Systematic synthesis of barriers and facilitators to service user-led care planning

British Journal of Psychiatry

Volumn 207, Issue 2, 2015, Pages 104-114

  Bee, Penny ^a   Price, Owen ^a   Baker, John ^a   Lovell, Karina ^a  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONCEPTUAL FRAMEWORK; CONFIDENTIALITY; DATA SYNTHESIS; EMPOWERMENT; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HEALTH PRACTITIONER; HUMAN; MEDICAL DOCUMENTATION; MENTAL HEALTH SERVICE; PATIENT AUTONOMY; PATIENT CARE; PATIENT DECISION MAKING; PATIENT PARTICIPATION; TRIANGULATION; DECISION MAKING; FEMALE; HEALTH CARE DELIVERY; MALE; ORGANIZATION AND MANAGEMENT; PATIENT CARE PLANNING; PATIENT EDUCATION; PATIENT SATISFACTION; PROCEDURES;

CHOICE BEHAVIOR; FEMALE; HEALTH SERVICES ACCESSIBILITY; HUMANS; MALE; MENTAL HEALTH SERVICES; PATIENT CARE PLANNING; PATIENT EDUCATION AS TOPIC; PATIENT PARTICIPATION; PATIENT SATISFACTION;

EID: 84939791893     PISSN: 00071250     EISSN: 14721465     Source Type: Journal    
DOI: 10.1192/bjp.bp.114.152447     Document Type: Article

References (138)

1. Department of Health. No Health without Mental Health: A Cross-Government Mental Health Outcomes Strategy for People of all Ages. Department of Health, 2011.
2. Healthcare Commission. The Pathway to Recovery: A Review of NHS Acute Inpatient Mental Health Services. Healthcare Commission, 2008.
3. Department of Health. Refocusing the Care Programme Approach. Policy and Positive Practice Guidance. Department of Health, 2008.
4. Crawford MJ, Rutter D, Manley C, Weaver T, Bhui K, Fulop N, et al. Systematic review of involving patients in the planning and development of health care. BMJ 2002; 325: 1263.
5. Care Quality Commission. Survey of Mental Health Inpatient Services. Care Quality Commission, 2009.
6. Healthcare Commission. Community Mental Health Service Users' Survey. Healthcare Commission, 2008.
7. Bee P, Playle J, Lovell K, Barnes P, Gray R, Keeley P. Service user views and expectations of UK-registered mental health nurses: a systematic review of empirical research. Int J Nurs Stud 2008; 45: 442-57.
8. The Mid Staffordshire Foundation Inquiry. Independent Inquiry into Care provided by Mid Staffordshire NHS Foundation Trust January 2005-March 2009, vols 1,2. TSO (The Stationery Office), 2013.
9. Munro K, Ross KM, Reid M. User involvement in mental health: time to face up to the challenges of meaningful involvement? Int J Ment Health Promot 2006; 8: 37-44.
10. Higgins J, Green S (eds). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. Cochrane Collaboration, 2011.
11. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007; 19: 349-57.
12. Carlson MD, Morrison RS. Study design, precision, and validity in observational studies. J Palliat Med 2009; 12: 77-82.
13. Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy 2005; 10: 45-53.
14. Popay J, Roberts H, Sowden A, Petticrew M, Arai L, Rodgers M, et al. Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. A Product from the ESRC Methods Programme. Institute of Health Research, University of Lancaster, 2006.
15. Thomas J, Harden A, Oakley A, Oliver S, Sutcliffe K, Rees R, et al. Integrating qualitative research with trials in systematic reviews. BMJ 2004; 328: 1010-2.
16. Spencer L, Ritchie J, Lewis J, Dillon L. Quality in Qualitative Evaluation: A Framework for Assessing Research Evidence. Government Chief Social Researcher's Office, 2003.
17. BSA Medical Sociological Group. Criteria for the evaluation of qualitative research papers. Medical Sociology News 1996; 22: 68-71.
18. Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000; 51: 1087-110.
19. Makoul G, Clayman ML. An integrative model of shared decision making in medical encounters. Patient Educ Couns 2006; 60: 301-12.
20. Hickey G, Kipping C. Exploring the concept of user involvement in mental health through a participation continuum. J Clin Nurs 1998; 7: 83-8.
21. Rethink, Adfam. Living with Severe Mental Health and Substance Use Problems: Report from the Rethink Dual Diagnosis Research Group. Rethink & Adfam, 2004.
22. Antoniou J, Estop G, Gilburt H. Advance Directives in 2006: A Report. Rethink, 2006.
23. Faulkner A, Williams K. Future Perfect. Rethink, 2005.
24. Pitt L, Kilbride M, Nothard S, Welford M, Morrison AP. Researching recovery from psychosis: a user-led project. Psychiatr Bull 2007; 31: 55-60.
25. Tee S, Lathlean J, Herbert L, Coldham T, East B, Johnson TJ. User participation in mental health nurse decision-making: a co-operative enquiry. J Adv Nurs 2007; 60: 135-45.
26. Bramesfeld A, Wedegartner F, Elgeti H, Bisson S. How does mental health care perform in respect to service users' expectations? Evaluating inpatient and outpatient care in Germany with the WHO responsiveness concept. BMC Health Serv Res 2007; 7: 99.
27. Healthcare Commission. Patient Survey Report 2004. Picker Institute: Europe, 2004.
28. Healthcare Commission. No Voice, No Choice: A Joint Review of Adult Community Mental Health Services in England. Healthcare Commission, 2007.
29. Howard, PB, El-Mallakh P, Kay Rayens M, Clark JJ. Consumer perspectives on quality of inpatient mental health services. Arch Psychiatr Nurs 2003; 17: 205-17.
30. Schene AH, Van Wijngaarden B. A survey of an organization for families of patients with serious mental illness in The Netherlands. Psychiatr Serv 1995; 46: 807-13.
31. Rose D, Ford R, Lindley P, Gawith L, KCW Mental Health Monitoring Users' Group. In Our Experience: User-focused Monitoring of Mental Health Services in Kensington & Chelsea and Westminster Health Authority. Sainsbury Centre for Mental Health, 1998.
32. Warner L. Back on Track: CPA Care Planning for Service Users Who Are Repeatedly Detained Under the Mental Health Act. Sainsbury Centre for Mental Health, 2005.
33. Borneo A. Your Choice. Results from the Your Treatment, Your Choice Survey: Final Report. Rethink, 2008.
34. Turner D. Recovery in NSF 'Wild Geese'. National Schizophrenia Fellowship, 2001.
35. Hope, R. The Ten Essential Shared Capabilities - A Framework for the Whole of the Mental Health Workforce. Department of Health, 2004.
36. Tessler RC, Gamache GM, Fisher GA. Patterns of contact of patients' families with mental health professionals and attitudes toward professionals. Hosp Community Psychiatry 1991; 42: 929-35.
37. Whelton C, Pawlick J, Cardamone J. Involving families in psychosocial rehabilitation. Psychiatr Rehabil J 1997; 20: 57-60.
38. Wooff D, Schneider J, Carpenter J, Brandon T. Correlates of stress in carers. J Ment Health 2003; 12: 29-40.
39. Rose D. Users' Voices: The Perspectives of Mental Health Service Users on Community and Hospital Care. Sainsbury Centre for Mental Health, 2001.
40. Woltmann E, Whitley R. Shared decision making in public mental health care: perspectives from consumers living with severe mental illness. Psychiatr Rehabil J 2010; 34: 29-36.
41. Goodwin V, Happell B. In our own words: consumers' views on the reality of consumer participation in mental health care. Contemp Nurse 2006; 21: 4-13.
42. Dobie MS, Bulia S, Swanke J. Patient-centered mental health care: encouraging caregiver participation. Care Manag J 2010; 11: 146-50.
43. Piippo J, Aaltonen J. Mental health care: trust and mistrust in different caring contexts. J Clin Nurs 2008; 17: 2867-74.
44. Cambridge P, Forrester-Jones R, Carpenter J, Tate, A, Knapp M, Beecham J, et al. The state of care management in learning disability and mental health services 12 years into community care. Br J Soc Work 2005; 35: 1039-62.
45. Daremo A, Haglund L. Activity and participation in psychiatric institutional care. Scand J Occup Ther 2008; 15: 131-42.
46. Rose D. Partnership, co-ordination of care and the place of user involvement. J Ment Health 2003; 12: 59-70.
47. Perkins RE, Fisher NR. Beyond mere existence: the auditing of care plans. J Ment Health 1996; 5: 275-86.
48. Sainsbury Centre for Mental Health. Acute Problems: A Survey of the Quality of Care in Acute Psychiatric Wards. Sainsbury Centre for Mental Health, 1998.
49. Williams CC. Discharge planning process on a general psychiatry unit. Soc Work Ment Health 2003; 2: 17-31.
50. Schmidt-Posner J, Jerrell JM. Qualitative analysis of three case management programs. Community Ment Health J 1998; 34: 381-92.
51. Schroder AG, Ahlstrom G, Larsson BW. Patients' perceptions of the concept of the quality of care in the psychiatric setting: a phenomenographic study. J Clin Nurs 2006; 15: 93-102.
52. Murphy N, Cutts H. Can the introduction of a quality of life tool affect individual professional practice and the quality of care planning in a community mental health team? J Psychiatr Ment Health Nurs 2009; 16: 941-6.
53. Sutherby K, Szmukler GI, Halpern A, Alexander M, Thornicroft G, Johnson C, et al. A study of 'crisis cards' in a community psychiatric service. Acta Psychiatr Scand 1999; 100: 56-61.
54. Amering M, Stastny P, Hopper K. Psychiatric advance directives: qualitative study of informed deliberations by mental health service users. Br J Psychiatry 2005; 186: 247-52.
55. Oshima I, Cho N, Takahashi K. Effective components of a nationwide case management program in Japan for individuals with severe mental illness. Community Ment Health J 2004; 40: 525-37.
56. Henderson C, Jackson C, Slade M, Young AS, Strauss JL. How should we implement psychiatric advance directives? Views of consumers, caregivers, mental health providers and researchers. Adm Policy Ment Health 2010; 37: 447-58.
57. Alegria M, Polo A, Gao S, Santana L, Rothstein D, Jimenez A, et al. Evaluation of a patient activation and empowerment intervention in mental health care. Med Care 2008; 46: 247-56.
58. Chan S, MacKenzie A, Ng DT, Leung JK. An evaluation of the implementation of case management in the community psychiatric nursing service. J Adv Nurs 2000; 31: 144-56.
59. Eisen SV, Dickey B, Sederer LI. A self-report symptom and problem rating scale to increase inpatients' involvement in treatment. Psychiatr Serv 2000; 51: 349-53.
60. Macpherson R, Summerfield L, Haynes R, Slade M, Foy C. The use of carers' and users' expectations of services (CUES) in an epidemiological survey of need. Int J Soc Psychiatry 2005; 51: 35-43.
61. O'Donnell M, Proberts M, Parker G. Development of a consumer advocacy program. Aust NZ J Psychiatry 1998; 32: 873-9.
62. Beeforth M, Colan E, Graley R. Have We Got Views for You. Sainsbury Centre for Mental Health, 1994.
63. Berger JL. Incorporation of the tidal model into the interdisciplinary plan of care - a program quality improvement project. J Psychiatr Ment Health Nurs 2006; 13: 464-7.
64. Webb Y, Clifford P, Fowler V, Morgan C, Hanson M. Comparing patients' experience of mental health services in England: a five-Trust survey. Int J Health Care Qual Assur Inc Leadersh Health Serv 2000; 13: 273-81.
65. Lakeman R. Practice standards to improve the quality of family and carer participation in adult mental health care: an overview and evaluation. Int J Ment Health Nurs 2008, 17: 44-56.
66. Sandlund M, Hansson L. Patient satisfaction in a comprehensive sectorized psychiatric service: study of a 1-year-treated incidence cohort. Nord J Psychiatry 1999; 53: 305-12.
67. Cresswell J, Lelliott P (eds). Accreditation for Inpatient Mental Health Services (AIMS): National Report for Working Age Acute Wards: July 2007-July 2009. Royal College of Psychiatrists' Centre for Quality Improvement, 2009.
68. Bowers L. Monitoring the outcome of case management and community care: the care programme approach support system (CPASS). J Psychiatr Ment Health Nurs 1997; 4: 37-44.
69. Perreault M, Paquin G, Kennedy S, Desmarais J, Tardif H. Patients' perspective on their relatives' involvement in treatment during a short-term psychiatric hospitalization. Soc Psychiatry Psychiatr Epidemiol 1999; 34: 157-65.
70. Rethink, Mind. New Horizons Engagement Event: People Who Use Mental Health Services And Carers. Rethink & Mind, 2009.
71. Marshall TB, Solomon P. Releasing information to families of persons with severe mental illness: a survey of NAMI members. Psychiatr Serv 2000; 51: 1006-11.
72. McDermott G. The care programme approach: a patient perspective. Nurs Times 1998; 94: 57-9.
73. Allen C. The care programme approach: the experiences and views of carers. Ment Health Care 1998; 1: 160-2.
74. Brown Z. The care programme approach - the service user's view. Soc Serv Res 1998; 4: 55-66.
75. Storm M, Davidson L. Inpatients' and providers' experiences with user involvement in inpatient care. Psychiatr Q 2010; 81: 111-25.
76. Tanenbaum SJ. Psychiatrist-consumer relationships in US public mental health care: consumers' views of a disability system. Disabil Soc 2009; 24: 727-38.
77. Walsh J, Boyle J. Improving acute psychiatric hospital services according to inpatient experiences. A user-led piece of research as a means to empowerment. Issues Ment Health Nurs 2009; 30: 31-8.
78. Askey R, Holmshaw J, Gamble C, Gray R. What do carers of people with psychosis need from mental health services? Exploring the views of carers, service users and professionals. J Fam Ther 2009; 31: 310-31.
79. McAuliffe D, Andriske L, Moller E, O'Brien M, Breslin P, Hickey P. 'Who cares?' An exploratory study of carer needs in adult mental health. Aust e-J Adv Ment Health 2009; 8: 1-12.
80. Svensson B, Hansson L. Patient satisfaction with inpatient psychiatric care: the influence of personality traits, diagnosis and perceived coercion. Acta Psychiatr Scand 1994; 90: 379-84.
81. Sainsbury Centre for Mental Health. Pulling Together: The Future Roles and Training of Mental Health Staff. Sainsbury Centre for Mental Health, 1997.
82. Simpson A. Creating alliances: the views of users and carers on the education and training needs of community mental health nurses. J Psychiatr Ment Health Nurs 1999; 6: 347-56.
83. Wolfe J, Gournay K, Norman S, Ramnoruth D. Care programme approach: evaluation of its implementation in an inner London service. Clin Eff Nurs 1997; 1: 85-91.
84. Magorrian K. Responding to the needs of carers of people with schizophrenia. Prof Nurs 2001; 17: 225-9.
85. O'Donovan A. Patient-centred care in acute psychiatric admission units: reality or rhetoric? J Psychiatr Ment Health Nurs 2007; 14: 542-8.
86. Princess Royal Trust for Carers. The Princess Royal Trust for Carers 'Out of Hospital' Project - Learning from the Pilot Projects Final Report - May 2010. Acton Shapiro, 2010.
87. Ford R, Rose D. Mental health. Heads and tales. Health Serv J 1997; 107: 28-9.
88. Loveland B. The care programme approach: whose is it? Empowering users in the care programme process. Educational Action Research 1998; 6: 321-35.
89. Rea CA, Rea DM. Responding to user views of service performance. J Ment Health 2000; 9: 351-63.
90. Chinman MJ, Allende M, Weingarten R, Steiner J, Tworkowski S, Davidson L. On the road to collaborative treatment planning: consumer and provider perspectives. J Behav Health Serv Res 1999; 26: 211-8.
91. Bramesfeld A, Klippel U, Seidel G, Schwartz FW, Dierks ML. How do patients expect the mental health service system to act? Testing the WHO responsiveness concept for its appropriateness in mental health care. Soc Sci Med 2007; 65: 880-9.
92. Ferry JL, Abramson JS. Toward understanding the clinical aspects of geriatric case management. Soc Work Health Care 2005; 42: 35-56.
93. O'Brien L. The relationship between community psychiatric nurses and clients with severe and persistent mental illness: the client's experience. Aust NZ J Ment Health Nurs 2001; 10: 176-86.
94. Schroder A, Ahlstrom G. Psychiatric care staff's and care associates' perceptions of the concept of quality of care: a qualitative study. Scan J Caring Sci 2004; 18: 204-12.
95. Goodwin V, Happell B. To be treated like a person: the role of the psychiatric nurse in promoting consumer and carer participation in mental health service delivery. J Psychiatr Nurs Res 2008; 14: 1766-75.
96. Diamond B, Parkin G, Morris K, Bettinis J, Bettesworth C. User involvement: substance or spin? J Ment Health 2003; 12: 613-26.
97. Garcia I, Kennett C, Quraishi M, Duncan G. Acute Care 2004: A National Survey of Adult Psychiatric Wards in England. Sainsbury Centre for Mental Health, 2005.
98. Van Dorn RA, Swanson JW, Swartz MS. Preferences for psychiatric advance directives among Latinos: views on advance care planning for mental health. Psychiatr Serv 2009; 60: 1383-5.
99. Alexander J, Rogers K, Simpson R, Rigby P. The value of client held records. Mental Health Nursing 2002; 22: 12-4.
100. Linhorst DM, Hamilton G, Young E, Eckert A. Opportunities and barriers to empowering people with severe mental illness through participation in treatment planning. Soc Work 2002; 47: 425-34.
101. Shaul JA, Eisen SV, Stringfellow VL, Clarridge BR, Hermann RC, Nelson D, et al. Use of consumer ratings for quality improvement in behavioral health insurance plans. J Comm J Qual Improv 2001; 27: 216-29.
102. Ware NC, Tugenberg T, Dickey B. Practitioner relationships and quality of care for low-income persons with serious mental illness. Psychiatr Serv 2004; 55: 555-9.
103. Ceramidas DM, Forn de Zita C, Eklund M, Kirsh B. The 2009 world team of mental health occupational therapists: a resilient and dedicated workforce. The Bulletin: World Federation of Occupational Therapists 2009; 60: 9-17.
104. McCann TV, Baird J, Clark E, Lu S. Mental health professionals' attitudes towards consumer participation in inpatient units. J Psychiatr Ment Health Nurs 2008; 15: 10-6.
105. McCann TV, Clark E, Baird J, Lu S. Mental health clinicians' attitudes about consumer and consumer consultant participation in Australia: a cross-sectional survey design. Nurs Health Sci 2008; 10: 78-84.
106. Goss C, Moretti F, Mazzi MA, Del Piccolo L, Rimondini M, Zimmermann C. Involving patients in decisions during psychiatric consultations. Br J Psychiatry 2008; 193: 416-21.
107. Barnes D, Carpenter J, Dickinson C. The outcomes of partnerships with mental health service users in interprofessional education: a case study. Health Soc Care Community 2006; 14: 426-35.
108. Ennals P, Fossey E. The Occupational Performance History Interview in community mental health case management: consumer and occupational therapist perspectives. Aust Occup Ther J 2007; 54: 11-21.
109. Coffey DS. Connection and autonomy in the case management relationship. Psychiatr Rehabil J 2003; 26: 404-12.
110. Elbogen EB, Swartz MS, Van Dorn R, Swanson JW, Kim M, Scheyett A. Clinical decision making and views about psychiatric advance directives. Psychiatr Serv 2006; 57: 350-5.
111. Carpenter J, Sbaraini S. Involving service users and carers in the care programme approach. J Ment Health 1996; 5: 483-8.
112. Corring DJ, Cook JV. Client-centred care means that I am a valued human being. Can J Occup Ther 1999; 66: 71-82.
113. Hamann J, Langer B, Winkler V, Busch R, Cohen R, Leucht S, et al. Shared decision making for in-patients with schizophrenia. Acta Psychiatr Scand 2006; 114: 265-73.
114. Beebe TJ, Harrison PA, McRae JA, Asche SE. Evaluating behavioral health services in Minnesota's Medicaid population using the Experience of Care and Health Outcomes (ECHO) Survey. J Health Care Poor Underserved 2003; 14: 608-21.
115. Corrigan PW, Buican B, McCracken S. Can severely mentally ill adults reliably report their needs? J Nerv Ment Dis 1996; 184: 523-9.
116. Ostman M, Wallsten T, Kjellin L. Family burden and relatives' participation in psychiatric care: are the patient's diagnosis and the relation to the patient of importance? Int J Soc Psychiatry 2005; 51: 291-301.
117. Blenkiron P, Mo KH, Cuzen J, Hammill AC. Involving service users in their mental health care: the CUES Project. Psychiatr Bull 2003; 27: 334-8.
118. Henderson C, Swanson JW, Szmukler G, Thornicroft G, Zinkler M. A typology of advance statements in mental health care. Psychiatr Serv 2008; 59: 63-71.
119. Henderson C, Lee R, Herman D, Dragasti D. From psychiatric advance directives to the joint crisis plan. Psychiatr Serv 2009; 60: 1390-1.
120. Swanson JW, Swartz MS, Elbogen EB, Van Dorn RA, Ferron J, Wagner HR, et al. Facilitated psychiatric advance directives: a randomized trial of an intervention to foster advance treatment planning among persons with severe mental illness. Am J Psychiatry 2006; 163: 1943-51.
121. Van Dorn RA, Swanson JW, Swartz MS, Elbogen E, Ferron J. Reducing barriers to completing psychiatric advance directives. Adm Policy Ment Health 2008; 35: 440-8.
122. Elbogen E, Swanson JW, Appelbaum PS, Swartz MS, Ferron J, Van Dorn RA, et al. Competence to complete psychiatric advance directives: effects of facilitated decision making. Law Hum Behav 2007; 31: 275-89.
123. Kim MM, Van Dorn RA, Scheyett AM, Elbogen EE, Swanson JW, Swartz MS, et al. Understanding the personal and clinical utility of psychiatric advance directives: a qualitative perspective. Psychiatry 2007; 70: 19-29.
124. Papageorgiou A, King M, Janmohamed A, Davidson O, Dawson J. Advance directives for patients compulsorily admitted to hospital with serious mental illness. Randomised controlled trial. Br J Psychiatry 2002; 181: 513-9.
125. Srebnik DS, Russo J. Consistency of psychiatric crisis care with advance directive instructions. Psychiatr Serv 2007; 58: 1157-63.
126. Papageorgiou A, Janmohamed A, King M, Davidson O, Dawson J. Advance directives for patients compulsorily admitted to hospital with serious mental disorders: directive content and feedback from patients and professionals. J Ment Health 2004; 13: 379-88.
127. Hansen T, Hatling T, Lidal E, Ruud T. The user perspective: respected or rejected in mental health care? J Psychiatr Ment Health Nurs 2004; 11: 292-7.
128. Angell B, Mahoney C. Reconceptualizing the case management relationship in intensive treatment: a study of staff perceptions and experiences. Adm Policy Ment Health 2007; 34: 172-88.
129. Lawn S, Battersby MW, Pols RG, Lawrence J, Parry T, Urukalo M. The mental health expert patient: findings from a pilot study of a generic chronic condition self-management programme for people with mental illness. Int J Soc Psychiatry 2007; 53: 63-74.
130. Richards D, Bee P, Loftus S, Baker J, Bailey L, Lovell K. Specialist educational intervention for acute inpatient mental health nursing staff: service user views and effects on nursing quality. J Adv Nurs 2005; 51: 634-44.
131. Ryan T, Pearsall A, Hatfield B, Poole R. Long term care for serious mental illness outside the NHS: a study of out of area placements. J Ment Health 2004; 13: 425-9.
132. Social Action for Health. Hear I Am: Mental Health Service Users, Ward Life and Relationships. Social Action for Health, 2010.
133. Modrcin M, Rapp CA, Poertner J. The evaluation of case management services with the chronically mentally ill. Eval Program Plann 1988; 11: 307-14.
134. Livingston JD, Nijdam-Jones A, Team P.E.E.R. Perceptions of treatment planning in a forensic mental health hospital: a qualitative participatory action research study. Int J Forensic Ment Health 2013; 12: 42-52.
135. Shields LS, Pathare S, van Zelst SDM, Dijkkamp S, Narasimhan L, Bunders JG. Unpacking the psychiatric advance directive in low resource settings: an exploratory qualitative study in Tamil Nadu, India. Int J Ment Health Syst 2013; 7: 29.
136. Patton D. Strategic direction or operational confusion: level of service user involvement in Irish acute admission unit care. J Psychiatr Ment Health Nurs 2013; 20: 387-95.
137. Van der Ham AJ, Voskes Y, van Kempen N, Broerse JEW, Widdershoven GA. The implementation of psychiatric advance directives: experiences from a Dutch crisis card initiative. Psychiatr Rehabil J 2013; 36: 119-21.
138. Rogers B, Dunne E. A qualitative study on the use of the care programme approach with individuals with borderline personality disorder: a service user perspective. J Psychosoc Nurs Ment Health Serv 2013; 51: 38-45.