Patient participation in mental health care – perspectives of healthcare professionals: an integrative review

Abstract

Different synonymous terms describing the patient's active role during treatment - user participation, collaboration, partnership, user involvement and patient participation - are linked to a recovery-oriented approach, shared decision-making, shared ownership and care plans. This integrative review achieves specific knowledge around patient participation, comparing the situation for adult patients with various mental disorders. However, upon reflecting on the included studies, patient participation is not clearly defined, and it is therefore difficult to transfer it to clinical practice.

How patient participation is constructed in mental health care: a grounded theory study

“…Our efforts to construct the concept of patient participation as a concept and how it is underpinned by institutional power and communication structures can help illuminate some of the potential challenges associated with the concept in a psychiatric context . Moreover, identifying the meanings of the term ‘patient participation’ can highlight some of the challenges that may be associated with implementing it in a psychiatric context, which legitimises the relevance of this study.…”

Living with personality disorder and seeking mental health treatment: patients and family members reflect on their experiences

“…In addition, carers supporting consumers with personality disorder often experience high levels of stress, grief, and mental health problems [7,8], and they can experience difficulties accessing appropriate services for themselves and the consumers they support [9]. Considering the perspectives of consumers and carers is recommended to improve mental health services [10], and is supported by government [11,12] and mental health professionals [13,14].…”

A qualitative exploration of service users’ and staff members’ perspectives on the roles of inpatient settings in mental health recovery

“…This shows how recovery is above all a relational process that comes about in the interdependence between an individual, his/her social context and relationships (e.g. professional actors, personal and social network) [9,16]. Additionally, the ward aims to keep this interdependence intact by minimizing disruptions between life inside and outside the hospital, and by developing a tolerant climate in which patients are not obliged to follow a set therapeutic program (allowing them to spend time outside the ward) and are not punished for setbacks (that can often be related to the fickle nature of their recovery).…”

“…Whilst residential treatment in psychiatric hospitals still makes up a large part of today's mental health care, the implementation and operationalization of the recovery concept has primarily and most explicitly taken place in outpatient and community settings [15]. Many go further and assert that implementing the principles of recovery-oriented practice in more traditional inpatient settings is an extremely challenging task [2,16]. For example, a recent study of Waldemar and colleagues shows how recovery-oriented values (e.g.…”