Facilitating the Least Restrictive and Intrusive Decision-Making Capacity Assessment for Seniors

Spreading and Sustaining the Decision-Making Capacity Assessment (DMCA) Model: Development and Education of a DMCA Model Implementation and Sustainability Framework



Assessment of independent decision-making capacity is becoming increasingly important as our senior population grows. The Decision Making Capacity Assessment (DMCA) Model was developed to facilitate the least restrictive and intrusive means of determining decision-making capacity. Evaluation of the DMCA found it contributed to more patient-centered care planning and delivery while increasing communication between care providers, patients, and families. This project aims to spread the use of the assessment to provide patients and families with better care and support.


Lead: Dr. Suzette Brémault-Phillips, Faculty of Rehabilitation Medicine, University of Alberta in collaboration with Bethany Care Society, the Good Samaritan Society, and numerous sites from Alberta Health Services (AHS) and Covenant Health.


Through work with sites throughout the province, this project aims to develop a DMCA Model Framework to help sites adopt, implement and sustain the DMCA and better support persons whose decision making has come into question.

Early Impact

In addition to the Implementation and Sustainability Framework, the project is developing a toolkit of resources and processes to help implement, operationalize, spread and sustain the DMCA Model; a web-based workload measurement tool to capture time, resource and support needs used to implement and sustain the model; and a DMCA education and training support inventory.