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Purpose

A review of the literature regarding the use of the Mental Capacity Act (MCA) of 2005 with young people with intellectual disability indicated an absence of publications on this topic, yet clinical practice suggests that services are grappling with complex issues in this area. This article aims to focus on the principles of the MCA and to explore its application to young people with intellectual disabilities.

Design/methodology/approach

The key principles of the MCA are reviewed and its application to young people with intellectual disability are explored through case studies.

Findings

The MCA is applicable to 16‐18 year olds with intellectual disability and services require training and support in its implementation. Issues of adaptation of communication to convey complex matters and appropriate preparation for assessment are especially pertinent.

Originality/value

The article explores the application and relevance of the MCA to young people with intellectual disability in clinical practice.

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