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Montgomery and shared decision-making: implications for good psychiatric practice

  • Gwen Adshead (a1), David Crepaz-Keay (a2), Mayura Deshpande (a3), K.W.M (Bill) Fulford (a4) and Veryan Richards (a5)...
Summary

The 2015 Supreme Court judgment in Montgomery v Lanarkshire Health Board [2015] UKSC 11 established that consent to medical treatment requires shared decision-making based on dialogue between the clinician and patient. In this editorial, we examine what Montgomery means for standards of good psychiatric practice, and argue that it represents an opportunity for delivering best practice in psychiatric care.

Declaration of interest

None.

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Copyright
Corresponding author
Correspondence: Gwen Adshead, Hampshire Pathfinder Service, Southern Health NHS Foundation Trust, Ravenswood House, Mayles Lane, Fareham, Hampshire PO17 5NA, UK. Email: g.adshead@nhs.net
References
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1Montgomery v Lanarkshire Health Board [2015] UKSC 11.
2Bolam v Friern Hospital Management Committee [1957] 1 WLR 582, 587.
3General Medical Council. Consent: Patients and Doctors Making Decisions Together. General Medical Council, 2008.
4Herring, J, Fulford, KWM, Dunn, D, Handa, A. Elbow room for best practice? Montgomery, patients’ values, and balanced decision-making in person-centred care. Med Law Rev 2017; 25(4): 582603.
5Karthik, M, Kulhara, P, Chakrabarti, S. Attitude towards second-generation antipsychotics among patients with schizophrenia and their relatives. Hum Psychopharmacol Clin Exp 2013; 28: 457–65.
6Gao, K, Fang, F, Wang, Z, Calabrese, JR. Subjective v. objective weight gain during acute treatment with second-generation antipsychotics in schizophrenia and bipolar disorder. J Clin Psychopharmacol 2016; 36(6): 637–42.
7Lee, A. ‘Bolam’ to ‘Montgomery’ is result of evolutionary change of medical practice towards ‘patient-centred care. Postgrad Med J 2017; 93(1095): 4650.
8Slovic, P, Peters, E, Finucane, ML, MacGregor, DG. Affect, risk, and decision making. Health Psychol 2005; 24(Suppl 4): S3540.
9Katsakou, C, Bowers, L, Amos, T, Morriss, R, Rose, D, Wykes, T, et al. Coercion and treatment satisfaction among involuntary patients. Psychiatr Serv 2010; 61(3): 286–92.
10Heywood, R. R.I.P. Sidaway: patient-oriented disclosure–a standard worth waiting for? Montgomery v Lanarkshire Health Board [2015] UKSC 11. Med Law Rev 2015; 23: 455–66.
11Person-centred Training and Curriculum Scoping Group. Person-Centred Care: Implications for Training in Psychiatry. Royal College of Psychiatrists, 2018.
12Values-based Child and Adolescent Mental Health System Commission. What Really Matters in Children and Young People's Mental Health. Royal College of Psychiatrists and on behalf of Young Minds and the Children and Young People's Mental Health Commission, Values-Based Child and Adolescent Mental Health System Coalition, 2016.
13Richards, V, Lloyd, K. Core Values for Psychiatrists: Report CR204. Royal College of Psychiatrists, 2017.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Montgomery and shared decision-making: implications for good psychiatric practice

  • Gwen Adshead (a1), David Crepaz-Keay (a2), Mayura Deshpande (a3), K.W.M (Bill) Fulford (a4) and Veryan Richards (a5)...
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