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Service user involvement in clinical guideline development and implementation: Learning from mental health service users in the UK

Harding, E, Pettinari, CJ, Brown, D, Hayward, M and Taylor, C (2011) Service user involvement in clinical guideline development and implementation: Learning from mental health service users in the UK International Review of Psychiatry, 23 (4). pp. 352-357.

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The participation of service users and the public in the development of clinical guidelines is increasingly valued in international guideline programmes. This paper extends the findings of Harding et al.'s (2010) exploration of the views of service users who participated in developing NICE mental health guidelines. This analysis considered the relative value of personal versus professional knowledge and experience, the barriers to service users contributing effectively in guideline development, the unspoken ‘rules’ concerning decision making, and issues of power and group dynamics. We combine these insights with observations from research in guideline development and with advances in the recovery movement and in the shared decision-making clinical model to suggest areas of improvement in guideline development, notably: translating evidence to recommendations, optimizing the acceptability of treatment recommendations to service users, and reconciling different types of knowledge.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
Harding, E
Pettinari, CJ
Brown, D
Hayward, M
Taylor, C
Date : August 2011
DOI : 10.3109/09540261.2011.606802
Related URLs :
Additional Information : NOTICE: this is the author’s version of a work that was accepted for publication in International Review of Psychiatry. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Review of Psychiatry, 23 (4), Aug 2011, DOI 10.3109/09540261.2011.606802. Informa Healthcare.
Depositing User : Symplectic Elements
Date Deposited : 01 Dec 2011 12:40
Last Modified : 31 Oct 2017 14:15

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