The Law Handbook 2024

790 Section 8: Disability, mental illness and the law Nominees BothCentrelink and theNational Disability Insurance Agency ( NDIA ) have provisions for a nominee to be appointed for a person with cognitive impairment. In the case of Centrelink, a nominee can only be appointed by: • the person with cognitive impairment, by signing a form authorising the nominee; • a court, tribunal or by guardianship or administration order. In the case of the NDIA, a nominee can be appointed by: • the NDIS participant; or • the NDIA. It is important to remember that there are significant limitations on an NDIS nominee’s powers to make decisions for the participant (see Chapter 8.1: Understanding disability and the law). Taking instructions from clients who have cognitive impairment It is, of course, important for all legal practitioners to be adequately instructed by their client.Whenworking with clients who have a cognitive impairment, a conscious effort needs to be made to ensure that they are given ample support and opportunity to make informed decisions. Impairment may be permanent or sporadic as a result of an cognitive impairment, some types of mental illness, acquired brain injury, dementia or the latter stages of an illness or disease, such as multiple sclerosis and HIV/AIDS- related dementia. Of course, not all people with these disabilities will have a cognitive impairment. The central issue for those providing legal advice and representation to people who have cognitive impairment is the degree to which the person can demonstrate their capacity to provide instructions. This generally involves demonstrating a reasonable understanding of: • their current circumstances and the circum­ stances leading them to need legal advice and representation; • their legal and non-legal options and the risks and benefits of these options; and • their role in providing instructions to their legal advisor. Following are suggested ways to assist in ensuring your client is able to provide you with accurate instructions. They may apply to a range of services working with a client with cognitive impairment, and not just to legal practitioners: • Allow sufficient time to conduct an interview. This means spending time explaining the law and the options available to your client, and eliciting both their understanding of your advice and what they wish to do. This time is also well spent in assessing your client’s skills and capacity to instruct and developing their confidence in talking to you. • Identify any limitations in literacy skills and respond accordingly. Any written material should be carefully explained to your client. Questions or comments may need to be put in a number of ways to ensure the client understands their content. • Be aware that people perceived as authority figures may easily and unwittingly intimidate some (but not all) people who have a cognitive impairment. For example, be mindful of body language, and ensure that questions are not put in a way that suggests there is a correct or incorrect answer, or an answer you would prefer. Note that people who have lived in institutions may be in the habit of saying ‘yes’ to questions unless they are given an opportunity to feel confident that they are free to express their real opinions. • Take responsibility for explaining things in an accessible and easily understandable way. Ask the person to tell you what they have understood, so you can do a better job if necessary. • Record relevant events as soon as possible after they have occurred, particularly where poor memory may exist. • Speak simply. Avoid jargon, abstract concepts and long-winded explanations. Explanations should be given in concrete terms. Use drawings or other methods of representation if necessary. • Where appropriate, try to ensure that a support person or advocate is available to assist with effective communication between you and your client. Such a person will usually be familiar with any difficulties your client may have in responding to questions or providing an account of events. Be clear on the relationship between yourself, the support person and your client and that you are acting on behalf of your client and not on