Show simple item record

dc.contributor.authorHoughton, Philip
dc.date.accessioned2017-09-06T12:43:06Z
dc.date.available2017-09-06T12:43:06Z
dc.date.issued2015
dc.identifier.citationHoughton, P. (2015). Ethics column: Is shared decision making possible within mental healthcare? Clinical Psychology Forum, 2015 (273), pp.6-9.
dc.identifier.other-
dc.identifier.urihttp://hdl.handle.net/20.500.12904/5476
dc.description.abstractThe concept of SDM is limited by its lack of acknowledgement of power and interest. Where decisions are made which fall under the Mental Health Act or other government directives, shared decision making is not possible. To imply that under such conditions we are engaged in shared decision making has the potential to obscure the impact of power on the processes involved. An alternative approach would be to acknowledge the influence of power and interest and use a framework that does not hide such influences. The 3i's model presented above does this by breaking down decision making into being informed, involved, and finally, influential. Of course the 3i's are fluid, changing across different settings, decisions and people involved. However, where a service user does not feel that they are influential, or a member of staff or carer does not feel they are involved in the decision making process, there is a need to try to lift the lid on what impact different interests and powers may be having. Such a framework could be combined with a system of ethical decision making (e.g. BPS, 2009), which could help guide both what is considered and how the various parties are involved in coming to a decision. This could potentially lead to a more ethical process which addresses inequalities of power where possible, or at the very least is honest and transparent about their role in the decision making process.
dc.subjectDecision making
dc.subjectLegislation
dc.titleEthics column: Is shared decision making possible within mental healthcare?
dc.typeArticle


This item appears in the following Collection(s)

Show simple item record