Hi @eth
A really important topic, so thankyou 🖐
Dignity of Risk is a well debated issue among disability services. It's a subjective and individualised subject due to fear leading the charge in promoting an independent healthy lifestyle vs taking over 'just in case'. It's more obvious in case management with the risk of seizures while bathing in mind, but not so cut and dry for individuals with MH problems.
Assessing risk for people with MH issues when their behaviour/symptoms cause financial ruin or harm to themselves or others, (for example) and not having enough quality advocacy and relevant services to support findings, continues to frustrate.
One of the main concerns seems to be the lack of clarity and understanding of what's required or expected. We can all attest to how draining and confusing it can be to navigate legal or formal paperwork or prioritise daily tasks when our mind's not performing as it should. This is often interpreted as a lack of intellect or laziness.
I don't know how many times I've tried to explain why I missed appts or didn't submit required paperwork on time or at all; many times confronted by judgemental and glaring stares from consultants. Have I been a risk to myself in how I live? Absolutely! Yet, what options did/do I have? I, like others, wing it as best as we can.
Identifying risk is only half the process; it's how to get from there to a lifestyle that significantly lowers that risk. Then, assessing if DOR is relevant, can be included.
A great topic Eth!!
**Edit: For all those poor souls who've been scheduled against their will, or experienced forced medication processes, I in no way am neglecting to agree with your right to decide what's best for you. It's critical you have a voice, are heard and validated. I'd love to read your opinions. xo 