Decision-specific assessment

Capacity assessment

An evaluation of a person’s ability to make a particular decision, at a particular time, within the relevant clinical and legal context.

Core principle

Capacity is specific to the decision and the time

Capacity is not a single, all-or-nothing trait. An assessment begins by identifying the precise decision in question, the abilities needed to make it and the applicable clinical or legal framework.

The opinion is based on the available evidence. That may include interview, cognitive or psychological assessment, collateral information and review of medical, legal or financial records. The sources used depend on whether the question concerns present abilities or a past point in time.

Assessment method

A defensible opinion starts with a well-defined question

  1. 01

    Define the decision

    The referral source identifies the decision, relevant date and purpose of the opinion.

  2. 02

    Review the evidence

    Relevant clinical, cognitive, functional and contextual information is gathered and evaluated.

  3. 03

    State the opinion

    The conclusion, reasoning, supporting evidence and limitations are communicated clearly.

Professional and legal referrals

Confirm scope before records are sent

Capacity referrals often require coordination with physicians, lawyers, substitute decision-makers or other professionals. An initial discussion can establish whether the proposed question falls within the service and what information will be needed.

Information on this page describes a psychological assessment service and is not legal advice.

Discuss a capacity referral

Contact Sharp Thinking

Start with the question you need answered.

Services are provided in Calgary, Alberta.

Contact and referral information

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