Assuming you're using a normal file field that is populated by jquery, you will need to do something like this:
$this->Form->unlockField('upload_image'); // Set 'upload_image' to the name of your field
I use this method inside a formHelper that I created to make uploading images easy, it works well.
Edit: incidentally, if using an iPhone or iPad, those devices support taking a picture with the webcam and populating a normal file upload field. I've used an iPhone to upload a webcam picture (taken after the "browse" button is pressed) and it worked fine.