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dc.contributor.authorGiacco, Den_US
dc.contributor.authorMavromara, Len_US
dc.contributor.authorGamblen, Jen_US
dc.contributor.authorConneely, Men_US
dc.contributor.authorPriebe, Sen_US
dc.date.accessioned2018-08-02T10:00:26Z
dc.date.available2018-01-15en_US
dc.date.issued2018-05en_US
dc.date.submitted2018-07-19T08:56:17.815Z
dc.identifier.issn2056-4724en_US
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/42885
dc.description.abstractBackground: Last year, there were more than 63 622 involuntary admissions to psychiatric hospitals in England. One of the core principles stipulated in the code of practice for care under the Mental Health Act is involving involuntary patients in care decisions. Aims: Identifying barriers and facilitators to shared decision-making with involuntary patients. Method: Focus groups and individual interviews with patients and clinicians who have experience with involuntary hospital treatment were carried out. Data were subjected to thematic analysis. Results: Twenty-two patients and 16 clinicians participated. Barriers identified included challenges in communication, and noisy and busy wards making one-to-one meetings difficult. Patient involvement was identified as easier if initiated early after admission and if the whole clinical team was on board. Carers' presence helped decision-making through providing additional information and comfort. Conclusions: The barriers and facilitators identified can inform changes in the practice of involuntary care to increase patient involvement. Declaration of interest: None.en_US
dc.format.extent113 - 118en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofBJPsych Openen_US
dc.rightsCC BY-NC-ND
dc.subjectInpatient treatmenten_US
dc.subjectethicsen_US
dc.subjectpsychiatry and lawen_US
dc.subjectpsychosocial interventionsen_US
dc.subjectqualitative researchen_US
dc.titleShared decision-making with involuntary hospital patients: a qualitative study of barriers and facilitators.en_US
dc.typeArticle
dc.rights.holder© The Royal College of Psychiatrists 2018
dc.identifier.doi10.1192/bjo.2018.6en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/29971154en_US
pubs.issue3en_US
pubs.notesNot knownen_US
pubs.publication-statusPublished onlineen_US
pubs.volume4en_US
dcterms.dateAccepted2018-01-15en_US


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