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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

Author

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  • Colombo, A.
  • Bendelow, G.
  • Fulford, B.
  • Williams, S.

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.

Suggested Citation

  • Colombo, A. & Bendelow, G. & Fulford, B. & 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 & Medicine, Elsevier, vol. 56(7), pages 1557-1570, April.
    • Handle: RePEc:eee:socmed:v:56:y:2003:i:7:p:1557-1570
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    Citations

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    Cited by:

    1. Kinderman, Peter & Setzu, Erika & Lobban, Fiona & Salmon, Peter, 2006. "Illness beliefs in schizophrenia," Social Science & Medicine, Elsevier, vol. 63(7), pages 1900-1911, October.
    2. Darlington, Yvonne & Healy, Karen & Feeney, Judith A., 2010. "Approaches to assessment and intervention across four types of child and family welfare services," Children and Youth Services Review, Elsevier, vol. 32(3), pages 356-364, March.
    3. Diana Stovell & Alison Wearden & Anthony P. Morrison & Paul Hutton, 2016. "Service users’ experiences of the treatment decision-making process in psychosis: A phenomenological analysis," Psychosis, Taylor & Francis Journals, vol. 8(4), pages 311-323, October.
    4. Greenhalgh, Joanne & Flynn, Rob & Long, Andrew F. & Tyson, Sarah, 2008. "Tacit and encoded knowledge in the use of standardised outcome measures in multidisciplinary team decision making: A case study of in-patient neurorehabilitation," Social Science & Medicine, Elsevier, vol. 67(1), pages 183-194, July.
    5. Elisabeth Naima Mikkelsen & Barbara Gray & Anne Petersen, 2020. "Unconscious Processes of Organizing: Intergroup Conflict in Mental Health Care," Journal of Management Studies, Wiley Blackwell, vol. 57(7), pages 1355-1383, November.
    6. Wells, Rebecca & Jinnett, Kimberly & Alexander, Jeffrey & Lichtenstein, Richard & Liu, Dawei & Zazzali, James L., 2006. "Team leadership and patient outcomes in US psychiatric treatment settings," Social Science & Medicine, Elsevier, vol. 62(8), pages 1840-1852, April.

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