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Patient and carer participation in old age psychiatry in England. Part II: models of participation

Published online by Cambridge University Press:  14 October 2011

Susan Mary Benbow*
Affiliation:
Centre for Ageing and Mental Health, Faculty of Health and Sciences, Staffordshire University, Stoke-on-Trent, Staffordshire, UK
*
Correspondence should be addressed to: Professor S. M. Benbow, Centre for Ageing and Mental Health, Faculty of Health and Sciences, Staffordshire University, Blackheath Lane, Stafford ST18 0AD, UK. Phone: +44 (0)1785 353742. Email: drsmbenbow@aol.com.

Abstract

Background: There are a number of models of patient and carer participation. Their usefulness and applicability to old age psychiatry is considered.

Methods: Models of participation are reviewed and related to examples of participation initiatives drawn from the author's work in the context of the National Health Service in the United Kingdom.

Results: Models of participation which emphasize collaboration and partnership are found to be useful. Simple interventions such as copying letters to patients and/or carers can lead to change in the balance of power between staff and patients/carers. Initiatives which draw on the experiences of patients and carers can facilitate organizational learning and development. Involving patients and carers in education offers a way to influence services and the staff working in them.

Conclusion: Participation is better understood as a spectrum rather than a hierarchy. Old age psychiatry services would benefit from developing greater patient and carer participation at all levels.

Type
Review Article
Copyright
Copyright © International Psychogeriatric Association 2011

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