Objectives: To report on the perceptions of assessment of competency a
nd its consequences on a group of clients and significant others a fol
low-up. Methods: Ninety-Jive interviews were conducted using a careful
ly developed semistructured telephone interview of 24 clients and 71 f
amily/caregivers, representing the perceptions of about 80 clients. Re
sults: There was general satisfaction in the competency assessment pro
cess. There was a perception that interests and rights were protected
Clients were seen to be less involved in all spheres of decision makin
g regardless of capacity outcome. Clients and families were satisfied
with how decisions were made. Conclusions: Follow-up study of competen
cy assessment does not support the conclusions previously drawn based
on court record studies that assessments are deleterious and frequentl
y results in violations of rights.