Best practice when service users do not consent to sharinginformation with carers: National multimethod study

BackgroundService users with psychosis may not consent to sharing information withcarers. However, carers require access to relevant information to supportthem in their role.AimsTo inform clinical practice when service users withhold consent to shareinformation with their carer.MethodStudy data were...

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Veröffentlicht in:British journal of psychiatry 2007-02, Vol.190 (2), p.148-155
Hauptverfasser: Slade, Mike, Pinfold Vanessa, Rapaport, Joan, Bellringer Sophie, Banerjee Sube, Kuipers, Elizabeth, Huxley, Peter
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container_end_page 155
container_issue 2
container_start_page 148
container_title British journal of psychiatry
container_volume 190
creator Slade, Mike
Pinfold Vanessa
Rapaport, Joan
Bellringer Sophie
Banerjee Sube
Kuipers, Elizabeth
Huxley, Peter
description BackgroundService users with psychosis may not consent to sharing information withcarers. However, carers require access to relevant information to supportthem in their role.AimsTo inform clinical practice when service users withhold consent to shareinformation with their carer.MethodStudy data were derived from a synthesis of policy review(n=91), national survey (n=595) andindividual interviews (n=24).ResultsKey principles to guide information-sharing practices were identified.Service users highlighted confidentiality being guaranteed by consentprocesses. Carers suggested a ‘culture shift’ was required, withprofessionals trained to work with carers. Professionals emphasisedmental capacity, professional judgement and the context of care. A bestpractice framework is proposed.ConclusionsAn important distinction is between general information, which can alwaysbe shared without consent, and personal information, which is new to thecarer and where consent needs to be considered. Clinical judgement iscentral to balancing conflicting ethical imperatives in this area.
doi_str_mv 10.1192/bjp.bp.106.024935
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However, carers require access to relevant information to supportthem in their role.AimsTo inform clinical practice when service users withhold consent to shareinformation with their carer.MethodStudy data were derived from a synthesis of policy review(n=91), national survey (n=595) andindividual interviews (n=24).ResultsKey principles to guide information-sharing practices were identified.Service users highlighted confidentiality being guaranteed by consentprocesses. Carers suggested a ‘culture shift’ was required, withprofessionals trained to work with carers. Professionals emphasisedmental capacity, professional judgement and the context of care. A bestpractice framework is proposed.ConclusionsAn important distinction is between general information, which can alwaysbe shared without consent, and personal information, which is new to thecarer and where consent needs to be considered. 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However, carers require access to relevant information to supportthem in their role.AimsTo inform clinical practice when service users withhold consent to shareinformation with their carer.MethodStudy data were derived from a synthesis of policy review(n=91), national survey (n=595) andindividual interviews (n=24).ResultsKey principles to guide information-sharing practices were identified.Service users highlighted confidentiality being guaranteed by consentprocesses. Carers suggested a ‘culture shift’ was required, withprofessionals trained to work with carers. Professionals emphasisedmental capacity, professional judgement and the context of care. A bestpractice framework is proposed.ConclusionsAn important distinction is between general information, which can alwaysbe shared without consent, and personal information, which is new to thecarer and where consent needs to be considered. Clinical judgement iscentral to balancing conflicting ethical imperatives in this area.</abstract><cop>London</cop><pub>Cambridge University Press</pub><doi>10.1192/bjp.bp.106.024935</doi></addata></record>
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection; Cambridge University Press Journals Complete
subjects Best practice
Caregivers
Clinical decision making
Clinical medicine
Confidentiality
Consent
Data collection
Information communication
Information sharing
Interviews
Medical personnel
Mental health
Personal information
Polls & surveys
Professionals
Psychiatry
Psychosis
R&D
Research & development
Stakeholders
title Best practice when service users do not consent to sharinginformation with carers: National multimethod study
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