Understanding Covert Medications: Policies and Best Practices

What are Covert Medications?

Definition: Covert medications involve administering medication without the individual's knowledge, often concealed in food or other substances.

Legal Rights and Practices

If an individual refuses to take their medication, they cannot be compelled to do so, as they have a legal right to refuse treatment.

Important Steps:

• Document the refusal and report it to the line manager.
• Inform the GP if necessary.

When Can Covert Medication be Considered?

In specific circumstances, a covert medication policy can be established. This policy must be:

• Signed and agreed upon by the GP, line manager, and family of the service user.
• The only acceptable scenario for administering medication covertly.

Best Practices for Administration

When faced with refusal:

• Allow time and revisit the offer in 10-15 minutes with encouragement.
• Consider involving a colleague to present the medication.
• Explore alternative formats like liquid medications if preferred.

Importance of Consent

Emphasis: Never administer medication without explicit consent, except in legally justified circumstances deemed in the individual's best interests.

Risk: Administering medication without consent can be legally interpreted as assault.