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Lugg W, Levine A, Boyd R. Consumer? Views and preferences of people receiving public mental health care in Australia on the terms used to refer to them. Australas Psychiatry 2023; 31:435-440. [PMID: 37102589 DOI: 10.1177/10398562231172414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
Abstract
OBJECTIVES To understand: a) whether adults receiving public mental health care were aware they were officially referred to as 'consumers' and, b) their views and preferences on the terms used to refer to them. METHODS Single-page, anonymous survey conducted across two community mental health services in Northern New South Wales (NNSW). Ethics approval obtained from the local research office. RESULTS 108 people completed the survey with a response rate of approximately 22%. The vast majority (77%) of respondents were not aware that they were officially referred to as 'consumers'. 32% of respondents disliked the term 'consumer' and 11% found it offensive. Half preferred the term 'patient', particularly when consulting a psychiatrist (55%). A small minority (5-7%) preferred the term 'consumer' for any care interaction. CONCLUSION Most respondents in this survey wished to be referred to as a 'patient' and a large proportion disliked being referred to as a 'consumer' or found it offensive. Further surveys should include broader sociodemographic and diagnostic/treatment variables. Official terms used to refer to people receiving public mental health care should be person-centred and evidence based.
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Affiliation(s)
- William Lugg
- Northern New South Wales Local Health District (NNSWLHD), Tweed Heads Community Mental Health Service, Tweed Heads, NSW, Australia; and
- Department of Psychiatry, The Alfred Hospital, Prahran, VIC, Australia
| | - Andrew Levine
- Department of Psychiatry, The Alfred Hospital, Prahran, VIC, Australia
| | - Robert Boyd
- NNSWLHD, Byron Community Mental Health Service, Byron Bay, NSW, Australia
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De Monte V, Veitch A, Dark F, Meurk C, Wyder M, Wheeler M, Carney K, Parker S, Kisely S, Siskind D. Measuring recovery-oriented rehabilitation language in clinical documentation to enhance recovery-oriented practice. BJPsych Open 2023; 9:e36. [PMID: 36789776 PMCID: PMC9970174 DOI: 10.1192/bjo.2023.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/16/2023] Open
Abstract
BACKGROUND Mental health services are encouraged to use language consistent with principles of recovery-oriented practice. This study presents a novel approach for identifying whether clinical documentation contains recovery-oriented rehabilitation language, and evaluates an intervention to improve the language used within a community-based rehabilitation team. AIMS This is a pilot study of training to enhance recovery-oriented rehabilitation language written in care review summaries, as measured through a text-based analysis of language used in mental health clinical documentation. METHOD Eleven case managers participated in a programme that included instruction in recovery-oriented rehabilitation principles. Outcomes were measured with automated textual analysis of clinical documentation, using a custom-built dictionary of rehabilitation-consistent, person-centred and pejorative terms. Automated analyses were run on Konstanz Information Miner (KNIME), an open-source data analytics platform. Differences in the frequency of term categories in 50 pre-training and 77 post-training documents were analysed with inferential statistics. RESULTS The average percentage of sentences with recovery-oriented rehabilitation terms increased from 37% before the intervention to 48% afterward, a relative increase of 28% (P < 0.001). There was no significant change in use of person-centred or pejorative terms, possibly because of a relatively high frequency of person-centred language (22% of sentences) and low use of pejorative language (2.3% of sentences) at baseline. CONCLUSIONS This computer-driven textual analysis method identified improvements in recovery-oriented rehabilitation language following training. Our study suggests that brief interventions can affect the language of clinical documentation, and that automated text-analysis may represent a promising approach for rapidly assessing recovery-oriented rehabilitation language in mental health services.
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Affiliation(s)
- Veronica De Monte
- Mobile Intensive Rehabilitation Team, Metro South Addiction and Mental Health Service, Woolloongabba, Queenland, Australia
| | - Angus Veitch
- Department of Media and Communications, Swinburne University of Technology, Melbourne, Victoria, Australia
| | - Frances Dark
- Mobile Intensive Rehabilitation Team, Metro South Addiction and Mental Health Service, Woolloongabba, Queenland, Australia; and Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia
| | - Carla Meurk
- Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia; and Queensland Centre for Mental Health Research, The Park, Wacol, Queensland, Australia
| | - Marianne Wyder
- Research and Learning Network, Metro South Addiction and Mental Health Service, Mt Gravatt, Queensland, Australia
| | - Maddison Wheeler
- Mobile Intensive Rehabilitation Team, Metro South Addiction and Mental Health Service, Woolloongabba, Queenland, Australia
| | - Kylie Carney
- Mobile Intensive Rehabilitation Team, Metro South Addiction and Mental Health Service, Woolloongabba, Queenland, Australia
| | - Stephen Parker
- Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia; and Research and Learning Network, Metro South Addiction and Mental Health Service, Mt Gravatt, Queensland, Australia
| | - Steve Kisely
- Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia; and Research and Learning Network, Metro South Addiction and Mental Health Service, Mt Gravatt, Queensland, Australia
| | - Dan Siskind
- Mobile Intensive Rehabilitation Team, Metro South Addiction and Mental Health Service, Woolloongabba, Queenland, Australia; Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia; and Queensland Centre for Mental Health Research, The Park, Wacol, Queensland, Australia
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Suetani S, Kisely S, Parker S. The language that we use: comments on "Pathogenic language in psychiatric practice and how to combat it". Australas Psychiatry 2021; 29:471-472. [PMID: 33354989 DOI: 10.1177/1039856220978866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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