Bringing meaning to user involvement in mental health care planning: a qualitative exploration of service user perspectives

Journal article

Grundy, AC, Bee, P, Meade, O, Callaghan, P, Beatty, S, Olleveant, N and Lovell, K (2015). Bringing meaning to user involvement in mental health care planning: a qualitative exploration of service user perspectives. Journal of psychiatric and mental health nursing. 23 (1), pp. 12-21. https://doi.org/10.1111/jpm.12275
AuthorsGrundy, AC, Bee, P, Meade, O, Callaghan, P, Beatty, S, Olleveant, N and Lovell, K
Abstract

Background

Service users wish to be involved in care planning but typically feel marginalized in this process. Qualitative explorations of the barriers and enablers of user involvement in mental health care planning are limited.
Question

How is user involvement in care planning conceptualized by service users and how can meaningful involvement be instilled in the care planning process?
Methods

In 2013, we conducted five focus groups (n = 27) and 23 individual interviews with current or recent adult users of secondary care mental health services (n = 27) in England. Eight users participated in both. Data were analysed using Framework Analysis.
Results

Ten themes emerged from the data: these themes encompassed procedural elements (connection; contribution; currency; care consolidation; and consequence), service user characteristics (capacity and confidence) and professional enablers (consultation; choice; and clarity of expression). Procedural elements were discussed most frequently in service user discourse.
Discussion

The process of care planning, centred on the user-clinician relationship, is key to user involvement.
Implications for Practice

Users describe a common model of meaningful involvement in care planning. Their requests, summarized through a 10C framework of care planning involvement, provide clear direction for improving service users satisfaction with care planning and enhancing the culture of services.

Keywords11 Medical And Health Sciences; 17 Psychology And Cognitive Sciences; Nursing
Year2015
JournalJournal of psychiatric and mental health nursing
Journal citation23 (1), pp. 12-21
PublisherWiley
ISSN1351-0126
Digital Object Identifier (DOI)https://doi.org/10.1111/jpm.12275
Publication dates
Print03 Dec 2015
Publication process dates
Deposited05 Nov 2018
Accepted15 Sep 2015
Accepted author manuscript
License
File Access Level
Restricted
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