Abstract
Patient-centered care, shared decision-making, patient participation and the recovery model are models of care which incorporate user involvement and patients’ perspectives on their treatment and care. The aims of this paper are to examine these different care models and their association with user involvement in the mental health context and discuss some of the challenges associated with their implementation. The sources used are health policy documents and published literature and research on patient-centered care, shared decision-making, patient participation and recovery. The policy documents advocate that mental health services should be oriented towards patients’ or users’ needs, participation and involvement. These policies also emphasize recovery and integration of people with mental disorders in the community. However, these collaborative care models have generally been subject to limited empirical research about effectiveness. There are also challenges to implementation of the models in inpatient care. What evidence there is indicates tensions between patients’ and providers’ perspectives on treatment and care. There are issues related to risk and the person’s capacity for user involvement, and concerns about what role patients themselves wish to play in decision-making. Lack of competence and awareness among providers are further issues. Further work on training, evaluation and implementation is needed to ensure that inpatient mental health services are adapting user oriented care models at all levels of services.
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Notes
Norwegian Patient Rights Act, 2001, The Finnish Act on the Status and Rights of Patients No. 785/1992 and the Public Health Code. Law of March 4th 2002 in France pertaining to patients’ rights and the quality of the health care system.
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We thank Professor Karina Aase Department of Health Studies at the University of Stavanger for her helpful comments in the last phase of the manuscript preparation.
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The authors declare that they have no conflict of interest.
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Storm, M., Edwards, A. Models of User Involvement in the Mental Health Context: Intentions and Implementation Challenges. Psychiatr Q 84, 313–327 (2013). https://doi.org/10.1007/s11126-012-9247-x
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DOI: https://doi.org/10.1007/s11126-012-9247-x