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

Colombo, A., Bendelow, G.A., Fulford, B. and Williams, S. (2003) Evaluating the influence of implicit models of mental disorder on processes of shared decision making within community-based multi-disciplinary teams. Social Science and Medicine, 56 (7). pp. 1557-1570. ISSN 0277-9536

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Abstract

This paper reports findings from a qualitative study concerning the influence of implicit models of mental disorder on shared decision making within community-based mental health teams. One-hundred participants representing five distinct multi-agency groups: psychiatrists, community psychiatric nurses, approved social workers, patients and informal carers operating within Leicestershire, England were interviewed using a standard case vignette describing a person whose behaviour suggests he may have schizophrenia. The results showed that each of the study's multi-agency groups implicitly supports a complex range of model dimensions regarding the nature of schizophrenia, the appropriateness of specific forms of treatment and care, and their respective rights and obligations towards each other. The influence of these implicit model patterns on processes of shared decision making are discussed through evaluating their contribution to our understanding of the power relationships existing between various practitioner groups (including informal carers), and between practitioners and patients during clinical encounters.

Item Type: Article
Keywords: UK; Decision making; Community mental health
Schools and Departments: School of Law, Politics and Sociology > Sociology
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Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
H Social Sciences > HM Sociology
Depositing User: Chris Keene
Date Deposited: 15 Aug 2007
Last Modified: 30 Nov 2012 16:52
URI: http://sro.sussex.ac.uk/id/eprint/1451
Google Scholar:77 Citations
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