Evaluating the influence of implicit models of mental disorder on processes of shared decision making within community-based multi-disciplinary teams

Colombo, Anthony; Bendelow, Gillian; Fulford, Bill; Williams, Simon

doi:10.1016/s0277-9536(02)00156-9

Cited by 134 publications

(119 citation statements)

References 10 publications

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“…Healthcare providers perceive that interprofessional collaboration might facilitate SDM by addressing time barriers and providing more opportunities for consumers to discuss their medicalrelated concerns. Colombo et al declare, that "effective care means that patients should be able to work with multi-agency teams by being recognised as part of that team" (Colombo et al, 2002).…”

Section: Factors Related To the Wider Contextmentioning

confidence: 99%

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Attitudes towards shared decision making in mental health: a qualitative synthesis

Kaminskiy

Senner

Hamann

2017

MHRJ

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PurposeShared Decision Making (SDM) prioritises joint deliberation between practitioner and service user, and a respect for service-users' experiential knowledge, values and preferences.. This article reviews the existing literature pertaining to key stakeholders' attitudes towards SDM in mental health. It examines whether perceived barriers and facilitators differ by group (e.g. service user, psychiatrist, nurse, social worker) and includes views of what facilitates and hinders the process for service users and practitioners. MethodologyThis review adopts the principles of a qualitative research synthesis. A key word search of research published between 1990 and 2016 was undertaken. Qualitative, quantitative and mixed methods studies were included. Findings43 papers were included and several themes identified for service user and practitioner perspectives. Both practitioners and service users see SDM as an ethical imperative, and both groups highlight the need to be flexible in implementing shared decision making, suggesting it is context dependent. A range of challenges and barriers are presented by both practitioners and service users reflecting complex contextual and cultural features within which interactions in mental health take place. There were qualitative differences in what service users and practitioners describe as preventing or enabling SDM. The differences highlighted point towards different challenges and priorities in SDM for service users and practitioners. Originality / ValueThe presentation of nuanced views and attitudes that practitioners and service users hold represent an important and under reported area and offer insight into the reasons for the gap between idealised policy and actual practice of SDM in mental health settings.

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Section: Factors Related To the Wider Contextmentioning

confidence: 99%

“…Possible problems or gaps within a multi-disciplinary team need to be bridged by creating a common identity as a team (Colombo et al, 2002).…”

Section: Factors Related To the Wider Contextmentioning

confidence: 99%

Attitudes towards shared decision making in mental health: a qualitative synthesis

Kaminskiy

Senner

Hamann

2017

MHRJ

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“…Thus, in this study, the police can be seen to be encompassing a form of value-based practice which acknowledges the loss of medical hegemony over diagnosis and decision-making in multidisciplinary mental health teams (Colombo et al 2003). Subsequently, their unfailing, and often compassionate, response to the public expression of extreme emotional distress was all too often in conflict with that of the mental healthcare services, which were perceived to be more focused on defining and treating mental illness than managing the associated social disturbance.…”

Section: Discussionmentioning

confidence: 99%

“…Sectioning generally requires shared decisionmaking between Approved Mental Health Professionals (AMPHs, usually social workers), psychiatrists, and police, who operate with different models and knowledge bases (Colombo et al 2003 ). Police in England and Wales are empowered under s136 to detain people in public places who are deemed to be a danger to themselves or others and remove them to a 'place of safety' (Docking et al 2008;Royal College of Psychiatrists, 2008).…”

Section: Section 136 Dangerousness and Vulnerability;mentioning

confidence: 99%

Diagnosing vulnerability and “dangerousness”: police use of Section 136 in England and Wales

Menkes¹,

Bendelow²

2014

Journal of Public Mental Health

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Police in England and Wales are empowered, under Section 136 of the Mental Health Act 1983 (s136), to detain individuals who are thought to be a danger to themselves or to others. Use of this authority is widespread, but varies substantially across districts and attracts controversy, both because of inconsistent application, and by the fact that it requires the police to make judgements about mental health. To study attitudes to and criteria for using

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“…65 Their traditional passive recipient role must give way to that of active influential participant in achieving physical and mental well-being. 66 As such, self-advocacy must involve working in partnership with one's chosen care co-ordinator in formulating a comprehensive care plan.…”

Section: Service User Involvementmentioning

confidence: 99%

Teamwork Within Mental Health Services in Ireland: Resource Paper

Byrne¹,

Onyett²

2010

PsycEXTRA Dataset

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Evaluating the influence of implicit models of mental disorder on processes of shared decision making within community-based multi-disciplinary teams

Cited by 134 publications

References 10 publications

Attitudes towards shared decision making in mental health: a qualitative synthesis

Attitudes towards shared decision making in mental health: a qualitative synthesis

Diagnosing vulnerability and “dangerousness”: police use of Section 136 in England and Wales

Teamwork Within Mental Health Services in Ireland: Resource Paper

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