The Open UniversitySkip to content
 

Patient perspectives of helpful risk management practices within mental health services. A mixed studies systematic review of primary research

Deering, Kris; Pawson, Chris; Summers, Neil and Williams, Jo (2019). Patient perspectives of helpful risk management practices within mental health services. A mixed studies systematic review of primary research. Journal of Psychiatric and Mental Health, 26(5-6) pp. 185–197.

Full text available as:
Full text not publicly available (Accepted Manuscript)
Due to publisher licensing restrictions, this file is not available for public download until 18 June 2020
DOI (Digital Object Identifier) Link: https://doi.org/10.1111/jpm.12521
Google Scholar: Look up in Google Scholar

Abstract

Minimising the harm that patients pose to themselves and others, due to mental health difficulties, is a central component of risk management in psychiatry. However, risk management itself can cause patient harm, but despite this and the potentially informative value of lived experience, little is known about what patients want or expect from risk management.

Aim: To review research and explore what patients consider beneficial in risk management practice.

Method: A mixed‐studies systematic review utilising PRISMA guidelines, alongside a convergent qualitative design to categorise findings.

Results: 12 papers were identified, generating two categories of beneficial practices: interpersonal relationships and communication with clinicians; coupled with patient agency in their own risk management.

Discussion: Connectivity appears important. Particularly patients feeling involved, and their voices being heard in both the identification of risks and then shaping risk management practice. Moreover, this included involvement of friends, family, and peers to widen input and supportive networks beyond clinical relationships.

Implications for Practice: Risk management needs to be an accessible part of care, which is more inclusive of patient views and needs. The latter might also be aided by drawing on the patient's wider community in order to provide more effective support and risk management.

Item Type: Journal Item
Copyright Holders: 2019 John Wiley & Sons Ltd
Keywords: communication; risk assessment; risk management; safety and security; therapeutic relationships
Academic Unit/School: Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS)
Item ID: 60954
Depositing User: Neil Summers
Date Deposited: 07 May 2019 09:30
Last Modified: 16 Jul 2019 16:22
URI: http://oro.open.ac.uk/id/eprint/60954
Share this page:

Metrics

Altmetrics from Altmetric

Citations from Dimensions

Actions (login may be required)

Policies | Disclaimer

© The Open University   contact the OU