brought about by the Convention on the Rights of Persons with Disabilitie...2023-01-1713 minMental Capacity Matters with Alex Ruck KeeneJudging Values And Participation In Mental Capacity Law – in conversation with Dr Camillia Kong and Professor Penny CoopeIn this shedinar, I discuss the genesis, findings and headline points of the Judging Values project led by Camillia Kong with Camillia and Professor Penny Cooper.For the original video, see here. For more on the research, including the papers and videos that we discuss, see the project website here. For the final project report, see here.2023-01-1027 minMental Capacity Matters with Alex Ruck Keene2022 - a year in Court of Protection casesIn the first shedinar of 2023, I have done a review of the key cases from the Court of Protection (with one from the Court of Appeal and a 'watch this space' from the Supreme Court) from 2022.The original video can be found here. 2023-01-0225 minMental Capacity Matters with Alex Ruck KeeneHow to read a Court of Protection judgmentPrompted by a number of situations recently in which I have been concerned that professionals may not always know how to read a Court of Protection judgment and whether, and how, it applies to a similar-sounding situation in front of them (especially reading coverage of this case), I’ve recorded a short (15) minute shedinar on the subject.For the original video, see here. 2022-10-3116 minMental Capacity Matters with Alex Ruck KeeneDecision-making styles and stresses - the case of autism: in conversation with David MasonIn this 'in conversation,' I talk to PhD student David Mason about the research that the King's College London ReSpect Lab is undertaking with autistic people into decision-making styles and stresses, and how this research can assist in thinking better about mental capacity assessments in the context of autism. For the original video, see here. 2022-10-2119 minMental Capacity Matters with Alex Ruck KeeneMental health law reform – the Scottish perspective: in conversation with Professor Jill Stavert and Professor Colin McKayIn this episode, I am joined, not in the shed (under repair), by Professors Jill Stavert and Colin McKay, both members of the executive team of the Scottish Mental Health Law Review chaired by (Lord) John Scott QC. The Review reported in September 2022, and our discussion explores why the Review was needed, how it was carried out, and its key recommendations. We look in particular at what it means to carry out a review seeking to implement positive rights in the mental health and capacity sphere. Note: the tin cans and string between London and Edinburgh gave up briefly at a coup...2022-10-1525 minMental Capacity Matters with Alex Ruck KeeneAdvance choice documents: their potential and prerequisites – in conversation with Dr Lade Smith CBEIn the latest ‘in conversation with,’ Dr Lade Smith CBE and I talk about advance choice documents in the mental health context, their potential, and the prerequisites for making them work.The original video can be found here. 2022-09-2419 minMental Capacity Matters with Alex Ruck KeeneOnline safeguarding, capacity and rights to participation – in conversation with Professor Andy PhippenIn this ‘in conversation’ with Professor Andy Phippen, we talk about online safeguarding, capacity, and why Andy really dislikes the term ‘online safety’.For the original video, see here. The book that Andy has written with Professor Emma Bond we discuss is this: Safeguarding Adults Online – Perspectives on Rights to Participation.2022-09-2123 minIt's a Hard Rock LifeMUSIC RANT - 1.14 - ALEX T. (ROCKET GODS)Tonight we welcome the bass player from ROCKET GODS Alex Thompson. We talk about our musical influences, how much fun bass guitar is, and we even get into classic horror and sci-fi movies! Please enjoy! If you would like to support the show, a premium membership is available via unlocking the very first It's a Hard Rock Life episode. For $3.99 a month, you would be helping the show grow and support would be used to transport musicians and their gear to our stage and table! Thank you for those who already support. - 2022-09-092h 44Mental Capacity Matters with Alex Ruck KeenePiloting co-produced advance choice documents – in conversation with Dr Lucy StephensonIn this ‘in conversation’ with Dr Lucy Stephenson, we talk about a pilot project she has led on as part of the Wellcome-funded Mental Health and Justice Project which aimed to co-produce and evaluate implementation strategies for advance choice documents with those who experience fluctuating mental capacity in the context of bipolar.For the original video, see here. The paper we are talking about can be found (for free) here. And you can hear younger versions of both Lucy and I talking about her work at a much earlier stage here.2022-09-0623 minMental Capacity Matters with Alex Ruck KeeneSuicide and the (mis)use of capacity – in conversation with Dr Chloe BealeIn this conversation, I talk to Dr Chloe Beale about the uses and misuses of capacity in the context of responding to suicide risk. Warning, we do get quite deep into the issues involved.For the original video, see here.The paper by Wren Aves we discuss is: “If you are not a patient they like, then youhave capacity”: Exploring Mental Health Patient and Survivor Experiences of being told “You Have the Capacity to End Your Life”. Psychiatry is Driving Me Mad. 2022. DOI:10.13140/RG.2.2.34386.84163The paper by Dr Lucy Series Chloe mentions is: “The ‘you’ve got the capa...2022-07-1225 minMental Capacity Matters with Alex Ruck KeeneThe MCA, advance decisions and shifting the dial – in conversation with Compassion in DyingIn a departure from my previous outings, I have recorded a three way conversation with Usha Grieve and Sarah Malik of the charity Compassion in Dying, reflecting on the promises and pitfalls of advance decision-making – and we take a moment in the middle to think about a complicated path we could take conversationally: but I won’t spoil the surprise here!For the original video, see here. The website for Compassion in Dying we talk about is here.2022-07-0628 minMental Capacity Matters with Alex Ruck KeeneMental capacity - challenges and commitment: in conversation with Ilora FinlayIn this conversation, I talk to Ilora Finlay (Baroness Finlay of Llandaff), the first Chair of the National Mental Capacity Forum, reflecting on the tasks she faced pre-pandemic to champion the MCA, and the particular challenges of the MCA under strain in the pandemic.For the original video, see here. 2022-06-2624 minMental Capacity Matters with Alex Ruck KeeneLived experience and mental health research – in conversation with Dr Thomas KabirIn this conversation, I talk to Dr Thomas Kabir about his work with the McPin Foundation, and co-chair of the Service User Advisory Group for the Mental Health and Justice Project, about do’s and don’ts in involving those with lived experience in research in the mental health field.For the original video, see here. 2022-05-1721 minMental Capacity Matters with Alex Ruck KeeneReSPECT, advance decision-making and capacity dilemmas - in conversation with Dr Zoë FritzIn this conversation, I talk to Dr Zoë Fritz, Wellcome fellow in Society and Ethics and a Consultant in Acute Medicine at Addenbrooke's Hospital, about her work developing the ReSPECT framework to prompt and record discussions about the shared understanding required as between doctors and patients to enable proper advance care planning. We also pick up on what F stands for in Dr ABCDEF.For the original video, see here. The Tracey case we discuss is summarised here; the Winspear case we discuss is summarised here.2022-05-1727 minMental Capacity Matters with Alex Ruck KeeneCan we move beyond binaries in thinking about capacity and disability? In conversation with Dr Bev CloughIn this conversation, I talk to Dr Bev Clough about her new book, The Spaces of Mental Capacity Law Moving Beyond Binaries, and dig into two of the binaries she covers – autonomy vs paternalism and public vs private. We also get into a discussion about the scope of the inherent jurisdiction in relation to adults.For the original video, see here. 2022-05-0330 minMental Capacity Matters with Alex Ruck KeeneContraception, support and intellectual disability – in conversation with Jodie RawlsIn this conversation, I talk to Jodie Rawls about her research as part of the Mental Health & Justice project into support in the context of intellectual disability in relation to contraception, including fascinating – and challenging – insights from her interviews. I also talk to her about the toolkit for supporting decision-making around contraception produced by the Supported Loving network to which she contributed.For the original video, see here. 2022-03-3022 minMental Capacity Matters with Alex Ruck KeeneDeprivation of liberty in the shadows of the institution – in discussion with Dr Lucy SeriesIn this conversation, I ask Dr Lucy Series about her book Deprivation of liberty in the shadows of the institution (available here, for free, thanks to the Wellcome Trust) looking at the tangled history of deprivation of liberty, social care detention, Cheshire West and its legacies, and the concept of the empowerment entrepreneur.For the original video, see here. 2022-03-2918 minMental Capacity Matters with Alex Ruck KeeneAdvance care planning - the anaesthetist's role and perspectiveIn this ‘in conversation’ with Dr Tim Meek, we discuss the role of anaesthetists before and during operations, how they approach DNACPR documents, and new guidelines produced by the Association of Anaesthetists (available here).The original video is available here. Boring but necessary caveat, nothing constitutes legal advice. 2022-03-1420 minMental Capacity Matters with Alex Ruck KeeneSeeing, wondering and realising – in conversation with the Reverend Phil SharkeyIn this ‘in conversation with’ the Revd Phil Sharkey, we discuss his book ‘Words to Remember,’ reflective listening, and the importance of time in reaching those who may seem beyond the bounds of ordinary communication.For the original video, see here. 2022-01-2019 minMental Capacity Matters with Alex Ruck KeeneThe Mental Capacity Act and Covid-19This podcast, recorded in December 2021, seeks to set out the key messages about the application of the Mental Capacity Act 2005 under the pressures of the pandemic.For the original video, see here. Boring but necessary caveat, nothing here constitutes legal advice. 2021-12-1921 minMental Capacity Matters with Alex Ruck KeeneWaiting for the Liberty Protection SafeguardsIn this podcast, recorded in December 2021, I discuss what to do whilst we wait for the Liberty Protection Safeguards to be implemented, in light of the announcement of the delay in December 2021.For the original video, see here. Boring but necessary caveat, nothing here constitutes legal advice. 2021-12-1922 minMental Capacity Matters with Alex Ruck KeeneDr Idris Baker - what is a 'decision' in law and medicine?In this “in conversation with” the palliative care specialist Dr Idris Baker, we start with a simple question: “what is a decision” and examine it from the perspective of both medicine and the law, and then spiral out to look at a range of issues including advance decision-making, and self-reflection in determining best interests.For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video, see here.2021-11-2731 minMental Capacity Matters with Alex Ruck KeeneA Local Authority v JB - capacity, consent, sex and the Supreme CourtFor my video walkthrough, see: https://vimeo.com/648537905.For more see www.mentalcapacitylawandpolicy.org.uk. Boring but necessary caveat, nothing constitutes legal advice. 2021-11-2437 min
Talkin Bout the D43 - Under WrapsMummys getting into crazy shenanigans? Yeah, we're doing Under Wraps! The very first DCOM, from 1997. Joined by return guests Alex Dudley and Karen Joseph Adcock, we delve into this kooky classic and see how many times women can scream at the same mummy. Follow us!Instagram: https://www.instagram.com/talkinboutthed/Twitter: https://twitter.com/boutthedFacebook: https://www.facebook.com/talkinboutthed/Rate and review wherever you're listening to this podcast! Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.2021-10-071h 47Mental Capacity Matters with Alex Ruck KeeneHappy 14th birthday Mental Capacity Act 2005The MCA 2005 came into force 14 years ago today, 1 October 2007. To mark its birthday, I've recorded a walkthrough of my top 10 Court of Protection health and welfare cases. The slides accompanying it (with hyperlinks to the cases) are here. For more, see Mental Capacity Law and PolicyBoring but necessary caveat, nothing constitutes legal advice. 2021-10-0122 minMental Capacity Matters with Alex Ruck KeeneRosie Harding - making legal information accessibleIn this ‘in conversation’ with Professor Rosie Harding, we discuss accessible information and how making information accessible constitutes a practicable step to support decision-making under the MCA 2005.For more see www.mentalcapacitylawandpolicy.org.uk. 2021-07-2221 minMental Capacity Matters with Alex Ruck KeeneAlix Lewer - music and supporting capacityIn this ‘in conversation’ with Alix Lewer, founder of Include.org, we discuss the work of the Include choir, the role of music in supporting those with communication impairments, and how people can be educated by stealth as to what constitutes practicable steps to support capacity.For more see www.mentalcapacitylawandpolicy.org.uk. 2021-05-2021 minMental Capacity Matters with Alex Ruck KeeneAkiko Hart - grappling with mental health reformIn this "in conversation with" Akiko Hart, Chief Executive of the National Survivor Users Network, we discuss the challenges of responding to reform proposals in relation to mental health law and practice as a membership organisation, and also get into some of the thorny issues around mental health reform more generally. For more see www.mentalcapacitylawandpolicy.org.uk. 2021-04-2127 minMental Capacity Matters with Alex Ruck KeeneDr Chris Danbury - thorny best interests issues in medical treatment casesIn this “in conversation with” Dr Chris Danbury, we discuss the impact of the Supreme Court decision in Aintree v James, the concept of futility, and mediation in clinical negligence and serious medical treatment cases.For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video, see here.2021-03-2922 minMental Capacity Matters with Alex Ruck KeeneHelen Gilburt - navigating the interface between the Mental Health Act and the Mental Capacity ActIn this “in conversation with” Helen Gilburt at the King’s Fund, we discuss the report she has authored (February 2021) on Understanding clinical decision-making at the interface of the Mental Health Act (1983) and the Mental Capacity Act (2005), most easily accessed by this blog here.For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video, see here.2021-03-1619 minMental Capacity Matters with Alex Ruck KeeneShedinar - the MCA and 16/17 year oldsIn this shedinar, I look at the MCA and 16/17 year olds. This is a complicated area, so this can serve only as an overview. As I note in the video, the law in this area is evolving, and this represents the position as at the end of January 2021. I will seek to do an updated shedinar in due course to keep abreast of the position.For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video, see here.2021-01-1817 minMental Capacity Matters with Alex Ruck KeeneDr Nuala Kane - transparency and accountability in capacity determinationsIn this “in conversation with” Dr Nuala Kane, Nuala discusses the work that she has been leading on under the umbrella of the Mental Health and Justice Project developing a typology of capacity rationales, how this might help determinations be more transparent, and to target support.For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video, see here.2020-12-1022 minMental Capacity Matters with Alex Ruck KeeneIn conversation - law and ethics in the ICUThis “in conversation with” is, in part, shameless self-promotion, to mark the publication of the second edition of Law and Ethics in Intensive Care (Oxford University Press, £39.99), which I co-edited with Chris Danbury, Chris Newdick and Carl Waldmann. It is also, however, hopefully also a useful discussion between two lawyers (Chris Newdick and I) and two intensivists (Chris Danbury and Carl Waldmann) about how the law and medicine work together in ICU, and what ramifications this might have for the interaction in other areas. (And we also get to see how the NHS does, indeed, run on tea).For more, s...2020-11-1422 minMental Capacity Matters with Alex Ruck KeeneDr Scott Kim - a 'critical friend' perspective on the MCAIn this “in conversation with” the psychiatrist and bioethicist Dr Scott Kim, Scott gives a ‘critical friend’ perspective from the US upon the MCA, and we delve into some of the consequences of approaching best interests from the perspective of standing in the shoes of the person.For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video, see here.2020-11-1024 minMental Capacity Matters with Alex Ruck KeeneDr Steve Fleming - metacognition and capacityIn this “in conversation with” Dr Steve Fleming, a cognitive neuroscientist and psychologist, we dig into the concept of metacognition and how work being done in the lab may start to shed light on the contested concepts of insight and decision-making capacity.For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video, see here.2020-11-0320 minMental Capacity Matters with Alex Ruck KeeneRevd Dr Geoff Morgan - spirituality, advocacy, the MCAThis episode is a conversation with the Revd Dr Geoff Morgan, a hospital chaplain and former IMCA, in which we discuss spirituality, advocacy, the MCA and the difference small things can make. For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video, see here. Boring but necessary caveat, nothing here constitutes legal advice.2020-10-0122 minMental Capacity Matters with Alex Ruck KeeneEmma Overton - commissioning, joined up thinking and the Mental Capacity ActIn this “in conversation with” Emma Overton, Policy and Practice Development Lead at North East Lincolnshire CCG, we discuss commissioning, joined up thinking, and learning lessons from cases where steps have not been taken to consider how to enable medical treatment to be delivered to those with impaired decision-making capacity. For more, see mentalcapacitylawandpolicy.org.uk. For the original video, see here.Boring but necessary caveat, nothing here constitutes legal advice.2020-09-1521 minMental Capacity Matters with Alex Ruck KeeneGeorge Szmukler - fusion lawIn this "in conversation with" George Szmukler, we discuss the idea of fusion law - i.e. a law which would replace separate mental health and mental capacity legislation with legislation based solely upon mental capacity and best interests.For more, see mentalcapacitylawandpolicy.org.uk. For the original video, see here.Boring but necessary caveat, nothing here constitutes legal advice.2020-09-0428 minMental Capacity Matters with Alex Ruck KeeneProfessor Wayne Martin - insight and mental capacityIn this "in conversation with" Professor Wayne Martin, we dig into the concept of 'insight' and tease out how it might relate to mental capacity, drawing upon ongoing work that he is doing as part of the Wellcome-funded Mental Health and Justice Project (www.mhj.org.uk).For more, see www.mentalcapacitylawandpolicy.org.uk. For the original video see here. Boring but necessary caveat, nothing here constitutes legal advice.2020-08-1422 minMental Capacity Matters with Alex Ruck KeeneDr Tania Gergel - philosophy and mental capacityIn this ‘in conversation’ with Dr Tania Gergel, we think about what philosophy can bring to thinking about mental capacity, have a chewy discussion about the (mis)use of the presumption of capacity and start getting into advance decision making and problems of personhood. For more, see www.mentalcapacitylawandpolicy.org.uk.For the original video, see here. 2020-08-0724 minMental Capacity Matters with Alex Ruck KeeneDr Lade Smith CBE - capacity and cultureIn this episode, Dr Lade Smith CBE and I discuss the ways in which capacity assessments under the MCA do and do not capture the cultural aspects of capacity, and the consequences for discrimination.For the original video, see here.Boring but necessary caveat, nothing constitutes legal advice. 2020-08-0420 minMental Capacity Matters with Alex Ruck KeeneThe inherent jurisdiction of the High Court in relation to adultsIn this episode, I look at the inherent jurisdiction of the High Court as it relates to adults. This is a complicated area and I concentrate, in particular, on the situation where the person is at risk from others. For more guidance, and further discussion of the situation where the inherent jurisdiction might be considered where the sole risk appears to be that from the person themselves, see our Chambers guidance note on the inherent jurisdiction available here. For the original video with slides, see here. . 2020-07-2918 minMental Capacity Matters with Alex Ruck KeeneDeprivation of liberty - the fundamentalsAn episode looking at the fundamentals of deprivation of liberty - how to identify one, and what to do where one has arisen.For the original video with slides, see here. 2020-07-2916 minMental Capacity Matters with Alex Ruck KeeneThe MCA/MHA interfaceIn this episode, I take on the interface between the Mental Health Act 1983 and the Mental Capacity Act 2005, looking at the position both inside and outside hospital.For the original video with slides, see here. 2020-07-2920 minMental Capacity Matters with Alex Ruck KeeneBest interests - the fundamentalsAn episode looking at the fundamentals of best interests, assessment and determination. For the original video with slides, see here. Boring but necessary caveat: nothing here constitutes legal advice. 2020-07-2919 minMental Capacity Matters with Alex Ruck KeeneDr Camilla Parker - deprivation of liberty and 16/17 year oldsIn this episode, Dr Camilla Parker and I discuss the complexities of the law relating to deprivation of liberty in this area, and go through the practice guidance we have produced for Research in Practice.For the original video, see here. 2020-07-2933 minMental Capacity Matters with Alex Ruck KeeneCapacity - the fundamentalsAn episode looking at the fundamentals of capacity and capacity assessment. For the original video with slides, see here. 2020-07-2921 minMental Capacity Matters with Alex Ruck KeeneCourt of Protection - the fundamentalsA short introduction to the Court of Protection: what is it, what does it do, how does it do it, and when to go to it.For the original video with slides, see here. 2020-07-2916 minMental Capacity Matters with Alex Ruck KeeneDNACPR and advance care planningA short introduction to DNAPCR and advance care planning, in the hopes that it will assist people to get the law right in this area.For the original video with slides, see here. 2020-07-2918 min
Screw It Just Do It with Alex ChisnallTribe Building: How to Create and Strengthen Community within your Business with Ben KeeneIn this week's episode, I am joined by Ben Keene, co-founder of the Rebel Book Club & Virgin StartUp mentor and business advisor. During this episode, Ben and I will be talking about Tribe Building: How to create and strengthen community within your business. We will be discussing: Trust as the main component to tribe building The 5 R's for tribe building: Reason, Ritual, Rhythm, Respect and Reward The importance of empowerment in effective tribe building How ideas are being multiplier of execution How successful communities are those who help solve a problem Let's StartUp!2020-07-291h 09Mental Capacity Matters with Alex Ruck KeeneLorraine Currie - living the MCA in practiceIn the latest ‘in conversation with’, I talk to Lorraine Currie about her twin perspectives on the Mental Capacity Act 2005, as a social worker and MCA lead on the one hand, and, on the other, as a builder of invisible scaffolding for her daughter Grace, who has an acquired brain injury. For the original video, see here. 2020-06-2522 minMental Capacity Matters with Alex Ruck KeeneDr Lucy Series - the long and complex history of confinementIn this conversation, I ask Dr Lucy Series about her Wellcome funded research, and we discuss, in particular, the long and complex history of confinement, and why Cheshire West may be a case of be careful what you wish for. The original video can be found here. 2020-06-1021 minMental Capacity Matters with Alex Ruck KeeneDr Lucy Stephenson - advance decision-making and people living with bipolar disorderIn the latest ‘in conversation with’, Dr Lucy Stephenson and I discuss the Wellcome-funded PACT project to develop advance decision-making tools for people living with bipolar disorder. For the original video, see here. 2020-06-1022 minMental Capacity Matters with Alex Ruck KeeneGill Loomes-Quinn - advance decision-making in the context of disabilityIn this episode, I learn about the work of Gill Loomes-Quinn, who (in her words) is a disabled scholar-activist, with a background in community advocacy. We discuss, in particular, her PhD research around advance decision-making in the context of disability (and her cat makes an important contribution right at the end). For the original video, see here. 2020-06-0427 minMental Capacity Matters with Alex Ruck KeeneJulian Sheather - ethics, human rights and the MCAIn this episode, I talk to Julian Sheather, special adviser in ethics and human rights to the British Medical Association. Amongst other topics we look at decision-making in relation to older adolescents, and grapple with some of the ethical underpinnings to the Mental Capacity Act 2005. For the original video, see here. 2020-05-2819 minMental Capacity Matters with Alex Ruck KeeneDr Gareth Owen - capacity, complexity and timeThe latest ‘in conversation from the shed’ is with the psychiatrist, Dr Gareth Owen, in which we discuss what makes some capacity assessments complex, some tips for addressing messiness, and the importance of time. For the original video, see here. 2020-05-2621 minMental Capacity Matters with Alex Ruck KeeneJakki Cowley - advocacy and the MCAIn this episode, I talk to Jakki Cowley, an inspirational Independent Mental Capacity Advocate. The conversation ranges widely over subjects such as what IMCA advocacy constitutes, top tips for engaging with medical teams and advocacy for those in Prolonged Disorders of Consciousness. For the original video, see here: https://www.mentalcapacitylawandpolicy.org.uk/the-shedinar-series-the-imca-conversation/. 2020-05-1820 minMental Capacity Matters with Alex Ruck KeeneAdvance care planning - in conversation with Dr Mark Taubert (Part 2)The palliative care consultant Dr Mark Taubert and I have recorded a two-part conversation about the interaction between law and medicine in the context of advance care planning. This is Part 2, in which I put the questions to Mark. For the original video, see here. 2020-05-1719 minMental Capacity Matters with Alex Ruck KeeneAdvance care planning – in conversation with Dr Mark Taubert (Part 1)The palliative care consultant Dr Mark Taubert and I have recorded a two-part conversation about the interaction between law and medicine in the context of advance care planning.This is Part 1, in which I put the questions to Mark. For the original video, see here. 2020-05-1018 min
Alex Clark-Youngblood Podcast2. Katie Clark-KeeneKatie Clark-Keene is Alex Clark-Youngblood's sister.2020-04-042h 04
Paper TeamFinding Your Place in the Writers’ Room ft. Evelyn Yves (Katy Keene) (PT166)Alex is joined by Evelyn Yves, writer on Katy Keene, to discuss ways of finding your place in the writers' room, from pitching yourself in a showrunner's meeting and prep work beforehand, to handling the first few weeks pitching in the writers' room and figuring out your own skillset to contribute.
Reminder
We're having our second mixer this month! Join us Friday, January 31 at Village Idiot on Melrose. The event starts at 7:30PM. More information available at http://paperteam.co/mixermelrose
Content
1 - Showrunner meetings and preparing before the room (01:02)
2 - The first few weeks in the room, learning the...2020-01-1300 min
CoProduce CareCoProduce Chats: Alex Ruck Keene- Mental Capacity LawAlex Ruck Keene talks to us about the Mental Capacity Act 2005, what it is, how it is applied and the challenges faced by social care professionals in applying it. Listen for tips on how to avoid mistakes in using the act, capacity assessments and evidencing compliance. #share #comment and #like this video so more people can benefit from Alex's knowledge!
Follow Alex @capacitylaw (twitter)
https://www.mentalcapacitylawandpolicy.org.uk/ (Alex's useful blog on Mental Capacity Law and Policy)
Check out his Bio on 39 Essex website here: https://www.39essex.com...2019-12-041h 08
Wintry Mix55 - Spooked? Stowe Snowboarder and Ghost Hunting Mom Karen KeeneHappy Halloween. No joke.
People get spooked. When they do they call a paranormal investigator to help them get answers. Stowe's Karen Keene is the Assistant Director and Case Manager for Paranormal Investigators of New England.
In the first episode of the locals and visitors format of Wintry Mix I sit down with Karen to learn about her other local pursuits, which are many, as well as what it means to be a ghost hunter. If you want to take one of Karen's (or my wife's) indoor cycling classes check out Ride in Stowe.
...2018-10-1740 min
Read it and WeepRiaW #252: The Rising by Brian KeeneThis is a book about zombies. Sounds fun, right? But check this out: what if a book about zombies… wasn’t fun at all? That’s The Rising.
Brian Keene’s debut novel follows three people dealing with the demon zombie hellscape caused by an accident at a particle accelerator. Their paths converge in a sexual assault van in Pennsylvania in one of the top 5 most gratuitous horrifying things that happen in a book with a lot of contenders.
The Rising doesn’t have the terror of other zombie stories but replaces it without gross-out humor a 15...2014-07-3058 min